Migraine Management with Yaz

Contraindications and Precautions

The American Academy of Neurology recommends that combined hormonal contraceptives like Yaz are absolutely contraindicated in women with migraine with aura, due to an associated increase in risk of stroke 1
Yaz should not be used in patients with migraine with aura, as it is an absolute contraindication 1, 2

The American Headache Society recommends beta-blockers, such as atenolol, bisoprolol, metoprolol, and propranolol, as first-line preventive medications for migraine prevention 1, 2
Angiotensin II receptor blockers, such as candesartan, are also recommended as first-line preventive medications for migraine prevention 1, 2
Anticonvulsants, such as topiramate, are recommended as first-line preventive medications for migraine prevention 1, 2
Amitriptyline, flunarizine, and sodium valproate are recommended as second-line preventive medications for migraine prevention 1, 2
CGRP monoclonal antibodies, such as erenumab, fremanezumab, and eptinezumab, are recommended as third-line preventive medications for migraine prevention 1, 2
OnabotulinumtoxinA is recommended as a third-line preventive medication for migraine prevention 1

The American Academy of Neurology recommends evaluating response to treatment within 2-3 months after initiation or change in treatment 1
Headache calendars should be used to track attack frequency, severity, and medication use 1