Medications you should be on after a stroke or TIA

Dr. Alishek, after a patient has a TI or a stroke, what medication do they need to take? Right, so the guidelines from Royal College of Physicians recommend a secondary stroke prevention which is similar for both stroke and transient ischemic attack. It includes a blood thinner with anti-platelet in cases when you don't have an underlying atrial fibrillation, aspirin 300 milligram for two weeks, followed by clopidogrel, 75 mg for lifelong, unless contraindicated or advised by the physician. If the underlying rhythm is picked up as atrial fibrillation, then depending on CHAD-BEST score and HAS-BLAST scoring, the patient should be commenced on either Warfarin, and if there is no contraindication, for neuroanticoagulants. Ideally, patients using more and more neuroendocrine because of their convenience of use. In addition to that, statins have a big role in reducing the risk of progression of atherosclerotic plaques. A high dose statin, a torvastatin 80 milligram, as per the SPARCL trial, reduces the risk of further strokes. If you have another risk factor such as a high blood pressure, you need to take adequate some blood pressure medications, depending on allergies and other risk factors, stratification, keeping the blood pressure under control, which your GP or your local stroke physician will guide you, diabetic control, and any other condition that needs treatment, such as hematological disorders. They should be treated. Thank you.