Evra patches are small, convenient, and effective contraceptive patches that are applied to your skin weekly to prevent pregnancy. They are a useful alternative if you struggle to take daily pills and are unaffected by sickness and diarrhoea. When typical use is taken into account, the medication is 91% effective at protecting against falling pregnant.
You can buy the Evra patch online from Prescription Doctor after completing a brief medical questionnaire. If your order is approved by our experienced clinicians, your treatment is dispatched by our General Pharmaceutical Council-registered pharmacy for swift and discreet delivery. Items approved before 3pm on a weekday (excluding Bank Holidays) are also eligible for next-day delivery.
You must complete a short online consultation so that our prescriber can ensure that the treatment is suitable for you.
Order in the next 04 hours and 33 min to receive your order Wednesday, May 06
Evra patches are small, convenient, and effective contraceptive patches that are applied to your skin weekly to prevent pregnancy. They are a useful alternative if you struggle to take daily pills and are unaffected by sickness and diarrhoea. When typical use is taken into account, the medication is 91% effective at protecting against falling pregnant.
You can buy the Evra patch online from Prescription Doctor after completing a brief medical questionnaire. If your order is approved by our experienced clinicians, your treatment is dispatched by our General Pharmaceutical Council-registered pharmacy for swift and discreet delivery. Items approved before 3pm on a weekday (excluding Bank Holidays) are also eligible for next-day delivery.
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The Evra patch is a branded contraceptive treatment that releases hormones into the body through the skin to stop pregnancy from occurring.
Evra patches are a type of combined contraception because they contain synthetic versions of both oestrogen and progesterone. Specifically, they contain a progestogen called norelgestromin and an oestrogen called ethinylestradiol. Unlike the combined pill, which is usually taken daily, Evra transdermal patches are replaced weekly, followed by a 7-day break, which can make them a more convenient option for some people.
The patch is more than 99% effective when it is used correctly, but when typical use is considered, such as forgetting to change the patch, the NHS states it is closer to being 91% effective. This means that each year, 9 out of 100 people who use the patch will get pregnant.
Evra patches work similarly to the combined pill, except they are applied to the skin each week rather than swallowed as a tablet every day. The patches are approximately 4.5 cm by 4.5 cm and contain a synthetic oestrogen and progestogen, which are released through the skin into the body.
These hormones work together to stop pregnancy by:
Hindering ovulation: The primary function of Evra transdermal patches is to suppress the release of hormones that cause ovulation (the monthly release of a mature egg from the ovaries)
Obstructing sperm: Cervical mucus is thickened to make it difficult for sperm to travel to the womb and fertilise an egg
Thinning the endometrium: By affecting the womb lining, the Evra patch reduces the chances of a fertilised egg implanting itself
This three-pronged action of ovulation prevention, thinning of the womb lining, and sperm inhibition greatly reduces the chances of becoming pregnant, provided the Evra patch is used correctly.
How Long Does the Evra Patch Take to Work?
Evra patches start working immediately to prevent pregnancy if you start using them on day 1 of your period (when you experience your first bleed that month). Should you decide to begin on any other day, it’s recommended to speak to a clinician about temporarily using additional non-hormonal forms of contraception.
How to Use Evra Patches
Evra patches are applied to the skin each week for 3 weeks, followed by a patch-free week, during which you should get a withdrawal bleed similar to a period.
To apply the patch, you should:
Open the foil sachet by tearing along the edge.
Firmly grasp a corner of the patch and gently remove it from the foil sachet.
Peel away half of the clear protective covering on the patch, being careful not to touch the sticky surface.
Apply the patch to your skin.
Remove the other half of the protective covering.
Press down firmly on the patch with the palm of your hand for 10 seconds, making sure all the edges are stuck well to your skin.
When to Change Evra Patches
Evra patches should be worn for exactly 7 days before being removed and replaced with a new one. Repeat this process for a further 2 weeks until you reach day 21. From days 22 to 28, do not wear a patch. You should experience a withdrawal bleed at this time.
