Study note
MedicineNeurology and stroke medicine

Stroke management: antiplatelets, cholesterol lowering and anticoagulation

THE CONTEXT
The extract lists antiplatelet treatment for sinus rhythm, cholesterol-lowering treatment and anticoagulant options.

Antiplatelet treatment in sinus rhythm

FeatureDetails
Aspirin
Give 300 mg at once, followed by 75 mg daily.
Clopidogrel
A dose of 75 mg daily is listed as an effective alternative.

Cholesterol lowering

•
Statin treatment: Lower cholesterol with a high-intensity statin after checking liver function tests.

Anticoagulation

FeatureDetails
Treatment options
Direct oral anticoagulants or warfarin are listed if there are no contraindications.
Warfarin target
The listed target INR is 2–3, or 3.5 for a mechanical prosthetic valve.
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