Stroke Secondary to Cocaine

See all Pictures & Images

Treatment

Treatment of stroke secondary to cocaine may be complicated by the need to treat the stroke, other disorders that may occur from the use of cocaine, and the need to treat any symptoms of withdrawal from cocaine such as drug craving, lethargy, and depression.

The person may be in a coma. There may be a need for life support, including placement of tubes into the airway and artificial ventilation (breathing assistance, breathing machines).

All use of cocaine must be stopped. Since most cocaine addicts are also addicted to other drugs (such as alcohol or heroin), symptoms of withdrawal from these drugs should also be looked for and treated as appropriate. Patients on methadone maintenance for heroin addiction should continue to receive their regular dose.

Heart arrhythmias (irregular beats) are treated with antiarrhythmic drugs or other medications.

Other conditions should be treated as appropriate.

The person should be continually observed for signs of cocaine withdrawal. Dopamine agonist medications may reduce symptoms of withdrawal from cocaine. Amantadine has been found to help reduce the risk of relapse in the most severely addicted patients. Sedatives, such as diazepam and midazolam, may be of some benefit in reducing agitation and insomnia. Plans for treatment of cocaine addiction and other addictions if present should be made if appropriate.

Today's Top News Stories
•	Falls Are Top Cause of Injury, Death Among Elderly - Jul 19, 2008, 09:00 Not all homes are the same, but common sense measures can reduce the risk, expert says.
•	Heart Blood Vessels Grown in the Lab - Jul 18, 2008, 19:00 Could offer a future alternative to bypass surgery, researchers say.
•	Clinical Trials Update: July 18, 2008 - Jul 18, 2008, 09:24 Breast Cancer Hot Flashes Emphysema
•	Loud Music in Bars Hastens Drinking - Jul 18, 2008, 16:00 French researchers say blasting tunes makes patrons down more alcohol in less time.
•	Breast-Fed Babies Have Fewer GI Infections - Jul 18, 2008, 17:00 But they're more likely to be iron-deficient, study finds.