Treatment options

With NowPatient's private treatment plans you can treat Contraceptive Pill Alternatives with EVRA ® safely and easily in a few simple steps. Get started by selecting the medication you are interested in or by hitting the start consultation button below.

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We connect you to a prescribing clinician by secure video link who will spend time with you to understand your requirements and ensure that EVRA ® is appropriate, safe and effective for you. The consultation is FREE and you only ever pay for the medication, if it is prescribed. Medications are supplied and delivered discreetly by NowPatient.

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Table of contents
OverviewAbout EvraKey facts of EvraWho is Evra not suitable for?How and where to get Evra?Dosage and strength for Evra for contraceptionInformation about how to use Evra for contraceptionWhat happens if you use too much Evra?What are the side effects of Evra?Information about using Evra at the same time as other medications or herbal supplementsWhy might Evra not work for contraception?Can Evra taken for contraception be taken long term?Is there a herbal Evra?Can women use Evra?Should I avoid any particular food or drink when taking Evra?Alternatives to EvraSourcesPeople also asked
Navin Khosla NowPatientGreen tick
Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 26 Jan 2024
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What to do if you missed your EVRA ® dose

The MHRA's reporting program for suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

Learn more about reporting side effects

About Evra

Evra transdermal patch is a hormonal contraceptive containing ethinyl estradiol, an oestrogen and norelgestromin, a progestogen, as the active ingredients. It is used to prevent pregnancy.

Evra patch works in the same way as the combined pill by stopping the release of an egg each month and preventing ovulation. It also makes cervical mucus thicker, making it more difficult for sperm to pass through the cervix, and makes the womb lining thinner, so fertilised eggs are less likely to implant in the uterus wall.

Now Patient offers Evra as a contraceptive only, following an online consultation with a prescribing clinician.

Key facts of Evra

  • For the prevention of unwanted pregnancy
  • Evra has some common side effects which include breast tenderness and changes in mood
  • It can be dangerous if you use Evra with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
  • If you use Evra from the first day of your period, up to and including the 5th day of your period, you will be fully protected from pregnancy immediately. If you start to use it from any other day, you will need to use another form of contraception, for the first 7 days

Who is Evra not suitable for?

Evra may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before using Evra if you:

  • Are allergic to the active ingredients norelgestromin or ethinylestradiol
  • Have varicose veins
  • Are over 35 years of age
  • Are overweight
  • Smoke
  • Have high blood pressure
  • Have diabetes
  • Have a family history of blood clots (thrombosis)
  • Suffer from migraines with aura
  • Have a family history of heart attacks or stroke before the age of 45
  • Have breast cancer
  • Have liver or gallbladder disease
  • Are taking antibiotics, St John’s Wort or medication for epilepsy, tuberculosis or HIV

How and where to get Evra?

Evra is available with a prescription only. It is not available over the counter at a pharmacy.

Now Patient does not allow customers to buy Evra directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for a contraceptive, you can discuss if Evra is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by Now Patient.

Dosage and strength for Evra for contraception

Evra is available as transdermal patches that supply 33.9 mcg of ethinylestradiol and 203 mcg of norelgestromin in 24 hours.

Information about how to use Evra for contraception

The Evra patch may be placed on the buttocks, abdomen area, upper outer arm or upper torso. Make sure the patch dosen’t get rubbed off by tight clothing.

You will wear Evra patches for 3 weeks, then take a 7-day break, after which it is replaced on the same day of the week (change day). You should change the position of each new patch applied to prevent skin irritation. During your patch-free week you may get a withdrawal bleed. Apply a new patch and start the new cycle after your 7 day break even if you are still bleeding.

You should use additional contraception if you stop using Evra patches as you will not be protected from pregnancy. Also, read the patient information leaflet supplied with your medication or speak to a healthcare professional for further medical advice.

What happens if you use too much Evra?

If you use more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have used too much Evra and you experience any of the following side effects.

What are the side effects of Evra?

Side effects of Evra are split into common and serious.

Common side effects include:

  • Headaches
  • Nausea, vomiting
  • Diarrhoea
  • Breast tenderness
  • Mood changes
  • Irregular vaginal bleeding
  • Acne
  • Weight gain

Serious side effects include:

  • Increased risk of breast cancer

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.

  • Your lips, mouth, throat or tongue suddenly become swollen
  • You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
  • Your throat feels tight or you’re struggling to swallow
  • Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
  • You suddenly become very confused, drowsy or dizzy
  • Someone faints and cannot be woken up

Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient

Information about using Evra at the same time as other medications or herbal supplements

There is not enough evidence to suggest there are any drug interactions between herbal supplements and Evra. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.

Why might Evra not work for contraception?

Evra may not work for you if the patch has not been applied correctly or if the patch has not been applied according to the correct 21 day cycle. Speak to your healthcare provider if you need further information.

Can Evra taken for contraception be taken long term?

The Evra patch should be used for 21 days with a 7 day break. You should not use Evra for longer periods of time. Speak to your doctor if you have not removed the patch after 21 days and suffer side effects.

Is there a herbal Evra?

No. Herbal Evra does not exist. If you have been marketed such a formulation, it may be fake.

Can women use Evra?

Women can use Evra for contraception, but it is not suitable if pregnant or while breastfeeding. Speak to your doctor if you think you are pregnant before using Evra patches.

Should I avoid any particular food or drink when taking Evra?

You can eat and drink normally when using Evra patches.

Alternatives to Evra

Alternative method of contraception include:

  • Implants
  • Intrauterine devices (IUDs)
  • Oral birth control pills (combined oral contraceptive and progestogen only pill)
  • Vaginal rings
  • Condoms
  • Diaphragms
  • Tubal ligation and vasectomy
  • Emergency contraception


Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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