An 82 year old lady had an ischaemic stroke that was confirmed with brain imaging. She has no drug allergies and no other comorbidities. She was put on aspirin 300mg daily for two weeks. What is the SINGLE most appropriate medication to be given after the course of Aspirin is completed?
A. Clopidogrel
B. Ticagrelor
C. Combination of modified-release dipyridamole and low dose aspirin
D. Abciximab
E. No additional medication needed long term
Just a few years ago, the answer would be combination dipyridamole and low dose aspirin. However, NICE has recently published a technology appraisal in 2010 on the use of clopidogrel and dipyridamole. Clopidogrel is now recommended by NICE ahead of combination use of aspirin plus modified release (MR) dipyridamole in people who have had an ischaemic stroke