The Xulane patch contains estrogen and progesterone that is absorbed through the skin. The “Patch” provides the convenience of once a week dosing. It is placed on the trunk, avoiding the breasts and remains there for 7 days. On the 8th day, the old patch is removed and a new patch is placed on a different area. The patch must be used correctly in order to prevent pregnancy. It should not be cut, or placed on red, irritated or cut skin. If the patch becomes partially detached press it firmly into place. If it is still not sticking well, it should be replaced.
If the patch is detached for more than 24 hours, or for an unknown period of time, a back-up form of contraception should be used for the next 7 days. If the first patch is missed or applied more than 2 days late, place the patch immediately and use a back-up form of contraception for the next 7 days.
Some side effects include local skin irritation, redness or a rash, breast tenderness, spotting, or cramping. You should not use the patch if you are over the age of 35 and smoke, have a history of uncontrolled high blood pressure, heart disease or a blood clot. Notify your doctor if you develop abdominal pain, chest pain, unrelieved headaches, visual changes or severe leg pain.