What is the best medicine to take for a stroke?

Written by Zhang Hui

Neurology

Updated on July 02, 2025

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Stroke mainly includes two major categories. The first category mainly includes ischemic cerebrovascular diseases, with cerebral thrombosis being a representative condition. In cases of stroke caused by cerebral thrombosis, it is recommended to mainly use three types of medications. The first type of medication is antiplatelet drugs, which can inhibit the aggregation of platelets and prevent the reformation of thrombosis. The second type of medication mainly includes statins, which can regulate blood lipids and stabilize atherosclerotic plaques, and also prevent the recurrence of cerebral thrombosis. The third type of medication mainly includes traditional Chinese medicine that promotes blood circulation and removes blood stasis, which can improve circulation, and many traditional Chinese medicines are also recommended for use. The second type of stroke is hemorrhagic stroke, mainly caused by hypertension. For hemorrhagic stroke caused by hypertension, it is primarily managed by using antihypertensive drugs to stabilize blood pressure and taking some laxatives.

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Written by Tang Bo

Neurology

1min 42sec

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Key Points in the Treatment of Different Recovery Stages of Stroke

Stroke includes ischemic stroke and hemorrhagic stroke, namely cerebral infarction and cerebral hemorrhage. Their treatments are generally opposite. If it is a cerebral infarction, thrombolytic therapy is needed within 4.5 hours of the acute phase. It is necessary to consider whether there are indications and contraindications, and whether the patient and family members agree to undergo thrombolytic therapy. Regardless of whether thrombolytic therapy is administered, it is essential to subsequently check the condition of the cranial vessels to determine if surgical treatment is needed. If surgery is not required, hospitalization for conservative treatment might be necessary. Typically, about 7 to 14 days after the acute phase, rehabilitation treatment may be needed once the patient's condition stabilizes. The duration of rehabilitation treatment usually depends on the patient's recovery progress. Afterwards, it is important to consider the patient's underlying diseases, such as hypertension, diabetes, and other risk factors, to perform secondary prevention, which involves medication and control of risk factors. In the case of cerebral hemorrhage, the treatment during the acute phase depends on the amount and location of the bleeding and whether there are indications for surgery to determine if surgical treatment is necessary. If conservative treatment is chosen, it also involves hospital treatment, followed by possible rehabilitation treatment once stabilized.

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Written by Li Chao Jin Zi

Neurorehabilitation

1min 17sec

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Basic Principles of Stroke Rehabilitation Treatment

There are several key principles for stroke rehabilitation. The first emphasizes that rehabilitation should start as early as possible. In cases of ischemic stroke, generally when the patient is conscious and vital signs are stable, rehabilitation can begin after 48 hours. For patients with high blood pressure or cerebral hemorrhage, it is generally recommended to start rehabilitation after seven days. The second principle emphasizes the active participation of the patient, encouraging patients to actively engage in rehabilitation training and communicate with therapists to achieve functional improvement. The third point emphasizes comprehensive rehabilitation; stroke patients often have issues in multiple areas such as language, cognition, swallowing, limb movement, and functional balance, so it is suggested that patients undergo comprehensive rehabilitation rather than focusing on just one aspect. The fourth point stresses the continuity of rehabilitation, as rehabilitation therapy is an ongoing process.

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Written by Zhang Hui

Neurology

54sec

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Stroke and Its Treatment

Stroke primarily refers to cerebrovascular disease, characterized by the sudden onset of symptoms that develop within minutes. This rapid development of symptoms is why it is called a stroke. Stroke commonly affects middle-aged and elderly people who often have certain risk factors. For example, high blood pressure, high blood cholesterol, smoking, drinking, obesity, and heart diseases like atrial fibrillation can increase the risk of stroke. For the treatment of stroke, it is crucial to reach the hospital as soon as possible, as earlier treatment leads to better outcomes. Generally, if it is suitable, the patient may receive intravenous thrombolysis. Additionally, treatment may involve anti-atherosclerosis measures, nutritional support for nerves, and rehabilitation training, which is also very important.

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Written by Tang Bo

Neurology

1min 1sec

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The difference between stroke and cerebral infarction

Stroke includes ischemic stroke and hemorrhagic stroke. Ischemic stroke refers to cerebral infarction, while hemorrhagic stroke refers to cerebral hemorrhage. Symptoms such as limb weakness, slurred speech, or other neurological deficits should initially suggest the possibility of a stroke. Whether it is an ischemic or hemorrhagic stroke may be related to the symptoms, but a CT scan is essential. If a CT scan rules out cerebral hemorrhage, then cerebral infarction is more likely. The treatment varies with time; within 4.5 hours, if the conditions for thrombolytic therapy are met and there are no contraindications, and the relatives have signed an informed consent, thrombolytic treatment can be administered. If this time window is exceeded, this opportunity is lost, so it is crucial to seek medical attention immediately upon symptom onset.

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Written by Liu Yan Hao

Neurology

1min 3sec

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What are the types of strokes?

The common types of strokes include hemorrhagic stroke and ischemic stroke. Hemorrhagic strokes commonly involve subarachnoid hemorrhage and intracerebral hemorrhage. Subarachnoid hemorrhage often occurs due to the rupture of cerebral aneurysms, causing blood to enter the subarachnoid space. Intracerebral hemorrhage is commonly caused by hypertension leading to the rupture of cerebral blood vessels and subsequent bleeding into the brain parenchyma. Additionally, there is ischemic stroke, commonly presenting as cerebral infarction and cerebral embolism. Cerebral embolism occurs when a blood clot from another part of the body outside the brain, following the blood circulation, blocks a cerebral vessel. Cerebral infarction happens when cerebral arteriosclerosis narrows down to a certain extent, gradually obstructing and forming cerebral infarction. These are the common types of strokes.