kkumarmd

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  • in reply to: OCP #290

    kkumarmd
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    Hi,
    It’s not absolute CI. I would say realtive CI. The recommendation is use combined oral contraceptives. Here is thenote from a Gyn Journal.

    “We suggest strategies for the use of combined oral contraceptives (COCs) and hormone replacement therapy (HRT) in women with   migraine, based on available evidence, when it exists, and expert opinion. They do not set a standard, since migraine management   and stroke prevention require a flexible and individualized approach, the evidence is low grade (expert appraisal of the literature  with peer review, and no randomized controlled clinical trials exist. They do not replace general guidelines             for the safe use of COCs and national recommendations that relate to migraine and COCs, where they exist.
    It is assumed that a diagnosis of migraine has been made and symptoms of transient ischaemic attacks, stroke or other conditions   that are contraindications to the use of COCs have been ascertained. “

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