What preventative treatments should be considered for patients with migraine and prior ischemic stroke?
Practitioners may consider implementing preventative treatments to reduce migraine frequency in patients with migraine and prior ischemic stroke. Avoiding oral contraceptive agents with exogenous estrogen in women with migraine with aura and prior ischemic stroke may be appropriate. Other treatments to consider include triptans and calcitonin gene related peptide receptors, although clinical evidence to quantify such risks is lacking.