Stroke Treatment: Medications and Recovery Strategies

Treatment and Medication Issues for Cerebral Infarction

Hello, doctor.
Recently, I experienced a stroke and had weakness in my right hand.
The condition improved after about a week.
I underwent a carotid ultrasound and found that several blood vessels are 40% blocked.
What can we do to improve this situation? I want to actively treat this to recover to normal as soon as possible.
The outpatient doctor only prescribed one tablet of Beraprost and one of Xinxingjian, without providing much explanation.
What is the purpose of Xinxingjian? Since I started taking this medication, I have been feeling dizzy.
Is this a side effect of the medication? Will I need some time to adjust? Currently, my blood pressure readings are normal.

Ms. Huang, 50~59 year old female. Ask Date: 2021/10/14

Dr. Jiang Junyi reply Neurology

Dear Ms.
Huang,
The primary medication for the prevention of cerebral infarction is aspirin.
You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy.
Possible side effects include abdominal pain, diarrhea, indigestion, bloating, nausea, dizziness, headache, edema, palpitations, and tachycardia.
If you continue to feel unwell after a week of taking the medication, please return for a follow-up consultation with your attending physician.
You mentioned that a carotid ultrasound revealed several vessels with 40% blockage.
It is recommended to monitor this annually and to strictly control your lipid levels to stabilize the vessels.
Cerebral stroke causes necrosis of brain cells, which do not regenerate; therefore, active rehabilitation is necessary to connect the surviving brain cells.
The effectiveness of rehabilitation is best within the first month, and progress tends to be limited after three months, which is considered the golden period for rehabilitation.
It is usually encouraged for patients and their families to invest significant effort during this time.
Most importantly, controlling risk factors (lipids, blood sugar) is crucial to reduce the likelihood of another stroke.
I recommend discussing your subsequent treatment and management options (such as risk factor control and post-stroke rehabilitation plans) with your attending physician.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health and peace,
Dr.
Jiang Junyi
Department of Neurology, Taoyuan Hospital

Reply Date: 2021/10/14

More Info

Understanding stroke treatment and recovery strategies is crucial for patients and their families, especially after experiencing a stroke. In your case, it appears that you have had a transient ischemic attack (TIA) or a mild stroke, given the temporary weakness in your right hand and the subsequent recovery. The discovery of 40% blockage in your carotid arteries is significant, as it can increase the risk of future strokes.

Medications and Their Role
The medications prescribed to you, including Beraprost (伯基) and Xinjingjian (欣行健), are likely aimed at improving blood flow and preventing further clot formation. Beraprost is a prostaglandin derivative that helps to dilate blood vessels and improve circulation, which can be beneficial in cases of arterial blockage. Xinjingjian, on the other hand, is often used in traditional Chinese medicine and may have various effects, including improving microcirculation and reducing blood viscosity.

It is not uncommon to experience side effects such as dizziness when starting new medications. This could be due to the body adjusting to the changes in blood flow or the specific effects of the medications themselves. If the dizziness persists or worsens, it is important to consult your healthcare provider to discuss your symptoms and possibly adjust your treatment plan.

Recovery Strategies
1. Lifestyle Modifications: To improve your vascular health and reduce the risk of future strokes, consider adopting a heart-healthy lifestyle. This includes:
- Diet: Focus on a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Reducing salt, sugar, and saturated fats can help manage blood pressure and cholesterol levels.

- Exercise: Engage in regular physical activity, as tolerated. Aim for at least 150 minutes of moderate aerobic exercise each week, such as walking, swimming, or cycling. Physical therapy can also be beneficial in regaining strength and coordination in your affected hand.

- Weight Management: Maintaining a healthy weight can help lower blood pressure and reduce the risk of further cardiovascular issues.

2. Regular Monitoring: Keep track of your blood pressure, cholesterol levels, and any symptoms you experience. Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust medications as necessary.

3. Rehabilitation: If you have not already, consider engaging in a structured rehabilitation program. Occupational therapy can help improve fine motor skills and coordination in your right hand, while speech therapy may assist if you experience any communication difficulties.

4. Education and Support: Educate yourself about stroke and its risk factors. Joining a support group can provide emotional support and practical advice from others who have experienced similar challenges.

5. Medication Adherence: Ensure that you take your medications as prescribed. Discuss any concerns about side effects with your doctor, as they may be able to adjust your dosage or switch you to a different medication.

Conclusion
In summary, while the medications you are taking are important for managing your condition, a comprehensive approach that includes lifestyle changes, rehabilitation, and regular medical follow-up is essential for optimal recovery. If you continue to experience side effects or have concerns about your treatment, do not hesitate to reach out to your healthcare provider for guidance. Your proactive approach to managing your health will play a significant role in your recovery journey.

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