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Patients should be warned to report increase in headache frequency or onset of focal symptoms - the combined pill should be discontinued and the patient urgently referred if focal neurological symptoms not typical of aura persist for 1 hour or more.
The combined pill is contra-indicated in:
The combined pill can be prescribed with caution in patients who:
UKMEC Criteria state:
In consideration of UKMEC criteria and combined hormonal contraception (CHC):
Cardiovascular factors (including migraine) and UKMEC categories (3):
Check the summary of product characteristics before prescribing any combined oral contraceptive pill.