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Xulane
  • Treatments
  • Birth Control

Xulane

Generic name:ethinyl estradiol and norelgestromin
Dosage form: transdermal patch
Drug class:Contraceptives

Medically reviewed by N. France, BPharm. Last updated on Apr 7, 2022.

What is Xulane?

Xulane is a birth control patch you wear on your skin to stop you getting pregnant. Xulane contains two hormones - an estrogen and progestin - which are absorbed through the skin. It prevents pregnancy by stopping your ovaries from ovulating and releasing eggs.

Xulane is a generic version of a patch called Ortho Evra, which has been discontinued.

What is Xulane used for?

Xulane is a birth control patch for women with a BMI less than 30 kg/m2. It is used to prevent pregnancy.

Your chances of getting pregnant while using Xulane depend on how well you follow the directions for using it. The better you follow the directions, the less chance you have of getting pregnant.

In clinical studies, 1 to 2 out of 100 women got pregnant during the first year that they used the norelgestromin and ethinyl estradiol transdermal system.

Xulane may not be as effective in women weighing more than 198 lbs. (90 kg). If you weigh more than 198 lbs. (90 kg), talk to your healthcare provider about which method of birth control is right for you.

Xulane and other birth control patches are as effective at preventing pregnancy as birth control pills and vaginal rings with hormones. Birth control patches are more effective then condoms and diaphragms.

Important information

Do not use Xulane if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from hormonal birth control methods, including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.

Do not use Xulane if you have an increased risk for blood clots.

Do not use Xulane if your Body Mass Index (BMI) is 30 kg/m2 or more. Women with a BMI of 30 kg/m2 or more who use Xulane may be at a higher risk for developing blood clots compared to women with a BMI lower than 30 kg/m2.

Hormonal birth control methods help to lower the chances of becoming pregnant. They do not protect against HIV infection (AIDS) and other sexually transmitted infections.

Who should not use Xulane?

Do not use Xulane if you:

  • smoke and are over 35 years old
  • have or have had blood clots in your arms, legs, eyes or lungs
  • have an inherited problem that makes your blood clot more than normal
  • have had a stroke
  • have had a heart attack
  • have certain heart valve problems or heart rhythm problems that can cause blood clots to form in the heart
  • have high blood pressure that medicine cannot control
  • have diabetes with kidney, eye, nerve, or blood vessel damage
  • have had certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision, or have any migraine headaches if you are over age 35
  • have a BMI of 30 or more
  • have liver disease, including liver ...