Migraine: Pregnancy, Contraception and Other hormonal factors Flashcards
1
Q
How is Migraine during pregnancy managed?
A
First line - Paracetamol
Second line - Aspirin 300mg or ibuprofen 400mg (used second line in the first and second trimester)
2
Q
If someone has migraine with aura what does this mean for the COCP?
A
The COCP is absolutely contraindicated due to risk of stroke.
3
Q
Many women find that the frequency and severity of migraines increase around the time of menstruation. What is the management for menstrual migraines?
A
- Mefanamic acid
- Aspirin + Paracetamol + Caffeine
- Triptans are recommended in the acute situation.
4
Q
Is HRT safe to prescribe for patients with a history of migraines?
A
Yes but it may make them worse.
