The risk of taking a contraceptive pill with migraines, whether with or without aura, can vary depending on the type of migraine and other risk factors present. Generally, in healthy women under 35 who do not smoke and do not have migraines, oral hormonal contraception can be initiated by a community pharmacist. However, if there are migraines present, a more in-depth medical evaluation is necessary. It is important to consider the individual's medical profile and assess the risks and benefits of initiating a treatment. Factors such as high blood pressure, smoking, personal and family history, among others, can increase the risk of an adverse event like a stroke. It is crucial to discuss these factors with a healthcare provider to make an informed decision about contraceptive options.
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