Medication safety
A patient of mine had been using birth control intermittently for nearly two years. Over time, I noticed her migraines were worsening despite trying various treatments, including triptans, biologics, and other medications like propranolol and amitriptyline. One day, while extending her birth control prescription because her doctor was out of office, I realized I had just filled a prescription that might be contributing to her migraines.
I reviewed her medications more closely and immediately contacted her to return the birth control. I also informed her doctor about the situation and the concerns related to her migraines. The doctor agreed that this particular birth control was not appropriate for a patient experiencing migraines.
At her next visit, she told me her migraine episodes had decreased by about half. This change came after stopping the medication that potentially aggravated her migraines. Because of a pharmacist, something important happened.