EVRAr (see below). What should I tell my healthcare professional before using ORTHO EVRAr? Tell your healthcare professional if you: Smoke Are recovering from the birth of a baby Are recovering from a second trimester miscarriage or abortion Are breastfeeding Weigh 198 pounds or more Are taking any other medications Also, tell your healthcare professional if you have or have had: Breast nodules, fibrocystic disease of the breast, or an abnormal breast x-ray or mammogram Family history of breast cancer Diabetes Elevated cholesterol or triglycerides High blood pressure Migraine or other headaches or epilepsy Depression Gallbladder disease Liver disease Heart disease Kidney disease History of scanty or irregular menstrual periods If you have any of these conditions, you should be checked often by your healthcare professional. What are the risks of using hormonal contraceptives including ORTHO EVRA r ? Blood Clots: Like pregnancy, hormonal birth control methods increase the risk of serious blood clots, especially in women who have other risk factors, such as smoking, obesity, or age greater than 35 years. This increased risk is highest when you first start using hormonal birth control. Some studies have reported that women who use ORTHO EVRAr have a higher risk of getting a blood clot. Talk with your healthcare provider about your risk of getting a blood clot before deciding which type of birth control is right for you. It is possible to die or be permanently disabled from a problem caused by a blood clot, such as a heart attack