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Chronic cerebral ischemia (CCI)

GEROPHARM pays considerable attention to the regulation of drug safety. Currently, the company has the pharmacovigilance system which functions in accordance with international requirements and regulatory requirements for the Russian Federation. Employees collect data on the found adverse reactions that occur when taking medicinal preparations, the marketing authorization holder of which is GEROPHARM.

Follow a doctor’s recommendations related to chronic and course administration of the drug. Course administration of certain agents must be available at least 2–4 times a year.

It’s necessary to control BP. If arterial hypertension develops, antihypertensive therapy must be given on a constant basis. Ask a specialist (therapist or cardiologist) what to do in case of a sudden rise in BP and what agents must be taken in this case.

Constant control of blood sugar and cholesterol levels is necessary. A special diet is prescribed as needed. If no effect is presented, drug management is provided.

It’s very important to stop smoking and drinking and control ones’ weight. Take low-calorie food with a sufficient amount of protein (cereals, pasta, rice, potatoes are sources of plant protein; meat, fish, farmer cheese, eggs, cheese are sources of animal protein), a diet low in fat with the right balance of plant fats to animal fats, many complex carbohydrates (wholewheat bread is preferable), less salt and enough seasonal fruits and vegetables (over 500 g per day), food rich in vitamins and microelements.

Adequate physical activity is of great importance. Do daily gymnastics, special gymnastic exercises supporting the locomotor apparatus (spine, joints), and go for a walk. If needed, consult a specialist to select an optimal set of physical therapy exercises aimed at the management of any complex of syndromes (combination of symptoms).

Intellectual activity must be supported: read, learn texts by heart, do crosswords, listen to music and radio programs), lead an active social activity (communicate with colleagues, relatives, visit cultural events, engage in interesting leisure activities). In case of memory impairment, write down necessary information, keep memoirs, make a daily plan of activities.

Be active as long as possible. If there is a risk of falling, follow certain protective measures: wear comfortable shoes, use additional support if needed, rearrange your furniture, remove objects with sharp angles, take a shower in a sitting position.

K. R. Badalyan

Department of Neurology, Faculty of Additional Professional Education

of Pirogov Russian National Research Medical University

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