Once the patch-free week has ended (on day 29), apply a new patch and continue the process. You should do this even if you are still bleeding. It’s important to rotate your application site every week to avoid skin irritation.
Where to Put Evra Patches
Evra patches should be applied to a clean, dry, hair-free area of the skin that is not rubbed by tight clothing, and never on your breasts. Suitable areas are:
Buttock
Abdomen
Upper outer arm
Upper back
You should apply the patch exactly as instructed by a clinician.
While wearing an Evra contraceptive patch, you can shower, exercise, and swim as normal without the patch coming off. You should check that the patch is still in place after participating in any of these activities.
When Can I Start the Evra Patch?
It’s recommended to start using Evra transdermal patches on day 1 of your period (when you first notice a bleed), as this will ensure you are protected from pregnancy immediately. If you begin on any other day, speak to your clinician about temporarily using a non-hormonal form of contraception (such as condoms).
How to Switch to the Evra Patch From a Contraceptive Pill
Apply your first Evra patch during the first 24 hours of your period.
If you apply it after day 1, use condoms until day 8 when you change your patch.
If you switch from a progestogen-only or mini pill to Evra, you should:
Apply your first patch any day after stopping the mini pill.
Use condoms until day 8, when you change the patch.
Extended Use of Evra Patches
Evra patches can also be applied for extended use to delay your period. If you use it in this manner, you will wear an Evra patch for 9 weeks, followed by a patch-free break of 4 or 7 days. However, this is called a tailored regimen and considered off-label use because it does not follow the prescribed patch instructions.
If you’re thinking about using Evra patches in this way, you should consult your clinician before commencing treatment. Other medications are available to delay your period.
What to Do if Your Evra Patch Falls Off
Should the patch become loose, lift at the edges or fall off, you should not try to re-stick it with tape. If it does come away completely, your next course of action depends on how long it has been missing.
Less than 24 hours: Try to reapply the patch where possible. If it is no longer sticky, has stuck to itself or another surface, or it’s the second time it has become loose or fallen off, apply a new one immediately. You should not need to use any other forms of contraception, and your patch change day should be the same.
More than 24 hours: Start a new four-week cycle straight away by putting on a new patch. You will now have a new day 1 and a new patch change day. As a precaution, you will need to use a barrier method of contraception, such as condoms, for the first week of your new cycle.
What Happens if I Forget to Change My Evra Patch?
If you forget to change your patch:
At the start of a patch cycle (day 1)
Apply the first patch of your new cycle as soon as you remember. You will have a new “Patch Change Day”.
Use a non-hormonal contraceptive, like condoms, for 7 days.
In the middle of your patch cycle (week 2 or 3) and up to 48 hours late
Apply a new patch as soon as you remember.
Put your next patch on your normal “Patch Change Day”.
You do not need to use extra contraception.
In the middle of your patch cycle (week 2 or 3) and 48 hours or more late
You must start a new 4-week cycle by putting on a new patch. You will now have a new “Patch Change Day” and a new day 1.
You will need to use an extra contraception method, like condoms, for 7 days.
Contact your clinician if you think you may be pregnant; they may recommend emergency contraception.
At the end of your patch cycle (week 4) If you forget to remove your patch:
Remove the patch as soon as you remember.
Start your next cycle on your normal “Patch Change Day”, the day after day 28.
How to Stop Using Evra Patches
You can stop using the Evra patch whenever you want, with no need to “wean” yourself off it. Some people have reported experiencing irregular or little-to-no menstrual bleeding when ceasing treatment. This is particularly the case within the first 3 months of stopping, or if their periods were irregular before starting Evra.
What is the Difference Between Evra Patches and the Combined Contraceptive Pill?
