Should I take aspirin instead of taking ibuprofen for cerebral thrombosis

Patients with cerebral thrombosis usually need to take both ibuprofen and aspirin at the same time, but the specific medication plan needs to be adjusted according to medical advice. Butylphthalide is mainly used to improve brain microcirculation and neurological function, while aspirin prevents thrombosis by inhibiting platelet aggregation. The mechanisms of action of the two are complementary.

Butylphthalide is a neuroprotective agent that selectively dilates cerebral blood vessels, increases blood flow in ischemic areas, and reduces brain edema and neuronal damage. Clinically, it is commonly used in the recovery period of acute ischemic stroke, especially in improving limb dysfunction. This medicine should be used in a standardized manner under the guidance of a doctor. Common adverse reactions include mild gastrointestinal discomfort, which usually does not affect the continuation of medication. During medication, liver function should be monitored to avoid blood pressure fluctuations caused by the combination of other vasodilators. Aspirin, as a classic antiplatelet drug, prevents thrombus expansion and recurrence by inhibiting the synthesis of thromboxane A2. If there are no contraindications for patients with cerebral thrombosis, they usually need to take low-dose medication for a long time to reduce the risk of recurrence. However, it should be noted that this medication may cause gastrointestinal bleeding. During the medication period, black stool, abnormal gum bleeding, and other conditions should be observed. Individuals with a history of gastric ulcer or coagulation dysfunction should use it with caution and, if necessary, in combination with gastric mucosal protectants.

The combination of two drugs should be planned according to the individual situation of the patient. Acute phase may require short-term intensive treatment, while stable phase focuses on secondary prevention. Patients should not adjust the dosage or discontinue medication on their own, and should regularly check coagulation function, liver and kidney function, and other indicators. In daily life, it is necessary to follow a low salt and low-fat diet, moderate exercise, and control basic diseases such as blood pressure and blood sugar. If symptoms such as worsening headaches or new limb numbness occur, seek medical attention promptly.