Microsoft word - cilostazol

Cilostazol - oral, Pletal
Warning | Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage WARNING: Medications similar to cilostazol have shortened the lives of people with a certain
type of heart disease (congestive heart failure). Therefore, do not use cilostazol if you have
congestive heart failure.
USES: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs
(intermittent claudication). Cilostazol can decrease the muscle pain/cramps that occur during
exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles.
Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles.Cilostazol
is an "anti-platelet" and a vasodilator. It works by preventing certain blood cells (platelets) from
sticking together and by widening blood vessels in the legs. This helps the blood to move more
easily and increases blood flow.
HOW TO USE: Read the Patient Information Leaflet if available from your pharmacist before
you start taking cilostazol and each time you get a refill. If you have any questions, ask your
doctor or pharmacist.Take this medication by mouth as directed by your doctor, usually twice
daily without food, at least 30 minutes before or 2 hours after breakfast and dinner. Dosage is
based on your medical condition, response to treatment, and other medications you may be
taking. Be sure to tell your doctor and pharmacist about all the products you use (including
prescription drugs, nonprescription drugs, and herbal products).Avoid eating grapefruit or
drinking grapefruit juice while using this medication unless your doctor or pharmacist says you
may do so. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor
or pharmacist for more details.Use this medication regularly in order to get the most benefit from
it. Remember to use it at the same times each day.Your symptoms may improve in 2-4 weeks,
but it may take up to 12 weeks to notice a benefit from this drug.Tell your doctor if your
condition persists or worsens.
SIDE EFFECTS: Headache, diarrhea, runny nose, and dizziness may occur. If any of these
effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has
prescribed this medication because he or she has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious side effects.Tell your
doctor immediately if any of these serious side effects occur: fast/pounding/irregular heartbeat,
swelling of the hands/feet.Tell your doctor immediately if any of these unlikely but serious side
effects occur: easy bruising/bleeding, black or bloody stools, vomit that looks like coffee
grounds, signs of infection (such as fever, persistent sore throat).Get medical help right away if
any of these rare but serious side effects occur: chest/jaw/left arm pain, fainting, vision changes,
weakness on one side of the body, slurred speech, confusion.A very serious allergic reaction to
this drug is rare. However, get medical help right away if you notice any symptoms of a serious
allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. PRECAUTIONS: Before taking cilostazol, tell your doctor or pharmacist if you are allergic to
it; or if you have any other allergies. This product may contain inactive ingredients, which can
cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using
this medication, tell your doctor or pharmacist your medical history, especially of: bleeding
disorders (such as bleeding ulcers, bleeding in the eye/brain), congestive heart failure, other heart
disease (such as heart attack, chest pain, fast/irregular heartbeat), stroke, kidney disease, liver
disease, blood disorders (such as hemophilia, low platelet counts).This drug may make you
dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure
you can perform such activities safely. Limit alcoholic beverages.Before having surgery, tell
your doctor or dentist about all the products you use (including prescription drugs,
nonprescription drugs, and herbal products).During pregnancy, this medication should be used
only when clearly needed. Discuss the risks and benefits with your doctor.It is unknown if this
medication passes into breast milk. Consult your doctor before breast-feeding.
DRUG  INTERACTIONS:  Drug  interactions  may  change  how  your  medications  work  or  increase 
your risk for serious side effects. This document does not contain all possible drug interactions. 
Keep a list of all the products you use (including prescription/nonprescription drugs and herbal 
products)  and  share  it  with  your  doctor  and  pharmacist.  Do  not  start,  stop,  or  change  the 
dosage of any medicines without your doctor's approval.Some products that may interact with 
this drug include: "blood thinners" (such as heparin, warfarin), other "anti‐platelet" drugs (such 
as clopidogrel, dipyridamole, ticlopidine), tipranavir.Other medications can affect the removal 
of  cilostazol  from  your  body,  which  may  affect  how  cilostazol  works.  Examples  include 
diltiazem,  omeprazole,  azole  antifungals  (such  as  ketoconazole,  itraconazole,  fluconazole, 
miconazole),  macrolide  antibiotics  (such  as  erythromycin,  clarithromycin),  certain 
antidepressants (such as nefazodone, fluvoxamine, fluoxetine, sertraline) among others.Check 
all  prescription  and  nonprescription  medicine  labels  carefully  since  many  contain  pain 
relievers/fever  reducers  (nonsteroidal  anti‐inflammatory  drugs  or  NSAIDs  such  as  ibuprofen, 
naproxen,  or  aspirin)  which  can  increase  the  risk  of  bleeding/anti‐platelet  effect  when  used 
with  cilostazol.  Low‐dose  aspirin  (usually  81‐325  milligrams  per  day)  as  prescribed  by  your 
doctor  for  specific  medical  reasons  such  as  heart  attack  or  stroke  prevention  should  be 
continued. Consult your doctor or pharmacist for more details. 
OVERDOSE: If overdose is suspected, contact a poison control center or emergency room
immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada
residents can call a provincial poison control center. Symptoms of overdose may include: severe
headache, very fast/irregular heartbeat, or severe dizziness.
NOTES: Do not share this medication with others.Laboratory and/or medical tests may be
performed periodically to monitor your progress or check for side effects. Consult your doctor
for more details.Talk with your doctor about an exercise program to improve walking and
decrease pain.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the
next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose
to catch up.
STORAGE: Store at room temperature away from light and moisture. Do not store in the
bathroom. Keep all medications away from children and pets.Do not flush medications down the
toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is
expired or no longer needed. Consult your pharmacist or local waste disposal company for more
details about how to safely discard your product.MEDICAL ALERT: Your condition can cause
complications in a medical emergency. For information about enrolling in MedicAlert, call 1-
800-854-1166 (US) or 1-800-668-1507 (Canada).



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