Monograph Details

Hematology > Intermittent claudication
PLETAL
Manufacturer
Otsuka America Pharmaceutical, Inc.
Legal Classification
Rx
Pharmacological Class
Antiplatelet/vasodilator (PDE III inhibitor).
Generic Name
Cilostazol 50mg, 100mg; tabs.
Indications
Intermittent claudication.
Children
Not recommended.
Adults
100mg twice daily, ½ hr before or 2 hrs after breakfast and dinner. May reduce to 50mg twice daily if used with CYP3A4 or CYP2C19 inhibitors.
Contraindications
CHF of any severity.
Precautions
Severe underlying heart disease. Moderate to severe hepatic dysfunction. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Potentiated by drugs that inhibit CYP3A4 (eg, azole antifungals, macrolides, diltiazem, fluvoxamine, fluoxetine, nefazodone, sertraline) or CYP2C19 (eg, omeprazole). Avoid grapefruit juice. Cilostazol has been used with aspirin; caution with other antiplatelets, anticoagulants.
Adverse Reactions
Headache, diarrhea, abnormal stools, palpitations, peripheral edema, dizziness, tachycardia.
How Supplied
Tabs—60