A member asked:

What is medicinal therapy for stroke prevention?

5 doctors weighed in across 2 answers
Dr. Pedro Hernandez answered

Specializes in Geriatrics

Blood thinners: Most strokes are caused by a brain infarction because of cholesterol plaques clotted producing obstruction to the blood flow to the tissue of a area of the brain. Less likely a hemorrhage in the brain. We use aspirin, Aggrenox , plavix, (clopidogrel) warfarin or Pradaxa as "blood thinners" to prevent strokes. We have to control blood pressure with meds too.

Answered 10/24/2017

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Dr. answered

In Primary Stroke: Prevention (ie in someone who has not had a stroke, and is keen to avoid one) we modify risk factors. If indicated, consider medication to lower blood pressure (ACE inhibitor / Calcium Channel Blocker etc), or to lower blood cholesterol (Statin). Antiplatelet drugs (Aspirin) have an unclear role in Primary Prevention. Anticoagulants (Warfarin or NOAC) if Atrial Fibrillation and high CHADSVASC2.

Answered 9/27/2016

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