4 doctors weighed in:

Is aspirin adequate antiplatelet therapy for patient who just had a stroke?

4 doctors weighed in
Dr. Edward Smith
Neurology
1 doctor agrees

In brief: Usually

In non-embolic stroke, not caused by heart valve or rhythm disturbance, Aspirin is adequate first-line treatment.
Other antiplatelet drugs may be useful if a person is Aspirin intolerant such as plavix (clopidogrel). Note compination Aspirin & Plavix (clopidogrel) offers no advantage than either drug alone but increases side-effects. Combination of Aspirin & dipyridamol (aggrenox) however is better than either drug alone.

In brief: Usually

In non-embolic stroke, not caused by heart valve or rhythm disturbance, Aspirin is adequate first-line treatment.
Other antiplatelet drugs may be useful if a person is Aspirin intolerant such as plavix (clopidogrel). Note compination Aspirin & Plavix (clopidogrel) offers no advantage than either drug alone but increases side-effects. Combination of Aspirin & dipyridamol (aggrenox) however is better than either drug alone.
Dr. Edward Smith
Dr. Edward Smith
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Dr. Michael Korona
Radiology - Interventional

In brief: Depends

On size of stroke, underlying vascular disease and complications of the stroke, such as bleeding.
Your neurologist will help with anti platelet therapy.

In brief: Depends

On size of stroke, underlying vascular disease and complications of the stroke, such as bleeding.
Your neurologist will help with anti platelet therapy.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Francis Uricchio
Internal Medicine - Cardiology

In brief: Probably not

Aspirin can be part of an antiplatelet regimen that often includes Aggrenox or plavix.
In the setting of a critical carotid stenosis, carotid surgery or stenting may be required. If the stroke is caused by an embolus (such as atrial fibrillation), antiplatelet therapy is typically not adequate and anticoagulants such as coumadin, (warfarin) pradaxa, or xarelto may be required.

In brief: Probably not

Aspirin can be part of an antiplatelet regimen that often includes Aggrenox or plavix.
In the setting of a critical carotid stenosis, carotid surgery or stenting may be required. If the stroke is caused by an embolus (such as atrial fibrillation), antiplatelet therapy is typically not adequate and anticoagulants such as coumadin, (warfarin) pradaxa, or xarelto may be required.
Dr. Francis Uricchio
Dr. Francis Uricchio
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