Intracranial hemorrhage medical therapy

Intracranial hemorrhage Microchapters
Patient Information
Overview
Classification Subdural hematoma Epidural hematoma Subarachnoid hemorrhage Intraventricular hemorrhage Intraparenchymal hemorrhage
Causes
Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Medical Therapy

Pharmacologic therapy in patients with intracranial hemorrhage include:

• Hemostatic therapy to correct the underlying coagulopathies. Agents that can be used to achieve this goal may differ based on the oral anticoagulant agent which resulted in the bleeding complications.
• The following agents can be used for warfarin reversal:
  • Fresh Frozen Plasma (FFP)
  • Prothrombin Complex Concentrates (PCCs)

Contraindicated medications

Intracranial hemmorhage is considered an absolute contraindication to the use of the following medications:

• Amyl nitrite
• Cilostazol
• Clopidogrel
• Pentoxifylline
• Prasugrel
• Ticagrelor
• Ticlopidine
• Vorapaxar
• Mannitol