Aim and Objectives: To study the prevalence of stroke and prescribing pattern of medications for stroke patients. Methodology: This prospective observational study conducted at Aware Global Hospital inHyderabad aimed to investigate stroke prevalence and prescribing patterns for stroke patients.Over a 6-month period, data was collected from 100 neurology department. Results: The research findings reveal a higher stroke incidence in males (54%) than females(46%), predominantly ischemic stroke (48%). The 41 to 50 age group faces a higher risk (25%),often linked to hypertension and diabetes. Treatmentinvolves use of Proton pump inhibitors (90%), Antiplatelets (86%), Statins(85%), Anti-hypertensives (64%), Antipyretics/Analgesics (48%), and Anti-emetics(30%). Multivitamins(92%) and Anti-diabetic medication(48%) were also frequently administered. Commonly prescribed Antiplatelet therapy often combines Aspirin and clopidogrel (86%). Conclusion: The study, focused on stroke demographics, found a peak in the 41-50 age group,with a higherincidencein males when compared tofemales. Smoking and alcohol use weremore prevalent. Ischemic strokes were predominant, often linked with hypertension and diabetes.Prescribing patterns included proton pump inhibitors, antiplatelets, statins, and multivitamins.Drug combinations for diabetes and antiplatelet therapy were identified, offering insights intostroke management.