CILOSTAZOL-ORAL (cont.)
PRECAUTIONS: Before taking cilostazol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: congestive heart failure, bleeding disorders (e.g., bleeding ulcers). Before using this medication, tell your doctor or pharmacist your medical history, especially of: other heart disease (e.g., recent heart attack, unstable angina, arrhythmias), recent stroke, kidney disease, liver disease, certain blood disorders (thrombocytopenia or low platelet counts). Before having surgery, tell your doctor or dentist that you are taking this medication. This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Because of the potential risk to a nursing infant, breast-feeding while using this medication is not recommended. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: See also the How to Use section. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: "blood thinners" (e.g., heparin, warfarin), other "anti-platelet" drugs (e.g., clopidogrel, dipyridamole, ticlopidine), drugs affecting the removal of cilostazol from your system (CYP 3A4 and 2C19 substrates, inhibitors and inducers such as azole antifungals, macrolide antibiotics, diltiazem, nefazodone, SSRI antidepressants, cimetidine, rifamycins, St John's wort, certain anti-seizure medications, esomeprazole, omeprazole). 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. Do not start or stop any medicine without doctor or pharmacist approval.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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