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Query about stroke - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Stroke
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   Hello doctor I want to understand stroke
User :   Is stroke a form of dementia
Doctor :   Stroke can cause memory disturbances
Doctor :   but not considered to be a form of dementia
Doctor :   May I know in what context you are asking it?
User :   One of my very close friends had suffered from cerebral stroke
Doctor :   Ok
User :   What type of drugs are prescribed for stroke
Doctor :   anticoagulants shall be given
Doctor :   along with certain sedatives
User :   are vaso dilators also given?
Doctor :   Yes, they are given
Doctor :   to ease the blood supply
Doctor :   and also to regulate the Blood Pressure if that is the cause
User :   Are these medicines given in a specific sequence from detecting stroke in the patient
Doctor :   No, they are started in general
User :   strokes being an acute form of disorder are the medicines given in injection form or even tablet form is preferred
Doctor :   Initially injection form for better reach
User :   I know one drug citiholine which is used in the treatment of stroke can you name few others especially which are vasodilators
Doctor :   Sure, some of them include nitroglycerine,
Doctor :   antihypertensives
Doctor :   like calcium channel blockers like verapamil, dilitiazem
User :   After acute ischemic stroke it is best to give anti hypertensives in injection form??
Doctor :   Yes, it is
User :   Can stroke cause dementia?
Doctor :   Yes, it can cause memory loss
Doctor :   but does recover in majority of the cases
User :   Is citicoline a vasodilator??
Doctor :   It is not a vasodilator
Doctor :   it is given for cognitive improvement
User :   how does it help in stroke??
Doctor :   It helps in improving the cognitive function as it shall be impaired during an attack of stroke
User :   Then it should be given after the patient has already suffered from the stroke??
Doctor :   Yes, it is indicated
User :   can drugs like Hydergine, Rivastigmine, Memantine also given to patients for cognitive improvements??
Doctor :   Yes, it is the same
Doctor :   for improvement of memory as well
Doctor :   Is there anything else I can help you with?
User :   Yeah doctor, how long does the patient take to recover from stroke
Doctor :   It takes atleast 3 months for significant improvment
Doctor :   gradually it shall be noticed from 3rd week
User :   how long the medications are needed to be continued
User :   what are the precautions one must take to ensure that strokes do reoccur??
Doctor :   Go for regular follow ups
Doctor :   continue with the medications
Doctor :   and monitor the BP
User :   the medications that are used, do they have significant side effects??
Doctor :   they are essential
Doctor :   and one should not worry about side effects
User :   Are medications to patients more effective in iv form than oral form. Does that reduce the duration of treatment under any circumstance??
Doctor :   Yes, iv form is always better than oral form
Doctor :   route I mean, rather than form
User :   Which is the most effective drug for stroke - for primary action and the other drug in supportive action
Doctor :   anticoagulants
Doctor :   that is clot dissolving drugs
User :   and citicoline is support??
Doctor :   Yes, they are support medications for faster recovery
User :   One last question, what are the primary causes for stroke and is there any relation of stroke with the age of patients like other forms of dementia like Alzheimer's which are more off age related.
Doctor :   Stroke the major causes are increased blood pressure, elevated cholesterol levels, smoking habits, diabetes, etc.
User :   Thank you doctor, it is very considerate of you to spare time talking to me. Have a good day.
Doctor :   Pleasure serving you
Doctor :   Bye for now
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