Does cerebral infarction require long-term medication?

Written by Liu Yan Hao
Neurology
Updated on March 29, 2025
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Patients with cerebral infarction need to take medication long term. Generally, patients with cerebral infarction have underlying diseases such as cerebral arteriosclerosis and hyperlipidemia, or hypertension, hyperlipidemia, and hyperglycemia. Therefore, cerebral infarction patients need long-term medication to control blood pressure, blood lipids, and blood sugar. Additionally, they should take antiplatelet drugs to prevent new thrombus formation and drugs to combat arteriosclerosis to prevent the worsening of cerebral arteriosclerosis and cerebral vascular stenosis. The focus of treatment is also on preventing other blood vessels from blocking, which could lead to a recurrence or worsening of cerebral infarction. Thus, patients with cerebral infarction need long-term medication and regular check-ups during the medication period, including blood tests and liver and kidney function tests, to monitor for any drug-induced liver or kidney damage. If no damage is apparent, they generally need to continue taking medication long-term. (Please take medication under the guidance of a professional physician.)

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Written by Zhang Hui
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Register in the neurology department for cerebral infarction.

Stroke is a very common disease in neurology. When registering at a hospital, you should definitely see a neurologist. Neurologists have rich experience in diagnosing and treating strokes. There are many causes of stroke, but the most common cause is atherosclerosis, and these patients usually have risk factors such as hypertension and diabetes. Acute onset of focal neurological deficits such as limb paralysis, numbness, and unclear speech are common clinical manifestations. In terms of treatment, antiplatelet medications and statins are typically used. Additionally, formal rehabilitation exercises are essential. (Specific medications should be administered under the guidance of a doctor, and self-medication should be avoided.)

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Can people who have had a cerebral infarction eat mutton?

Patients with cerebral infarction can appropriately consume mutton, but it depends on the specific condition of each individual. It is advised that those in the acute phase with internal phlegm-heat refrain from eating mutton. However, during the recovery or post-stroke phase, if the patient is weak, malnourished, and shows symptoms of yang deficiency, consuming mutton is appropriate as it is warm in nature and can nourish the kidney and yang, and warm and strengthen the body. Nevertheless, it is important to consume it in moderation to avoid excessive internal heat.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What should be done if the area of cerebral infarction is large?

If a large cerebral infarction occurs, brain edema often peaks within two to three days, and the mortality rate is extremely high. If medical attention is sought within six hours of onset, thrombolytic therapy can be considered. If emergency thrombolysis is exceeded, then only conservative drug treatment is available. For example, mannitol dehydration to reduce intracranial pressure, nourish neurons, protect brain cells, provide nutritional support, etc. After a stroke, it is essential to monitor changes in the patient's consciousness and pupils, dynamically assess the patient’s Glasgow Coma Score, and be aware of various potential complications. Family members should be well-informed about the patient's condition, etc. (Specific medications should be administered under the guidance of a doctor.)

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Written by Liu Yan Hao
Neurology
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Can a cerebral infarction be effectively treated?

Most cases of cerebral infarction can be treated effectively, except for some extensive cerebral infarctions, which may leave varying degrees of sequelae. During the acute phase of treatment for cerebral infarction, medications that promote blood circulation, improve circulation, prevent platelet aggregation, and anti-atherosclerosis drugs are used. If treatment can be administered within three hours of onset, intravenous thrombolysis can be performed, which may lead to a faster recovery if successful. Additionally, medications that eliminate free radicals are used during the acute phase to remove free radicals that damage brain cells. Other treatments involve the use of neurotrophic drugs to support the repair of damaged brain cells. After stabilizing the condition, active rehabilitation exercises are recommended, and most patients can be effectively treated.

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Written by Chen Ya
Geriatrics
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How long does one need to be hospitalized for a cerebral infarction?

The duration of hospitalization for cerebral infarction varies from person to person, depending on the different conditions of the stroke patients, the different causes of the stroke, and the different treatment goals. Generally, the hospitalization time is seven to fourteen days. If the condition of the cerebral infarction is relatively mild, it is also possible to be discharged in five to seven days. However, for some patients with severe conditions, even those who are in a coma or have complications, the hospitalization time will be longer.