Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review

Poststroke cognitive impairment (PSCI) refers to any level of cognitive decline occurring after a stroke, ranging from mild to severe impairments, while PSCI with dementia describes a more severe form where the cognitive decline significantly affects daily functioning and meets the clinical criteria...

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Main Authors: Renju Ravi, Saibal Das, Tahir Hakami, Prakash B. M., Libby Pushparajan
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/srat/6893801
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author Renju Ravi
Saibal Das
Tahir Hakami
Prakash B. M.
Libby Pushparajan
author_facet Renju Ravi
Saibal Das
Tahir Hakami
Prakash B. M.
Libby Pushparajan
author_sort Renju Ravi
collection DOAJ
description Poststroke cognitive impairment (PSCI) refers to any level of cognitive decline occurring after a stroke, ranging from mild to severe impairments, while PSCI with dementia describes a more severe form where the cognitive decline significantly affects daily functioning and meets the clinical criteria for dementia. PSCI occurs in more than half of individuals who have had a stroke. Despite its high prevalence, the pharmacotherapeutic options for PSCI are limited. Several pharmacotherapeutic options like cholinesterase inhibitors (e.g., donepezil, galantamine, and rivastigmine) and N-methyl-D-aspartate receptor antagonists (e.g., memantine) have shown potential in improving cognitive functions. However, their overall effectiveness remains inconsistent across different studies and patient populations. Newer drugs such as citicoline, cilostazol, and antidepressants have shown promise, but further research is needed to validate their efficacy and safety specifically for PSCI management.
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series Stroke Research and Treatment
spelling doaj-art-32e1ed5d342e42d180e9dfc521112ffa2025-08-20T03:08:57ZengWileyStroke Research and Treatment2042-00562025-01-01202510.1155/srat/6893801Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A ReviewRenju Ravi0Saibal Das1Tahir Hakami2Prakash B. M.3Libby Pushparajan4Department of Clinical PharmacologyIndian Council of Medical Research-Centre for Ageing and Mental HealthDepartment of Clinical PharmacologyDepartment of Clinical PharmacologyDepartment of NeurologyPoststroke cognitive impairment (PSCI) refers to any level of cognitive decline occurring after a stroke, ranging from mild to severe impairments, while PSCI with dementia describes a more severe form where the cognitive decline significantly affects daily functioning and meets the clinical criteria for dementia. PSCI occurs in more than half of individuals who have had a stroke. Despite its high prevalence, the pharmacotherapeutic options for PSCI are limited. Several pharmacotherapeutic options like cholinesterase inhibitors (e.g., donepezil, galantamine, and rivastigmine) and N-methyl-D-aspartate receptor antagonists (e.g., memantine) have shown potential in improving cognitive functions. However, their overall effectiveness remains inconsistent across different studies and patient populations. Newer drugs such as citicoline, cilostazol, and antidepressants have shown promise, but further research is needed to validate their efficacy and safety specifically for PSCI management.http://dx.doi.org/10.1155/srat/6893801
spellingShingle Renju Ravi
Saibal Das
Tahir Hakami
Prakash B. M.
Libby Pushparajan
Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
Stroke Research and Treatment
title Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
title_full Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
title_fullStr Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
title_full_unstemmed Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
title_short Pharmacotherapy for Poststroke Cognitive Impairment and Poststroke Cognitive Impairment With Dementia: A Review
title_sort pharmacotherapy for poststroke cognitive impairment and poststroke cognitive impairment with dementia a review
url http://dx.doi.org/10.1155/srat/6893801
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