Pharmacological management of stroke in older people

Abstract

Stroke is one of the most common causes of death and disability. It is more common in people aged 65 years or older. Most patients survive the stroke and live with their disabilities, impacting their quality of life and day-to-day function to varying degrees. Stroke sequelae can be associated with a broad range of physical, functional, cognitive, behavioural, emotional and socioeconomic consequences. Optimising the management of stroke and its complications, as well as strategies to prevent stroke recurrence, using both non-pharmacological and pharmacological approaches, is crucial. This narrative review covers the pharmacological management of acute stroke, common post-stroke complications and secondary prevention, with a focus on older people.