A. Kasmia, M.Sc., M.D.

Baldwin Neurology, LLC, 188 Hospital drive Suite 300, Fairhope, Al 36532.

Phone (251)-990-1910, Fax (251)-990-1911

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STROKE

Citicoline released for brain ischemia

The trade name is Seraxon, released for dietary management of cerebral ischemia associated with brain injury or stroke

The cerebral metabolism may require certain amounts after stroke, presumably the baseline level becomes lower.

It is used wihtout a prescription but your neurologist or primary care physician should be involved. Link

Choosing an antiplatelet agent:
	TIA or Stroke	High Vascular Risk	Risk of bleeding	Headaches
ASA only	13% or 10/1000/year	19% Reduction	Nonfatal 1/1000/Year, Cranial 1/1000/3Years	Low
Clopidogrel only	Same as Aspirin	8.7% vs. Better than Aspirin	Less than Aspirin	Low
Dipyridamole only	13% Reduction	10% reduction	Same as placebo	High risk
Dipyridamole + ASA	15% Reduction	Same as Aspirin	Same as Aspirin	High risk (6%)
Aspirin + Clopidogrel	About same as ASA	Same as Aspirin	More than Clopidogrel alone	Low

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