Johnson & Johnson, which makes the Ortho Evra (norelgestromin/ethinyl estradiol) Transdermal System, has been the focus of hundreds of lawsuits filed over the past two years by women who suffered blood clots and other serious side effects from heightened estrogen levels caused by the birth control patches. Some reports include fatalities. J&J has already settled several of the lawsuits, and the company has told plaintiffs attorneys it is ready to settle remaining ones.

The new labeling on the Ortho Evra packaing includes
- CONTRAINDICATIONS – The term “significant hypertension” was replaced with actual blood pressure values.
- WARNINGS – Under “Elevated Blood Pressure,” providing more complete guidance to health care providers regarding use in women with hypertension.
- ADVERSE REACTIONS – Under “Clinical Trial Experience, Postmarketing Experience,” editorial revisions to provide for use of MedDRA terminology and a more user-friendly format.

The Ortho Evra patch was approved by the FDA in 2001. In 2008, J&J updated its labeling on the birth control patch after testing revealed women between the ages of 15 and 44 on the patch are at higher risk for pulmonary embolism. Serious side effects related to Ortho Evra include heart attack or stroke; blood clots in the legs, lungs (pulmonary embolism), or eyes, or in the deep veins of the legs; chest pain, breast cancer or cancer of the lining of the uterus, cervix or vagina; liver tumor (benign or cancerous); severe high blood pressure; and diabetes with complications of the kidneys, eyes, nerves or blood vessels.

SOURCE: Ortho Evra and Blood Clots › New warnings, adverse reactions added to Ortho Evra

Those discounts had been slashed because of a 2005 federal law designed to save taxpayers money on Medicaid reimbursements for drugs. An unfortunate side effect of that law financially dissuaded pharmaceutical companies from selling their products to these pharmacies at reduced prices. So women began to see contraceptive pills and product costs rise from $5 to $10 a month to $30 to $50 a month.

These findings are encouraging for college women in particular. Since the 2005, college either passed the price increase to students or stopped selling contraceptives all together. Some were concerned students would turn to less preferred contraceptives or use nothing at all.

Last month we told you that Texas Christian University (TCU) had forged a deal with drug companies so that it could start offering discounted contraceptives to its students. More colleges are expected to follow suit now and swing deals with pharmaceutical companies. But buyer beware – clinics are still offering the Ortho Evra birth control patch, a popular choice for younger women who don’t want the hassle of a once-a-day pill. The patch, made by Johnson & Johnson, has caused serious health problems and even death in young women – a trend that has caused some consumer groups to petition the FDA to stop the sale of the birth control patch. Johnson & Johnson no longer markets the patch, however it is still widely available and has yet to be pulled from the market.

Source: Associated Press

SOURCE: Ortho Evra and Blood Clots › New provision would help lower cost of contraceptives for college students

“Another issue is that contraceptive choice isn’t just a clinical decision, it’s a lifestyle one and it should be promoted this way to women much more than it currently is,” says Julie Bentley, Chief Executive of FPA.

Perhaps another reason why women should take a closer look at their birth control method is the potential health risks it may carry. Women simply cannot trust the FDA to ensure the safety of a product. Of particular concern is the Ortho Evra Contraceptive Transdermal Patch. The patch is one of the newer types of birth control targeting younger women who don’t want mess with the hassle of taking a pill everyday.

The patch’s makers, Johnson & Johnson, however, are facing numerous lawsuits from young women or their family members who have suffered serious side effects such as blood clots, strokes and even death. Some of the lawsuits have already been resolved, ending in confidential settlements. Johnson & Johnson says it is ready to work out settlements in the other lawsuits it faces.

Advocacy groups have petitioned the FDA to pull the patches from the marketplace, but the patches are still available and doctors continue to write prescriptions for them.

SOURCE: Ortho Evra and Blood Clots › Women should spend more time weighing risks of birth control options

However, students may want to weigh their contraception options more closely. Johnson & Johnson, the makers of the Ortho Evra contraceptive patch has been riddled with lawsuits claiming the patches cause serious side effects in young women, such as blood clots and even death. The patches reportedly can leak too much estrogen into the bloodstream causing the serious health problems.

According to reports, several lawsuits against the company have already ended with confidential settlements and Johnson & Johnson has already told plaintiffs attorneys that it is ready to work out settlements with the others it faces.

The Ortho Evra patch was originally marketed to women seeking an alternative to the once-daily birth control pill. However, since its debut there has been an emerging pattern of young women suffering from pulmonary embolisms and strokes.