Feature
Evra patch
Combined pill
Active ingredients
Versions of oestrogen and progestogen
Versions of oestrogen and progestogen
Usage
One patch is applied weekly for three weeks, followed by a one-week break
Daily or with a 7-day break (depending on treatment)
Benefits
Can be easier to remember for some people. Efficacy is not affected by sickness and diarrhoea
A reversible method of contraception which can reduce period pain, improve acne, and regulate menstruation
Convenience
Once-weekly application, but may be visible on the skin
Involves daily use, but it is not noticeable
Blood clot risk
6 to 12 people out of 10,000 per year
5 to 7 people out of 10,000 per year
How Effective is the Evra Patch?
If the Evra patch is used correctly, it is more than 99% effective at preventing pregnancy. However, with typical use, such as forgetting to change the patch, it is closer to 91% effective, meaning 9 out of 100 people will get pregnant each year using the Evra patch.
Compliance with the method of contraception can play a key role in its efficacy. One study found that people were more likely to comply with the contraceptive patch than the combined pill.
Evra Patch Side Effects and Cautions
Although the Evra transdermal patch is considered safe and well-tolerated, side effects or other adverse reactions can still occur. Having a clear understanding of what you may experience is crucial before commencing treatment, so we recommend familiarising yourself accordingly. If you have any questions, our specialist clinicians are happy to help.
Side Effects of Evra Patches
Like any medication, the Evra patch can have potential side effects, although not everyone experiences them. Possible Evra patch side effects include:
Very Common/Common Side Effects
(may affect up to 1 in 10 people)
Uncommon Side Effects
(may affect up to 1 in 100 people)
Rare Side Effects
(may affect up to 1 in 1,000 people)
Acne or skin rash Breast pain or tenderness Breast enlargement/lumps Changes in menstrual bleeding Diarrhoea Dizziness Feeling tired or unwell Headaches Migraine Mood changes Muscle spasms Nausea Skin irritation Stomach ache Thrush Weight gain
Abnormal breast milk production Allergic reaction Eczema or skin redness Hair loss High blood fat levels High blood pressure Increased appetite Loss of interest in sex Premenstrual syndrome Sensitivity to light Sleep issues Vaginal dryness Water retention
Abnormal taste Anger or frustration Blood clots Fluid retention Gallstones Increased interest in sex Issues wearing contact lenses Itchy skin Severe allergic reaction Vaginal discharge
Please note that this is not a complete list of potential Evra patch side effects. More details can be found within the Patient Information Leaflet that comes with the medication.
You should discuss any concerns about side effects with a healthcare provider. Alternatively, you can report any Evra side effects to the Medicine and Healthcare products Regulatory Agency’s (MHRA) Yellow Card Scheme.
Can the Evra Patch Cause Blood Clots?
Like all combined contraception methods, there is a slightly increased risk of developing a blood clot when using Evra. This risk may be higher than with some combined pills.
Potential signs of a blood clot include:
Severe headaches
Coughing up blood
A sudden numbness or weakness, especially down one side
Chest pain, pressure, or discomfort
Swelling in one leg
Rapid breathing or unexplained breathlessness
The table below outlines the possible risks of developing a blood clot when using combined contraception:
Category
Risk of developing a blood clot in a year
People who are not using a combined pill/patch/ring and are not pregnant
About 2 out of 10,000 people
People using a combined pill containing levonorgestrel, norethisterone, or norgestimate
About 5 to 7 out of 10,000 people
Evra users
About 6 to 12 out of 10,000 people
It’s important to note that the overall risk of a blood clot occurring while administering the Evra patch is still low, although it is at its highest when in the first year of treatment or if you’re restarting combined contraception after a break of 4 weeks or more. The risk also increases if you:
Are overweight
Have an immediate family member who has had a blood clot in their leg, lung, or other organ
Need an operation and are going to be off your feet for a while
Are over 35
Gave birth less than 3 weeks ago
When you stop using Evra transdermal patches, your risk of a blood clot returns to normal within a few weeks. If you have any concerns, please speak to your clinicians before starting the medication.
