Hello.

Thank you for your query at DoctorSpring.com,.

I understand your concern.

Yes, Aspirin and Atorvastatin(Lipitor) are helpful in preventing a second stroke. Lipitor helps in secondary prevention of stroke even if you have normal cholesterol values.

I do not know where you found the information that Aspirin does not help in men, but that is NOT true. As you know, most of the information present online is usually not reviewed or verified. Hence not all of it can be true.

Aspirin, which is the most commonly used anti-platelet agent, inhibits the enzyme called cyclooxygenase, preventing platelets from aggregating. This interferes with the formation of thrombi(clots), thereby reducing the risk of stroke. The effectiveness of aspirin for preventing ischemic stroke and cardiovascular events is supported by a large number of clinical trials. These trials demonstrated that Aspirin reduced the risk of secondary stroke, MI(heart attack), or vascular death and this benefit was INDEPENDENT OF SEX, age (greater or less than 65), diabetes, or hypertension.

Be rest assured that you are receiving the right treatment. I hope that clears your doubt.

Feel free to ask queries.

Thank you.

Hello.

Yes. Generally immediate release (un-coated) Aspirin is better than enteric-coated formulation at lower doses. This is more important when a quick action is desired such as immediately after a stroke. A 162 mg enteric coated Aspirin can have equivalent benefit to an 81 mg immediate release formulation on long term intake.

Standard dosage of Aspirin in secondary prevention of stroke is between 75-325 mg per day. It is adjusted based on individual patient conditions. Your doctor might have increased the dose to 162 mg if he prescribed an enteric coated formulation. So a dose of 162 mg as decided by your doctor should be good for you.

The dosage of Lipitor is adjusted based on your LDL-Cholesterol levels and your doctor must have changed the dosage accordingly.

I hope this addresses your concerns. Let me know if I can assist you any further.

Thank you.

Hello. Thank you for writing to us again.
I have gone through the values you send and in my opinion, your cholesterol values are definitely lower, but there is nothing alarming about it. It is better to discuss withe the physician who prescribed LIpitor for you. If i was your doctor, i will reduce the dose of lipitor to 10 mg. Apart from that, no other modification is required.
Hope this is helpful,
Regards

Hello.
No. Dull ache and tingling could be anxiety related again. The only new symptom you have is the ache and it could be a simple muscle ache (Myalgia). You need to look for weakness of limbs, loss of sensation or speech defects indicate an impending stroke. However, you need not worry about getting a repeat stroke as long as you are regular on your medications and have a healthy lifestyle with no smoking or excessive drinking, a low fat balanced diet and regular exercise.
I hope this was helpful.
Thank you.