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Problems about paralysis stroke - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 537 Questions
User :   my wife suffered a stroke on 27-08-2010. she is currnetly being given Levipil 500 (1-1-1) & Strocit 500 (1-0-1). How long shpuld we continue these, can we reduce the dosage, what are the side effects. My wife's physical condition is okay
Doctor :   Hi
User :   hello doctor
Doctor :   Let me read your query
User :   can you guide me for future medication
Doctor :   Ok, generally after a stroke there is a risk of seizures in such patients
User :   okay
Doctor :   Hence the doctor try the prevent such seizures by giving such medication like Levipil
Doctor :   The chances of seizures reduce as the time passes and there is no recurrent stroke
Doctor :   Hence the Levipil can be withdrawn based on the size of the bleed
Doctor :   You can get back to your doctor about its discontinuation
User :   what about strocit 500
Doctor :   No coming to Strocit ( Citicoline) these are under group of medicines called Nootropics or Neurotonics
Doctor :   They are said to increase the micro blood supply to the parts of the brain which are damaged
User :   If we wish to consult you personally or over the phone is it possible and how
Doctor :   Their use is been not completely explained by the clinical studies though most clinicians prefer to prescribe their patients
Doctor :   Which city are you in?
Doctor :   What is the age of your wife?
User :   Guwahati (Assam) age 52 years
Doctor :   Ok she is still young enough to tolerate
Doctor :   Citicoline increases blood flow and O2 consumption in the brain. It is also involved in the biosynthesis of lecithin.
User :   so what do you suggest we should do now
User :   kindly let us know how we can contact you
Doctor :   Just you should go back to your treating physician and ask to discontinue Levipil
Doctor :   Strocit can be continued
Doctor :   I am in Bangalore
Doctor :   You may not be able to meet me
User :   can we please have your contact no
Doctor :   The next thing you have to take care
Doctor :   1) Keep the blood pressure and blood sugar under control
Doctor :   2) Contineu the physiotherapy
Doctor :   3) Active lifestyle by walking and working for household work
Doctor :   should be started slowly
Doctor :   The faster she can get back to her normal activities the better is her physical and mental recovery
User :   what is the purpose of MAZETOL SR 200 (once daily)
Doctor :   Mazetol is also to prevent the seizure attacks
Doctor :   in future
User :   can we shift from levipil 500 (1-1-1) to mazetol sr 200 (once daily)
Doctor :   Actually yes but it should be taken under guidance of your treating doctor only
Doctor :   because these medicines if taken without doctor's supervision can trigger seizures
Doctor :   themselves
Doctor :   so dose should be regulated
User :   any other tip that may help
Doctor :   The three most important things are mentioned above
Doctor :   She should be able to move socially without thinking that she is a diseased
Doctor :   Mental strength is also important along with physical
Doctor :   When did the stroke happened?
User :   on 27-08-2010
Doctor :   I mean there is no recurrence right?
User :   no
Doctor :   THat is better
Doctor :   Do you know how much was the bleed said on CT scan?
User :   she had cellulitis in her right foot around a year ago. any connection with the stroke?
User :   we do not know
User :   she is takin Daflon 500 (1-0-1) for cellulitis
Doctor :   Cellulitis is a gross infection where the infection can go into other parts of the body, it can also get into the brain through blood stream, but may cause a huge bleed
Doctor :   Is she still taking the medicine?
Doctor :   Is she diabetic or high blood pressure?
User :   yes
User :   she is diabetic - Janumet 50/1000 (1-0-1) no bp
Doctor :   Actually you should be very cautious about blood pressure
Doctor :   which is more in patients who suffered stroke
Doctor :   In fact you should get treated by General Physician and General surgeon closely for her above set of problems
Doctor :   The BP should be less than 120/80mm Hg
Doctor :   Otherwise let your doctor put her on medication
Doctor :   Cellulitis would not allow her to be active and start on exercise
User :   yes bp is always 70/110
Doctor :   Ok
Doctor :   Good
Doctor :   She should get treated by General Physician and General surgeon closely for her above set of problems
Doctor :   Let her blood sugar be undercontrol
Doctor :   Her health is in all of your hands
Doctor :   Not in doctor's medicines
User :   okay at the moment sugar is under control
Doctor :   They help only partly and some guidance from him
Doctor :   Do you have any more questions?
User :   if we are in banglore can we consult you personally
Doctor :   Yes
User :   where
Doctor :   You can call 080-0000
Doctor :   Call before you leave to Bangalore
Doctor :   as I am always not available
Doctor :   it is only through appointment
User :   okay thanks a lot sir, you have cleared a lot of our doubts and misconceptions
Doctor :   Thank you
Doctor :   Bye for now
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