What are the treatment options for TIA? - Dr Arvind Chandratheva

Currently we would split treatment following TIA into treating the stickiness of the blood and
looking at the vascular risk factors.
Regarding the stickiness of the blood, we would use medications like aspirin although now we're tending to use a medication called clopidogrel which is very similar to aspirin but thought to be I slightly better in the TIA context. What we would generally do is give you a high dose of medication as the first dose (what we call a loading dose) so that
would be something like giving 300 milligrams to boost the body's levels of that medication and then you'll go on 75 milligrams once a day . At the same time, we will often give you a statin medication. There's a lot of press about statins but given in the right context, they have had a significant impact on recurrent strokes. Statins are not just a cholesterol-lowering effect as we believe there is an additional effect on stability of those unstable plaques in the blood vessel. We're also very keen on a low blood pressure and typically what I would tell patients is to buy a blood pressure monitor and monitor your blood pressure at home. The target value we're aiming for is less than 130 systolic which is the top number and less than 80 diastolic, the bottom number. This will be unachievable for some people because they get too dizzy when they stand and that's fine but it's about getting as
lower blood pressure as is possible for you to tolerate.
For TIAs, we know that those three combinations together reduce the risk of recurrent stroke in the order of 80%.
Dr Arvind Chandratheva is a consultant neurologist and clinical lead for the TIA service and hyper acute stroke unit at the UCLH National Hospital for Neurology and Neurosurgery in Queen Square.
He offers private consultations and specialist private outpatient services at the Queen Square Private Consulting Rooms. For more information or to contact him to make an appointment, please refer to the details in his online profile at qsprivatehealthcare.com/consu...

[@CoachShiv]

Dr Arvind, Thank you for the realistic and optimistic message. Most doctors except for a few like Dr. Stanley Lyadurai and your good self, paint a positive picture. Rest get inner joy by painting a gloomy picture to scare you. is it fair? of course not. Stay blessed young man.

[@sue6776]

Wonderful advice after a scary time for me.

[@gillianarmour1444]

I think they use Clopidogrel alongside Aspirin in the USA as treatment in preventing stroke following a TIA, I wasn't sure why they would do this if Clopidogrel does the same thing? What is blood pressure medication called? Thank you, really interesting video. I wish we had had some more information a few years ago.

[@ZoyaKhan-pd8dj]

😍❤

[@lollyg2731]

Hmmm.🤔🤨🧐