Thanks for sharing. Your diagnosis of migraine headache is appropriate. However, the lack of important information in this case study makes it a little challenging and more testing will be helpful. The essential information needed include current vital signs, personal and social history as well as the family history, because recurrent headaches lasting for 12-18 hours, especially with a patient on a birth control medication. Also, the clinician should know when she started Ortho Tri-cyclin and if any other prescription medications, or herbals is involved, did she have a recent blood work done? Since Ortho Tri-cyclin is contraindicated with the following conditions such as uncontrolled high blood pressure, heart disease, a blood clotting
