User:Mr. Ibrahem/Cilostazol

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Mr. Ibrahem/Cilostazol
Clinical data
Pronunciation/sɪˈlɒstəzɒl/
sil-OS-tə-zol
Trade namesPletal
AHFS/Drugs.comMonograph
MedlinePlusa601038
License data
Routes of
administration
By mouth (tablets)
Drug classPhosphodiesterase 3 inhibitor[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only
Pharmacokinetic data
Protein binding95–98%
MetabolismLiver (CYP3A4- and CYP2C19-mediated)
Elimination half-life11–13 hours
ExcretionKidney
Identifiers
  • 6-[4-(1-Cyclohexyl-1H-tetrazol-5-yl)butoxy]-
    3,4-dihydro-2(1H)-quinolinone
Chemical and physical data
FormulaC20H27N5O2
Molar mass369.469 g·mol−1
3D model (JSmol)
  • O=C4Nc3c(cc(OCCCCc1nnnn1C2CCCCC2)cc3)CC4
  • InChI=1S/C20H27N5O2/c26-20-12-9-15-14-17(10-11-18(15)21-20)27-13-5-4-8-19-22-23-24-25(19)16-6-2-1-3-7-16/h10-11,14,16H,1-9,12-13H2,(H,21,26) checkY
  • Key:RRGUKTPIGVIEKM-UHFFFAOYSA-N checkY
  (verify)

Cilostazol, sold under the brand name Pletal among others, is a medication used to help the symptoms of intermittent claudication in peripheral vascular disease.[1] If no improvement is seen after 3 months, stopping the medication is reasonable.[3] It may also be used to prevent stroke.[1] It is taken by mouth.[1]

Common side effects include headache, diarrhea, dizziness, and cough.[1] Serious side effects may include decreased survival in those with heart failure, low platelets, and low white blood cells.[1] Cilostazol is a phosphodiesterase 3 inhibitor which works by inhibiting platelet aggregation and dilating arteries.[1]

Cilostazol was approved for medical use in the United States in 1999.[1] It is available as a generic medication.[3] A month supply in the United Kingdom costs the NHS about 5 £ as of 2019.[3] In the United States the wholesale cost of this amount is about US$6.20.[4] In 2017, it was the 301st most commonly prescribed medication in the United States, with more than one million prescriptions.[5]

References[edit]

  1. ^ a b c d e f g h i j "Cilostazol Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 23 March 2019.
  2. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Retrieved 9 September 2020.
  3. ^ a b c British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 231–232. ISBN 9780857113382.
  4. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Retrieved 3 March 2019.
  5. ^ "Cilostazol - Drug Usage Statistics". ClinCalc. Retrieved 11 April 2020.