Johnson & Johnson no longer actively markets the patch, but it is still available and has yet to be pulled from the market despite petitions by consumer group Public Citizen to the FDA to remove the product. The group also claims removal of the patch would have an environmental benefit, as the discarded patches could leak contaminants into the environment after they are disposed of by consumers.

SOURCE: Ortho Evra and Blood Clots › TCU students urged to heed contraception patch warnings

Clinical data show that the Ortho-Evra patch carries greater risks compared to standard contraception in pill form without providing any real benefits. Public Citizen’s petition listed several reasons why the patch should be banned, including:

• Potentially toxic levels of synthetic estrogen, up to 60% more on average
• Greater variability in estrogen levels than standard oral birth control / inconsistent dosages depending on where on the body the patch is applied
• A substantially higher risk of blood clots: studies indicate that Ortho Evra users were twice as likely to develop venuous thrombosis – life-threatening blood clots in the leg that are fatal if they migrate to the lungs
• Higher risk of side effects such as breast discomfort, severe menstrual pain, nausea, and vomiting
• Higher than usual discontinuation rates; chances of women discontinuing usage due to side effects and irritation caused by wearing the patch are estimated at 50%
• The same results as oral birth control but with harsher side effects and greater risks

The consumer group also argues that a ban on the patch would be environmentally sound. Discarded patches, it notes, contain 80% of the original estrogen dose that threaten to leak and contaminate the environment after disposal.

The group concludes that if Ortho Evra were a pill, its side effects and greater risks would not be tolerated by the FDA.

SOURCE: Ortho Evra and Blood Clots › consumer group urges Ortho Evra ban

Currently there is litigation pending throughout the United States, including in Chicago, relating to the use of the Ortho Evra patch. Plaintiffs have filed claims after suffering from blood clots, pulmonary embolisms and in some cases death. The side effects of the patch can be very serious and even deadly.

If you or someone you know developed blood clots while being on the Ortho Evra patch, contact an attorney immediately to learn your legal rights. You may be able to file a claim against the manufacturer for the injuries suffered.

January 31st, 2008 by Gary MaCallister with injuryboard.com

SOURCE: Ortho Evra and Blood Clots › Ortho Evra birth control patch label change

It likely hints at the company’s desire to avoid trials where its actions -or lack thereof – regarding safety problems with the defective Ortho Evra birth control patch could be called into question.

When Ortho Evra was introduced in 2002, Johnson and Johnson touted the once-weekly patch as a convenient alternative to daily oral contraceptive pills. The drug’s original safety label stated that the patch’s health risks were similar to those related to oral contraceptives.

But in 2005, the Food & Drug Administration warned that women using Ortho Evra were exposed to approximately 60 percent more estrogen than those who used oral contraceptive pills. High levels of estrogen can greatly increase the risk of developing blood clots, heart attacks, strokes and other serious injuries. As of November 2005, the FDA had received twenty-one reports of life-threatening blood clots and other ailments associated with the use of Ortho Evra.

Then in 2006, a study was published that showed women using Ortho Evra were twice as likely to suffer blood clots as those taking oral birth control pills. That study prompted the FDA to request a change on the Ortho Evra label to include a stronger safety warning.

Since then, Ortho Evra has been named in well over 2,000 lawsuits, and the suit filed by 14-year-old Alycia Brown’s family is one of them. According to Bloomberg News, Alycia died in May 2004 from two blood clots in her lungs that developed after she had been using the Ortho Evra birth control patch for several weeks.

According to court records obtained by Bloomberg, Johnson & Johnson settled with her family for $1.25 million. The court records said that Johnson & Johnson did not admit that Ortho Evra had caused Alycia’s death, and that the company settled in order to avoid litigation. Neither Johnson & Johnson nor Alycia’s family would comment to Bloomberg, as both sides had signed a confidentiality agreement.

Johnson & Johnson is likely desperate to keep such agreements secret because it has been accused of ignoring warning signs that Ortho Evra was dangerous. There is evidence that such accusations are true, including the testimony of Joe Lippman, a former employee of and a plaintiff in a whistle blower lawsuit against Johnson & Johnson.

Lippman raised concerns over “dangerously high levels of estrogen” that users of the patch were exposed to in the late 1990s. Lippman, who was fired in 2006, claims his concerns were ignored.

October 25th, 2007

SOURCE: Ortho Evra and Blood Clots › Ortho Evra lawsuit settled for $1.25m as J&J tries to avoid public trials