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Prescribing information |
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For patients presenting with a stroke already prescribed an anticoagulant, withhold this until the patient has had a review by a stroke consultant. Anticoagulants should be started when indicated as per the 1 to 3 to 6 to 12 day rule, and guided by an experienced stroke physician
Prescribing information |
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NEW antihypertensives should not be prescribed in the acute phase following an ischaemic stroke.
Prescribing information |
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Blood Pressure | Action |
Consistently less than 130/80mmHg | Withhold any regular antihypertensive medication. |
Consistently 130/80mmHg or greater but less than 220 systolic BP |
Continue regular antihypertensive medication if no other acute contra-indications. |
Consistently 220 or greater systolic BP |
Continue regular antihypertensive medication if no other acute contra-indications. Seek specialist advice from a physician experienced in stroke. |
Prescribing information |
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Blood pressure target post stroke: 130/80mmHg |
Initiate atorvastatin 80mg daily
Prescribing information |
Note: patients post-haemorrhagic stroke should not normally be prescribed a statin unless the risks of further vascular events outweigh the risk of further haemorrhage. |
Patient information can be accessed here
For community rehabilitation referrals should be made through the local Single Point of Access (SPOA)
Last reviewed: 31 December 2021
Next review: 31 December 2024
Author(s): Stroke Clinical Network
Approved By: TAM Subgroup of ADTC
Reviewer Name(s): Stroke Coordinator
Document Id: TAM393