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Stroke: long-term management

Dry mouth, depression and spasticity are common sequelae of stroke. Managing these problems and preventing further vascular events are the main considerations in the long-term care of stroke patients  

By Rowan Tolhurst, DipGPP, and Ian Rowlands, DipClinPharm, MRPharmS

Yuri Arcurs 



An important component of the long-term treatment of patients who have suffered a stroke is managing sequelae, including swallowing difficulties, depression, spasticity, dry mouth and excessive saliva production.

Another key consideration is the prevention of secondary vascular events. For all types of stroke, good control of blood pressure reduces the risk of subsequent strokes. For patients who have suffered an ischaemic stroke, anti-platelet therapy (or anticoagulation in specific circumstances, such as for patients with atrial fibrillation) and cholesterol reduction are also important for secondary prevention.       


Rowan Tolhurst is senior clinical pharmacist for stroke services at King’s College Hospital NHS Foundation Trust and Ian Rowlands is lead pharmacist for stroke services at Imperial College Healthcare NHS Trust.



Citation: Clinical Pharmacist URI: 11080451

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