Evra Patches and Breast Cancer
While breast cancer has been discovered in more women who take combined contraceptives such as Evra patches, it is unknown whether this is caused by the treatments themselves or because individuals using the medication are examined more often, so there is a better chance of the condition being spotted.
After stopping combined contraceptives for 10 years, the additional risk of developing breast cancer will be the same as that of people who have never taken the medications.
Who Can Use Evra Patches?
Evra patches are intended for people aged 18 to 45, but may not be suitable for everyone. You should not use Evra contraceptive patches if you:
Have or have had a blood clot in a blood vessel
Have a blood-clotting disorder
Need an operation or will be off your feet for a while
Have had a heart attack, stroke, or angina
Have had a migraine with an aura
Are allergic to any of the ingredients in an Evra patch
Have or have been told you might have breast, womb, cervical or vaginal cancer
Know your liver does not function properly
Have vaginal bleeding and do not know why
Before using Evra patches, you should let a clinician know if you are:
Pregnant or think you might be
Are over 35 years old and smoke
Very overweight
Breastfeeding
Taking any other medications - prescribed, over-the-counter or herbal
The Evra patch may be less effective for people who weigh over 90 kg. It is important you let your clinician know if you are more than 90 kg, as they may suggest an alternative method of contraception.
While most combined oral contraceptives contain lactose, Evra transdermal patches do not. This may make the treatment more suitable for people with certain sugar intolerances. Always consult a clinician before starting a new treatment.
Evra Patches and Other Medications
Before using the Evra patch, you should tell the clinician if you are taking any other prescribed, over-the-counter, or herbal medicines.
Do not use Evra if you have hepatitis C and are taking any medicines that contain:
Dasabuvir
Glecaprevir
Ombitasvir
Paritaprevir
Pibrentasvir
Ritonavir
Sofosbuvir
Velpatasvir
Voxilaprevir
Some medicines can also stop Evra patches from working properly. These include:
Antiretroviral medicines used to treat HIV or hepatitis C
Griseofulvin or rifampicin
Anti-seizure medications (barbiturates, topiramate, phenytoin, carbamazepine, primidone, oxcarbazepine, and felbamate)
Bosentan
St. John’s Wort
Evra can also make these medications less effective:
Ciclosporin
Lamotrigine
Most antibiotics are considered safe to use with Evra transdermal patches and will not interfere with their effectiveness. The main exceptions to this rule are rifampicin and rifabutin, which impact enzymes in the liver.
Pregnancy and Breastfeeding
Evra patches should not be used if you are or think you may be pregnant. If you fall pregnant while using the medication, stop it straight away and speak to a clinician. You should also seek medical advice if you’re planning to have a baby before commencing treatment.
Do not use Evra patches if you are currently breastfeeding or plan to do so. If you are considering contraception while breastfeeding, speak to a clinician or midwife about suitable options.
Frequently Asked Questions About Evra Patches
Is the Evra Patch a Combined Contraceptive?
Yes, Evra transdermal patches are considered combined contraceptives, as they contain two active ingredients that work together to prevent pregnancy. Ethinylestradiol (oestrogen) and norelgestromin (a progestogen) mimic naturally occurring hormones in the body and are released into the body through the skin.
Can the Evra Patch Delay Periods?
Yes, the Evra patch can be used to delay periods. If you’d like to do this, apply a patch at the beginning of week 4 (day 22) instead of taking the 1-week break. You may experience light or breakthrough bleeding. Do not wear more than 6 patches in a row (more than 6 weeks).
When you’ve worn 6 patches, do not apply one in week 7. Take a 7-day break, then apply a new patch and restart the cycle, using this as day 1. Always consult your clinician before deciding to delay your period. Other treatments are also available for this purpose.
Can You Use the Evra Patch Continuously?
Yes, it is possible to apply a new Evra patch once a week without taking a break, a process known as continuous use. You won’t experience a withdrawal bleed with this method, but some bleeding may still occur. More personalised ways of using contraceptive patches are considered off-label and should always be approved by a doctor or clinician before you start.
What is the Best Place to Put Evra Patches?
