Tuesday, 17 October 2017

Drug Interactions of Antiplatelets (Part 5):


Drug Interactions of Cilostazol:
 


 
More presentations  from Naina Mohamed, PhD
 

©   Cilostazol is a selective inhibitor of phosphodiesterase 3 (PDE3) and it is an antiplatelet drug and a vasodilator.

©   Cilostazol is approved for the treatment of intermittent claudication in patients with peripheral vascular disease.

©   Mechanism of action of Cilostazol:

 


 

©   Drugs increasing Cilostazol exposure include…

Ø Omeprazole

Ø Fluoxetine

Ø Fluvoxamine

Ø Aspirin

Ø Ticlopidine

Ø Ticagrelor

Ø Nefazodone

Ø Azole antifungals (Ketoconazole, Fluconazole, Itraconazole)

Ø Idelalisib

Ø Amiodarone

Ø Cobicistat

Ø Piperaquine

Ø Ginkgo

©   Drug interactions can result in significant morbidity and mortality and thus minimizing the risk for drug interactions should be a goal in drug therapy.

©   The patients on antiplatelet therapy should bring a list of all of the drugs they are taking including prescription drugs, over-the-counter drugs, and any supplements, herbal or otherwise, during their visit to the doctor or pharmacist.

©   The risk of adverse effects could be reduced by healthcare professionals through the screening, education, and follow up on suspected drug interactions.

©   If possible, the patients are recommended to fill all their prescriptions at one pharmacy.

©   Pharmacists can play a crucial role in identifying possible drug interactions by asking patients about their herbal and other alternative medicine product use.

 

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Drug Interactions of Thiazide Diuretics:

https://www.researchgate.net/publication/342864519_Pharmacodynamic_interactions_of_thiazide_diuretics http://www.ijmdc.com/?mno=51031...