When do you start antihypertensive after a stroke?

When do you start antihypertensive after a stroke?

Answer: While awaiting the arrival of more definitive data, the available evidence suggests that it might be reasonable to start oral antihypertensives as soon as 24 to 72 hours after onset of symptoms provided there are no contraindications such as a presumed hemodynamic mechanism of stroke.

Which hypertensive drug has been shown to reduce stroke?

In the ACTION study, nifedipine GITS reduced the risk of any stroke or TIA by 30% compared with placebo in hypertensive patients whit high cardiovascular risk. CCB have also been shown to provide better protection against fatal and nonfatal stroke than older drugs, such as β-blockers, diuretics and ACEI.

What is the drug of choice in managing high BP in stroke patients?

Given these uncertainties, the American Stroke Association and the European Stroke Initiative recommend that only patients with blood pressure values repeatedly above 220/120 mm Hg should be given either labetalol or sodium nitroprusside, intravenously, unless there are other indications for antihypertensive therapy ( …

Can you take blood pressure medicine after a stroke?

Medicines that lower your blood pressure are called anti-hypertensives. Almost everyone who has had a TIA or stroke should take anti-hypertensives, even if their blood pressure is normal.

What does a ACE inhibitor do?

Angiotensin-converting enzyme (ACE) inhibitors are medications that help relax the veins and arteries to lower blood pressure. ACE inhibitors prevent an enzyme in the body from producing angiotensin II, a substance that narrows blood vessels.

Can amlodipine prevent stroke?

Amlodipine provided more protection against stroke and myocardial infarction than angiotensin II receptor blockers. In addition, in keeping with previous meta-analyses, amlodipine prevented more stroke than angiotensin-converting enzyme inhibitors (ACEis) and older drug classes (diuretics and β-blockers).

Does losartan prevent stroke?

The Losartan Intervention For Endpoint reduction in hypertension (LIFE) study showed that treatment with the angiotensin II type-1 receptor antagonist losartan reduces overall stroke risk compared with conventional therapy with the β-blocker atenolol.

What is the normal blood pressure for stroke patient?

This translates to a target blood pressure of <140/90 mm Hg for most stroke patients and <130/80 mm Hg for patients with diabetes mellitus or chronic kidney disease.

How do you administer nimodipine?

Nimodipine comes as a capsule and an oral solution (liquid) to take by mouth or be given through a feeding tube. It is usually taken every 4 hours for 21 days in a row. Treatment with nimodipine should be started as soon as possible, no later than 96 hours after a subarachnoid hemorrhage occurs.