What medications are used for multiple lacunar cerebral infarctions?

Sep 29, 2024 Source: Cainiu Health
Disease description:

My second uncle suddenly fainted, and the examination revealed multiple lacunar infarcts. Our entire family is very worried. May I ask, what medications are used for multiple lacunar infarcts?

Doctor's answer (1)
Dr. Lv Zhiqin

Drug treatment for multiple lacunar cerebral infarctions mainly includes the following categories of medications:

1. Antiplatelet agents: These drugs are primarily used to prevent platelet aggregation and reduce the risk of thrombosis. Commonly used medications include aspirin and clopidogrel. When using these drugs, it is important to monitor for side effects such as bleeding.

2. Lipid-regulating and plaque-stabilizing agents: These are primarily used to regulate blood lipids, stabilize vascular plaques, and prevent plaque detachment leading to thrombosis. Representative drugs include atorvastatin calcium and rosuvastatin calcium. When using these medications, attention should be paid to side effects such as liver and kidney function abnormalities and myalgia, with regular follow-up evaluations.

4. Blood-activating and stasis-resolving agents: These medications, mostly traditional Chinese patent medicines such as Compound Xueshuantong Capsules, Shuxuetong, and Shuxuening, can improve cerebral blood circulation and promote recovery.

5. Medications for underlying diseases: Appropriate drugs are used to control specific underlying conditions of the patient, aiming to reduce the risk of cerebral infarction.

In addition, lifestyle modifications are necessary, including smoking cessation, alcohol restriction, healthy dietary habits, and appropriate physical activity.