PROBLEM TO BE SOLVED: To provide a pharmaceutical composition for treating a subject having ischemia or at risk of ischemia.SOLUTION: According to the present invention, there is provided a pharmaceutical composition comprising a brain synaptic protein PSD-95 inhibitor. Based on absence of ischemic penumbra and bleeding by a CT, MRI, or PET analysis, the composition is administered before administration of reperfusion therapy with thrombolytic agent to enhance the effects of the therapy.SELECTED DRAWING: None【課題】虚血を有するまたは虚血の危険性のある対象者を治療するための医薬組成物の提供。【解決手段】CT,MRIまたはPET分析によって虚血ペナンブラおよび出血が無い事に基づき,血栓溶解剤を投与する再かん流療法が実施される前に,療法効果の向上の為に投与される脳シナプスタンパクPSD-95阻害剤を含む医薬組成物。【選択図】なし