Advise patient on dietary changes, increased physical activity, and smoking cessation. 

Manage the patient's modifiable risk factors: 
- Hypertension
- Diabetes
- Hypercholesterolemia
- Smoking 



Rutgers University

Also known as cerebellar syndrome
It is a consequence of disrupting the normal function of the brain that is responsible for coordination and balance. Many cases are reversible but the permanent cerebellar syndrome can occur.

Cerebrovascular Effect

Lane RJ, Routledge PA. Drug-induced neurological disorders. Drugs. 1983;26(2):124-147. doi:10.2165/00003495-198326020-00002



Drug-Induced Neurologic Conditions

Interventions to Prevent Cerebrovascular Effects

- Loss of coordination
- Dysarthria
- Nystagmus

Symptoms of Cerebrovascular Effect

- Phenytoin
- Lithium
- Carbamazepine
- Certain chemotherapeutic agents
- Aminoglycoside antibiotics
- Antipsychotic agents (elderly patients with dementia-related psychosis taking these medications have a higher risk for death secondary to stroke and other cerebrovascular complications)

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