Do you need to take medication for a long time for cerebral infarction?

Written by Tang Bo
Neurology
Updated on March 17, 2025
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Brain infarction generally requires long-term medication, and the specific medications to be taken can vary from person to person. Moreover, the choice of medication should be determined by a doctor based on the patient's condition and past risk factors. Brain infarction is a disease caused by multiple factors, with common causes including hypertension. In the case of hypertension, the choice of antihypertensive medication and the duration of treatment should be based on the patient's blood pressure to maintain it within a normal range. There is also a possibility that the condition is due to diabetes, as some diabetic patients are also prone to brain infarction. Such patients may need to use long-term antidiabetic drugs or insulin to control blood sugar. Additionally, antiplatelet medications might be necessary for brain infarction, but whether to use them should also be determined by the doctor based on the patient's specific circumstances. Since medications can have side effects, a comprehensive decision must be made on what drugs to use. (Note: The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Liu Yan Hao
Neurology
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Does cerebral infarction require long-term medication?

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 Sheng Wang
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How is lacunar stroke treated?

Lacunar infarction is a cerebrovascular disease. For lacunar infarctions caused by arteriosclerotic atherosclerosis, the main treatment is to prevent recurrence of infarction and dislodged plaques that cause blockages. Therefore, it is necessary to initiate treatments like aspirin, antiplatelet therapy, and atorvastatin to lower blood lipids and stabilize plaques. It is also important to control risk factors such as high blood pressure, diabetes, smoking, as well as conditions like hyperuricemia and hyperhomocysteinemia.

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How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.

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Written by Liu Hong Mei
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The dangers of staying up all night for cerebral infarction

The dangers of staying up late for those with cerebral infarction are significant. Staying up late can easily lead to an increase in blood pressure, which can damage the inner lining of blood vessels, cause cerebral arterial atherosclerosis, and easily lead to ischemic and hypoxic injuries in the brain tissue, resulting in new or aggravated cerebral infarctions. Long-term staying up late can reduce the ejection fraction of the heart, leading to insufficient cerebral blood supply, and easily trigger cerebrovascular diseases. For patients with cerebral infarction, it is generally advised to have regular living habits, avoid staying up late, wake up on time, and also participate in appropriate physical exercise.

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Written by Wang Li Bing
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What is a cerebral infarction?

Brain infarction is also relatively common in clinical practice, mainly seen in elderly people, generally accompanied by underlying diseases such as hypertension, hyperlipidemia, and diabetes. Brain infarction is primarily caused by the blockage of cerebral blood vessels, leading to necrosis of brain tissue due to ischemia and hypoxia. After a brain infarction occurs, patients should seek medical attention in a timely manner and be admitted to the department of neurology or neurosurgery for systematic drug treatment. If the infarction area is large or a brain herniation has formed, surgical intervention should be considered, such as decompressive craniectomy and lowering intracranial pressure.