Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am a 22 year old female who has pretty good health. I started the birth control sprintec yesterday and woke up this more feeling very nauseous then followed by fainting. I completely blacked out and hit my head pretty hard, is this a direct side effect of the pill?
[|AI|]  Hi, This episode needs to be ruled out. These pills can be pro thrombotic which means blood clot can be formed in heart or brain causing such episodes. However, EKG and echo need to be done to look for any signs of cardiac syncope. Holder monitoring may also be needed if any suspected abnormalities of rhythm are suspected on work up. Brain imaging may not be needed now but if cardiac work up is unremarkable may be needed as well as carotid Doppler. Sugar levels and thyroid profile may be needed as well as electrolytes levels may be evaluated. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery.