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Is Strocit And Piracetam The Correct Medication For A Stroke Patient?

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Posted on Mon, 5 Jan 2015
Question: My mum has met stroke and CVA on left side 2 years back doctor while release gave strocit 500 2 times piracetam 800 5 times glympride 1 mg 1 in morning continue medicine since 2 year and in middle stop last year again check up same medicine given as too far from village hospital 2 days journey cost of medicine too high presently with consult to local mbbs doctor giving glympride for dibetic before breakfast strocit plus in morning after break fast 1 time and eve only piracetam no other vitamin
doctor
Answered by Dr. Ajay Panwar (1 hour later)
Brief Answer:
No role of strocit and piracetam after 2 years.

Detailed Answer:
Hi XXXX,
Thanks for being here on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist and I feel glad to help you.
Coming on to your question,there is absolutely no role of strocit and piracetam 3 months after a stroke,2 years is so far.I say with absolute certainity- stop strocit plus and piracetam.

Only medicines to continue-
1)If it was 'infarct-see the CT or MRI report'-ecosprin and atorvastatin to continue life long(except in case of some surgery,major bleeding-it needs to stop then but with a physician's guidance)
2)If it was'brain hemorrhage' associated with hypertension-antihypertensive medicines.
3)Physiotherapy and speech therapy to continue.
4)Perindopril plus indapamide(Coversyl plus) but with regular Blood pressure monitoring.It prevents future strokes.
5)Calcium vitamin d combination.
6)Vitamins may or may not be given,don't matter much.
7)Diabetes medicines(like glimepride here).

Take all medicines under a physician or neurologist's guidance.
That's all for it.Hope you are well guided now.If you have follow-up questions,I shall be glad to help you,else close the thread and rate it.
Dr.Ajay Panwar
MD,DM(Neurology)



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ajay Panwar (54 minutes later)
Yah it was brain 'brain haemorrhage with CVA 2 years back now
Regular Physiotherapy by self can do small house work but weak and sometimes feeling very weak sometime very jolly mood
Here no doctor I have to take her 48 hours journey
so sir you suggest the following medicine
1.ecosprin and atorvastatin
2.Perindopril plus indapamide(Coversyl plus)
3 sugar under control medicine regular
4 pressure under control
5. can walk take bath cook food sometimes ( but we gave her stick as spine is weak)
so sir please give doses her age is 65plus

no heart problem no kidney problem
impression in CT SCan left side acute thalamic hemorrhage
doctor
Answered by Dr. Ajay Panwar (1 hour later)
Brief Answer:
Don't give ecosprin as it was a hemorrhage.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

I am telling you a provisional prescription, but take medicines under a physician's supervision.

1)No ecosprin as it was a hemorrhage and ecosprin promotes bleeding as it is antiplatelet drug.
2)Tab.Atorva 20 mg once a day in evening.

3)Tab.coversyl plus 4/1.25 once a day early morning ,with regular BP monitoring.
4)Tab calinept-d once a day anytime.
5) Tab. Riconia 1 once a day anytime.
6) Tab.Amitop 10 mg at the time of sleep- depression seems to be associated your mother.It will take care,though may cause sedation in initial couple of days.
7) Diabetes medicines tailored according to blood sugar.
8) Regular physiotherapy and speech therapy.

Again, all of these are prescription medicines. Please discuss with her treating doctor before proceeding any further.

Hope,I have answered your query.If you still have some,I shall be glad to follow up,else you can close the thread and rate it.
Dr.Ajay Panwar
MD,DM(Neurology)



Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Ajay Panwar (7 hours later)
ALL THIS I HAVE TO GIVE LIFE LONG
doctor
Answered by Dr. Ajay Panwar (38 minutes later)
Brief Answer:
Only atorva, coversyl plus and anti-diabetes medicines to be given life long

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

To the point,
Medicines to be given lifelong are atorva, coversyl plus (with Blood pressure monitoring) and anti-diabetes medications at the said dosages (but all the treatment is to be supervised by your physician as it is a provisional prescription only).

'Amitop' can be stopped once her mood stabilises. Calinept-D and Riconia to be continued for about few months and as her feeding is normal (a healthy nutritious diet according to her age), these can be discontinued.

Physiotherapy need to continue till optimal limb functions are achieved.

Hope, I have answered your queries. If you still have some queries, I shall be glad to answer else, you can close the thread and rate it. Please write a review.

Wish your mother a good health.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Is Strocit And Piracetam The Correct Medication For A Stroke Patient?

Brief Answer: No role of strocit and piracetam after 2 years. Detailed Answer: Hi XXXX, Thanks for being here on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist and I feel glad to help you. Coming on to your question,there is absolutely no role of strocit and piracetam 3 months after a stroke,2 years is so far.I say with absolute certainity- stop strocit plus and piracetam. Only medicines to continue- 1)If it was 'infarct-see the CT or MRI report'-ecosprin and atorvastatin to continue life long(except in case of some surgery,major bleeding-it needs to stop then but with a physician's guidance) 2)If it was'brain hemorrhage' associated with hypertension-antihypertensive medicines. 3)Physiotherapy and speech therapy to continue. 4)Perindopril plus indapamide(Coversyl plus) but with regular Blood pressure monitoring.It prevents future strokes. 5)Calcium vitamin d combination. 6)Vitamins may or may not be given,don't matter much. 7)Diabetes medicines(like glimepride here). Take all medicines under a physician or neurologist's guidance. That's all for it.Hope you are well guided now.If you have follow-up questions,I shall be glad to help you,else close the thread and rate it. Dr.Ajay Panwar MD,DM(Neurology)