What is the recommended course of action for people with ischemic stroke or TIA who consume more than two alcoholic drinks a day for men or one alcoholic drink a day for women?
Patients with ischemic stroke or TIA who drink more than two alcoholic drinks a day for men or one alcoholic drink a day for women should be counseled to eliminate or reduce their consumption of alcohol to reduce stroke risk. In addition, health care providers should inform those with stroke or TIA who use stimulants (eg, amphetamines, amphetamine derivatives, cocaine, or khat) and in patients with infective endocarditis (IE) in the context of intravenous drug use, that this behavior is a health risk and counsel them to stop. Finally, specialized services are recommended to help manage substance use disorders (drugs or alcohol).