Medication to Control Stroke Risk
Your doctor may prescribe medication to manage pre-existing conditions that can affect stroke risk. Please follow these guidelines:
- Call for medication refills two weeks before you run out
- Keep taking your medications even after you feel better
- Talk with your doctor or nurse about medication-related side effects
- Tell your doctor if you are taking any herbal supplements or over-the-counter medications
- Use a pill box to help organize your medications
Explore commonly used medications and see what possible side-effects you may experience.
Preventative Medication
Anticoagulants (Blood Thinners)
These lower the clotting ability of the blood. Possible side effects include increased risk of bleeding and easy bruising. Medication names include:
- Dabigatran (Pradaxa)
- Heparin
- Warfarin (Coumadin)
Antiplatelet Agents
These drugs help prevent blood clots and lower the risk for a heart attack or stroke. Possible side effects include increased risk of bleeding and easy bruising. Medication names include:
- Aspirin (Bayer, others)
- Aspirin/ dipyridamole (Aggrenox), Clopidogrel (Plavix)
- Ticlopidine (Ticlid)
ACE Inhibitors
These widen the blood vessels to increase blood flow. Possible side effects include:
- Decreased taste
- Dizziness
- Dry cough
- Metallic taste
- Weakness
Medication names include:
- Benazepril (Lotensin)
- Capotril (Capoten)
- Enalopril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil, Zestril)
- Quinapril (Accupril)
Angiotensin Receptor Blocker (ARB)
This widens the blood vessels to increase blood flow. Possible side effects include:
- Diarrhea
- Dizziness
- Weakness
Medication names include:
- Candesartan (Atacand)
- Irbesartan (Avapro)
- Losartan (Cazaar)
- Olmesartan (Benicar)
- Telmisartan (Micardis)
- Valsartan (Diovan)
Beta Blockers
These help the heart relax and work better. Possible side effects include:
- Dizziness
- Feeling tired
- Low blood pressure
- Slow heart rate
Medication names include carvedilol (Coreg) and metoprolol (Toprol XL).
Diuretics (Water Pill)
These get rid of extra fluid in your lungs, legs and feet. They may also lower your blood pressure. Possible side effects include:
- Dizziness
- Muscle cramps
- Weakness
Medication names include:
- Bumetanide (Bumex)
- Furosemide (Lasix)
- Hydrochlorothiazide (HCTZ)
- Metolazone (Mykrox, Zaroxolyn)
- Spirinolactone (Aldactone)
Calcium Channel Blockers
These help the heart work better and can help lower blood pressure and pulse. Possible side effects include:
- Ankle swelling
- Dizziness
- Flushing of the face
- Headache
Medication names include:
- Amplodipine (Norvasc)
- Diltiazem (Cardizem, Tiazac)
- Felodipine (Plendil)
Absorption Inhibitor
Blocks the absorption of cholesterol from the intestine. Includes ezetimibe (Zetia).
Bile-Acid Binding Drugs
Lower the amount of cholesterol left in the bloodstream. Medication names include:
- Cholestyramine (Questran, Prevalite)
- Colesevelam Hcl (WelChol)
- Colestipol (Colestid)
Fibrate
Helps to lower triglycerides and in some cases increase HDL (good cholesterol). Medication names include:
- Clofibrate (Atromid-S)
- Fenofibrate (Tricor, Triglide)
- Gemfibrozil (Lopid)
Niacin
Helps lower triglycerides and LDL cholesterol and raise HDL (good) cholesterol. Possible side effects include:
- Flushing
- Itching
- Upset stomach
Medication names include niacin (nicotinic acid). Do not take niacin supplement as a substitute for a prescription.
Statin
Works in the liver to lower the LDL (bad) cholesterol and boost HDL (good) cholesterol. Possible side effects include muscle and liver problems, which are rare. Your doctor will order regular liver function tests to be safe.
Medication names include:
- Atorvastatin (Lipitor)
- Lovastatin (Mevacor, Altoprev)
- Pravastatin (Pravachol)
- Rosuvastatin Calcium (Crestor)
- Simvastatin (Zocor)