Affects of the Birth Control Pill and Pregnancy on Acne
Although acne can be seen in babies and children, it is typically developed during adolescence because this is the time when hormone levels start to surge. Surging hormone levels trigger the sebaceous glands to go into overdrive and this increased level of oil clogs the glands and can get out. Thus a pimple is formed.
By understanding how hormone levels that are fluctuating can affect oil glands you will be able to more easily understand that birth control pills can cause an acne breakout in women who have never had to deal with acne or have not had acne since they were teens. The reason acne can show up in women who take a birth control pill is because that pill changes hormone levels which can trigger the subaceous glands to product more oil. This can also happen when you become pregnant.
The Birth Control Pill May be Used Control Acne
The other side of the coin is that some women notice a decrease in acne when they are on a birth control pill. This is because different levels of hormones are available with different types of birth control pills. Sometimes women who do suffer from acne may choose to take a birth control pill even if they do not need it for birth control. This is not recommended unless you are healthy, have begun menstruation and are at least 15 years old. Several brands are available that will clear up acne. The one brand that is available and has been specifically approved by the FDA for treating acne is Ortho Tri-cyclen.
Personally I would advise trying all other forms of treatment for acne before choosing to take a birth control pill just for controlling acne. Birth control pills do have side effects and it is always better to choose a non-medicated route before going with medication.
Acne and Pregnancy
There are times with a woman notices an increase or an outbreak of acne when they are pregnant. The reason for this is because of all the hormone changes that take place in the body of a pregnant woman. These changes are necessary to prepare the body for the growth of the baby. There are two main female hormones, progesterone and estrogen. While pregnant the progesterone is the dominant hormone and progesterone causes the sebaceous glands to create more oil than normal which, of course, can plug up the glands and produce acne.
Dealing with acne during pregnancy is easy if you understand that this is a short term thing that will go away once your pregnancy is over. If the acne is really bad and you want to seek treatment, you should go to a dermatologist who is experienced in working with pregnant patients. A good dermatologist will be happy to discuss treatment options that will make you more comfortable without causing any harm to yourself or your baby.
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Ortho Evra
Drug Uses
Ortho Evra is a contraceptive (birth control) skin patch used to prevent pregnancy. It is a combination hormonal contraceptive because it contains two hormones, estrogen and progestin. It does not protect against HIV infection (AIDS) and other sexually transmitted diseases.
How Taken
This birth control method uses a 28-day (four-week) cycle. One topical patch is applied and kept in place for one week. A new topical patch is applied each week for three weeks in a row (21 total days). You should not apply a patch during the fourth week (a one-week break). During the one-week break, you should have your menstrual period. Every new patch should be applied on the same day of the week; this will be your ‘Patch Change Day’. Follow your healthcare provider’s instructions regarding when to start using Ortho Evra and whether back-up contraception is needed temporarily. Clean and dry the area of skin where the patch will be applied. The patch can be placed on the buttock, abdomen, upper outer arm, or upper torso in a place where it won’t be rubbed by tight clothing. Never put the patch on the breasts. To avoid skin irritation, apply each new patch to a different place on the skin. Do not apply the patches to skin that are red, irritated or cut. Do not use creams, oils, powder, or makeup on the skin where you will put a patch or near a patch your are wearing. It may cause the patch to become loose. If a patch causes irritation, it can be removed and a new patch may be applied to a new location until the next ‘Patch Change Day’. Only one patch should be worn at a time.
Warnings/Precautions
The risks associated with using Ortho Evra increase significantly if you: smoke, have high blood pressure, diabetes, or high cholesterol, have or have had clotting disorders, heart attack, stroke, chest pain (angina pectoris), and cancer of the breast or reproductive organs, jaundice, or malignant or benign liver tumors. Ortho Evra may be less effective in women weighing more than 198 lbs. (90 kg). Do not use Ortho Evra without first talking to your doctor if you weigh more than 198 lbs. (90 kg). Ortho Evra is in the FDA pregnancy category X. This means that Ortho Evra is known to cause birth defects in an unborn baby. Do not use Ortho Evra if you are pregnant. Ortho Evra may decrease milk flow and have other effects on milk composition. Do not use Ortho Evra without first talking to your doctor if you are breast-feeding a baby.
Missed Dose
If you forget to change your patch:
-at the start of any patch cycle,
Week one (Day 1): If you forget to apply your patch, YOU COULD BECOME PREGNANT � you must use back-up contraception for one week. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day 1.
-in the middle of your patch cycle,
Week two or week three: If you forget to change your patch for one or two days, apply a new patch as soon as you remember. Apply your next patch on your normal Patch Change Day. No back-up contraception is needed.
Week two or week three: If you forget to change your patch for more than two days, YOU COULD BECOME PREGNANT start a new four week cycle as soon as you remember by putting on a new patch. You now have a different Patch Change Day and a new Day 1. You must use back-up contraception for the first week of your new cycle.
-at the end of your patch cycle,
Week four: If you forget to remove your patch, take it off as soon as you remember. Start your next cycle on your normal Patch Change Day the day after Day 28. No back-up contraception is needed.
-at the start of your next patch cycle,
Day 1 (week one): If you forget to apply your patch, YOU COULD BECOME PREGNANT. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day. You must use back-up contraception for the first week of your new cycle.
Possible Side Effects
Some common side effects with combination hormonal contraceptives like Ortho Evra are:
-breast tenderness and enlargement
-headache
-nausea
-menstrual changes
-abdominal cramps and bloating
-vaginal discharge.
Storage
Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Store patches in their protective pouches. Apply immediately upon removal from the protective pouch. Do not store in the refrigerator or freezer. Used patches still contain some active hormones. Each patch should be carefully folded in half so that it sticks to itself before safely disposing of it in the trash. Used patches should not be flushed down the toilet.
Overdose
Ortho Evra is unlikely to cause an overdose because the patch releases a steady amount of the hormones. Do not use more than one patch at a time. Serious ill effects have not been reported when young children accidentally took large doses of oral contraceptives. Over dosage may cause nausea and vomiting. Vaginal bleeding may occur in females. In case of over dosage, contact your health care professional or pharmacist.
More Information
Your health care professional will take a medical and family history before prescribing Ortho Evra and will examine you. You should be reexamined at least once a year. Be sure to inform your health care professional if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your health care professional, because this is a time to determine if there are early signs of side effects of hormonal contraceptive use. Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth control. If you want more information about Ortho Evra, ask your health care professional or pharmacist.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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