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A 56-year-old male asked:

38yr old female non smoker normal bmi wanted combined pill to help my cystic acne but gp said could not prescribe it,as i get migraine aura,migraine headache but both seperately .gp said high risk for stroke or blood clot but i have normal bp.true?

2 doctor answers2 doctors weighed in
Dr. Odhett Cojocaru
Internal Medicine 26 years experience
Oral combination birth control pills are contraindicated in persons who have migraine with aura because of increased risk for strokes regardless of blood pressure or other risk factors.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bennett Machanic
Neurology 54 years experience
If you have classical migraine headaches with auras, the risk of stroke increases with smoking and female hormones, and your doctor is correct! Normal blood pressure is immaterial in this situation.
Created for people with ongoing healthcare needs but benefits everyone.

Related questions

A 35-year-old male asked:
Been 12 years maybe one a year were eyes get blurry speech funny then headache had test normal doc said migraine aura scared it's Tia stroke?
Dr. Al Hegab
Dr. Al Hegabanswered
Allergy and Immunology 42 years experience
Unlikely: Trust your doctor/neurologist, you can still have a second opinion, it's your right , but unlikely to be a TIA/stroke, wish you well
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
I get migraine with aura without the headache and Im so scared its going to kill me and make me have a stroke Ive had it since I was 14 is this rare?
Dr. Angel Arturo Moya Marquez
Dr. Angel Arturo Moya Marquezanswered
A US doctor answeredLearn more
It's not rare: There are migraine with and without aura. The auras may be very specific, some people see colors, some people smell certain scents. Having a stroke at... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Going on low dose Prapranolol GP permission ,worked reduced Migraine Aura no Headache.Echocardiagram recently would not find PFO but i could have small PFO causing Migraines.Cardio said see Nuerologist but why not investigate further in Cardiology?
Dr. Heidi Fowler
Psychiatry 27 years experience
BECAUSE-: "Multiple studies suggest that migraine with aura is more prevalent in subjects with patent foramen ovale (PFO) and PFO is more prevalent in subjects ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Heidi Fowler
Psychiatry 27 years experience
Provided original answer
Nov 1, 2017
Dr. Heidi Fowler
Psychiatry 27 years experience
Provided original answer
You are so welcome. I hope that the neurologist can help you to get control over those headaches. Be well.
Nov 1, 2017
A 53-year-old male asked:
My GP gave me Amitriptyline (Elavil)as i have 6-8 Migraine Auras a month but no Headache I thought Elavil was more for Migraine Headache?Ideas please?
Dr. Elizabeth Finley-Belgrad
Child Psychiatry 36 years experience
Still migraine: Auras and HA component of migraines would be expected to respond to the same treatment as they are part of the same process
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Shortness of breath severe migraine followed by blood in nasal mucus. Chronic migraine aura sufferer. Could this be from headaches?
Dr. Bennett Machanic
Neurology 54 years experience
No: The bleeding and shortness of breath are not due to migraine, and you possess a co-morbidity or a second independent problem.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated May 18, 2022

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