Intermittent Claudication

cilostazol - Pletal ® pentoxifylline - Trental ®

cilostazol - Pletal ®  top of page icon

MOA: Antiplatelet agent. Phosphodiesterase III inhibitor => increased cyclic AMP => inhibition of platelet aggregation and vasodilation. Other effects of phosphodiesterase III inhibition include increased cardiac contractility, accelerated AV nodal conduction, increased ventricular automaticity, heart rate, and coronary blood flow.

Dosing (Adults): Peripheral vascular disease: 100 mg orally twice daily taken at least 30 minutes before or 2 hours after breakfast and dinner. Dosage should be reduced to 50 mg twice daily during concurrent therapy with inhibitors of CYP3A4 or CYP2C19.

Supplied: 50 mg, 100 mg tablet.

pentoxifylline  - Trental ®  top of page icon

MOA: Reduces blood viscosity via increased leukocyte and erythrocyte deformability and decreased neutrophil adhesion/activation. Improves peripheral tissue oxygenation presumably through enhanced blood flow.

Dosing (Adults): Peripheral vascular disease: 400 mg orally 3 times/day with meals. Maximal therapeutic benefit may take 2-4 weeks to develop. Recommended to maintain therapy for at least 8 weeks. May reduce to 400 mg twice daily if GI or CNS side effects occur.

Supplied: 400 mg extended release tablet.
 

Disclaimer

Listed dosages are for - Adult patients ONLY. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. GlobalRPH does not directly or indirectly practice medicine or provide medical services and therefore assumes no liability whatsoever of any kind for the information and data accessed through the Service or for any diagnosis or treatment made in reliance thereon.

David F. McAuley, Pharm.D., R.Ph.  GlobalRPh Inc.