Do not take this medicine with the following medications:

-dasabuvir; ombitasvir; paritaprevir; ritonavir
-ombitasvir; paritaprevir; ritonavir

This medicine may also interact with the following medications:

-acetaminophen
-antibiotics or medicines for infections, especially rifampin, rifabutin, rifapentine, and possibly penicillins or tetracyclines
-aprepitant or fosaprepitant
-armodafinil
-ascorbic acid (vitamin C)
-barbiturate medicines, such as phenobarbital or primidone
-bosentan
-certain antiviral medicines for hepatitis, HIV or AIDS
-certain medicines for cancer treatment
-certain medicines for seizures like carbamazepine, clobazam, felbamate, lamotrigine, oxcarbazepine, phenytoin, rufinamide, topiramate
-certain medicines for treating high cholesterol
-cyclosporine
-dantrolene
-elagolix
-flibanserin
-grapefruit juice
-lesinurad
-medicines for diabetes
-medicines to treat fungal infections, such as griseofulvin, miconazole, fluconazole, ketoconazole, itraconazole, posaconazole or voriconazole
-mifepristone
-mitotane
-modafinil
-morphine
-mycophenolate
-St. John''s wort
-tamoxifen
-temazepam
-theophylline or aminophylline
-thyroid hormones
-tizanidine
-tranexamic acid
-ulipristal
-warfarin

They need to know if you have or ever had any of these conditions:

-abnormal vaginal bleeding
-blood vessel disease or blood clots
-breast, cervical, endometrial, ovarian, liver, or uterine cancer
-diabetes
-gallbladder disease
-having surgery
-heart disease or recent heart attack
-high blood pressure
-high cholesterol or triglycerides
-history of irregular heartbeat or heart valve problems
-kidney disease
-liver disease
-migraine headaches
-protein C deficiency
-protein S deficiency
-recently had a baby, miscarriage, or abortion
-stroke
-systemic lupus erythematosus (SLE)
-tobacco smoker
-an unusual or allergic reaction to estrogens, progestins, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress. You will need a regular breast and pelvic exam and Pap smear while on this medicine.

Use an additional method of contraception during the first cycle that you use this patch.

If you have any reason to think you are pregnant, stop using this medicine right away and contact your doctor or health care professional.

If you are using this medicine for hormone related problems, it may take several cycles of use to see improvement in your condition.

Smoking increases the risk of getting a blood clot or having a stroke while you are using hormonal birth control, especially if you are more than 35 years old. You are strongly advised not to smoke.

This medicine can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your doctor or health care professional if you feel you are retaining fluid.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.

In some women, tenderness, swelling, or minor bleeding of the gums may occur. Notify your dentist if this happens. Brushing and flossing your teeth regularly may help limit this. See your dentist regularly and inform your dentist of the medicines you are taking.

If you are going to have elective surgery or a MRI, you may need to stop using this medicine before the surgery or MRI. Consult your health care professional for advice.

This medicine does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep the patch in its pouch until time of use. Throw away any unused medicine after the expiration date.

Dispose of used patches properly. Since a used patch may still contain active hormones, fold the patch in half so that it sticks to itself prior to disposal. Throw away in a place where children or pets cannot reach.