The best place to put Evra patches ultimately depends on personal preference and what you find easiest. That being said, there are several guidelines you should follow. These include ensuring the site is clean, dry, and hairless, usually on the buttocks, upper back, upper outer arm, or stomach.
Avoid placing them where they’ll be rubbed by tight clothing or where friction will occur. Change the application spot each time to avoid skin irritation. Never apply Evra patches to the breasts.
Does the Evra Patch Cause Acne?
Yes, acne is listed as a common side effect of Evra patches that could affect up to 1 in 10 women. This could just be the result of temporary flare-ups as your body gets used to the medication. If the condition does not clear after 3 months of use, consult a clinician, as they may recommend another form of contraception.
That said, the Evra patch could also improve the appearance of acne. A review of clinical studies found this to be the case and suggested it could be due to the patch's progesterone component, which doesn’t stimulate androgen (male hormone) receptors.
Does the Evra Patch Cause Weight Gain?
Although weight gain is listed as a potential side effect of Evra patches, there is no solid medical evidence to suggest that combined contraceptives cause weight fluctuations. If you do notice any changes, they will likely be caused by increased appetite or water retention rather than body fat.
If you are concerned about possible Evra patch side effects, speak to a doctor or clinician. You could also seek advice if you require support to lose weight.
Can You Buy the Evra Patch Over the Counter?
No, you cannot buy the Evra patch over the counter. This is because it is classified as a prescription-only medication (POM) and must be prescribed by a doctor or other qualified prescriber to ensure it is safe for you to use. The decision is usually made by reviewing your medical history and any other treatments you are taking.
Is the Evra Patch on the NHS?
Yes, you can get the Evra patch on the NHS from places like GP surgeries and sexual health clinics. This would involve an in-person visit, which can put some people off. As a result, some women prefer the convenience and confidentiality of obtaining a private prescription online.
Can You Buy the Evra Patch Online?
Yes, you can buy the Evra patch online from reputable pharmacies such as Prescription Doctor. You’ll begin with a brief questionnaire to provide information about your medical history and any other treatments you may be taking. Your details are then reviewed by a clinician to determine if your chosen medication is suitable for your circumstances.
If approved, your order is dispatched by our General Pharmaceutical Council-registered pharmacy in plain packaging. Next-day delivery is available for orders approved before 3pm on a weekday (excluding Bank Holidays).
How Do You Store Evra Patches?
Store Evra patches in their original container to protect them from moisture and light. Do not refrigerate or freeze, and ensure they are always kept out of the sight and reach of children or animals. Always check the expiry date on the label and do not use it after this point.
Information about how to dispose of the patches is on the Patient Information Leaflet. Special considerations are needed, as used patches will still contain active hormones.
Is There an Alternative to Evra Patches?
Although Evra patches are effective in preventing pregnancy, they are not suitable for everyone. Alternative options are available, including the combined pill, mini pill, contraceptive ring, and condoms. If you’re unsure about which treatment is most appropriate for your circumstances, seek advice from a doctor or clinician.
At Prescription Doctor, we also have an emergency contraception service where you can order the morning-after pill.
Product Name: Evra Patch Active Ingredient(s): Ethinylestradiol (Oestrogen) and norelgestromin acetate (Progestogen) Manufacturer: Gedeon Richter Plc Description: Evra Patches are applied directly to the skin and applied weekly to prevent pregnancy Exemption: Subject to medical prescription. May not be suitable for anyone >90 kg. Administration: Applied directly to the skin Presentation: Patches Available Strength: 203 micrograms/24 hours of norelgestromin + 33.9 micrograms/24 hours of ethinylestradiol per transdermal patch. One patch is applied weekly for three weeks Application: Women over 18 Dosage: One patch every 7 days after 3 weeks, with a 7-day break Alcohol Consumption: No influence When Pregnant: Do not take. Speak to your doctor for further advice. When Breastfeeding: Do not take. Speak to your doctor for further advice.
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