BP lowering
Lipid lowering
Antithrombotic therapy
In the absence of atrial fibrillation, recommendations for patients who have had an ischaemic stroke follow the current NICE guidelines:[2]
- After acute ischaemic stroke, patients should initially receive 300 mg of aspirin daily for 2 weeks, then be changed to long-term clopidogrel 75 mg daily. For patients who have a contraindication or intolerance to clopidogrel, modified-release dipyridamole plus aspirin is an alternative. For people who have a contraindication or intolerance to both clopidogrel and aspirin, modified-release dipyridamole alone is recommended.
- For patients with transient ischaemic attacks (TIAs), modified-release dipyridamole 200 mg BD plus aspirin 75–150 mg daily is an alternative treatment option to clopidogrel. For people who have a contraindication or intolerance to aspirin, modified-release dipyridamole alone is an alternative treatment option.
In the presence of atrial fibrillation (valvular or non-valvular) patients with a TIA or ischaemic stroke: