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Secondary prevention after stroke — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsSecondary prevention after strokeGPhC CRA

A 68-year-old woman is prescribed atorvastatin 80 mg daily after an ischaemic stroke. She asks whether she can stop it because her cholesterol has improved after 3 months and she has no side-effects. What would you advise the patient?

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Correct answer: EContinue atorvastatin for secondary prevention

High-intensity statin therapy after ischaemic stroke is used for secondary prevention, not just for short-term cholesterol reduction. The absence of side-effects supports continuing therapy. The pharmacist should reinforce adherence and advise reporting unexplained muscle pain, weakness or dark urine.

Reference: BNF; NICE CKS