Secondary Stroke prevention
Lifestyle
Education
• Smoking cessation
• Mediterranean diet
• Weight reduction
• Exercise 30 min per day
• BP: low salt, limit alcohol, licorice, decongestants
Medical:
• BP control
• If on nsaid: change nsaid to Sulindac 200 mg bid
• Statin: titrate to highest dose tolerated, or add ezetimibe (Zetia 10 mg qd) for low hdl and high triglyceride- do not use gemfibrozil with statin increase risk for rhabdomyolysis
• Diabetes control
• antiplatelet: asa 81 mg, or plavix 75 mg qd or Aggrenox bid.
Needs Rx
obstructive sleep apnea
poor dentition
gout
Index