Is there a documented interaction between donepezil and cilostazol?

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From the Research

There is no documented interaction between donepezil and cilostazol in the provided evidence, but caution is advised due to potential increased risk of gastrointestinal side effects. When considering the use of donepezil and cilostazol together, it's essential to monitor patients for increased side effects, particularly those affecting the gastrointestinal system, such as nausea, vomiting, and diarrhea. Donepezil, an acetylcholinesterase inhibitor used for Alzheimer's disease, and cilostazol, a phosphodiesterase inhibitor used for intermittent claudication, both have the potential to cause gastrointestinal side effects.

  • The most recent study 1 does not provide information on the interaction between donepezil and cilostazol.
  • A study on cilostazol 2 mentions significant drug interactions with CYP3A4 or CYP2C19 inhibitors, but does not specifically mention donepezil.
  • A study on donepezil 3 does not mention any interactions with cilostazol. Despite the lack of documented interaction, patients taking this combination should be monitored for increased side effects, particularly gastrointestinal symptoms. If such symptoms occur, dosage adjustments or alternative medications might be necessary. Patients should report any unusual symptoms to their healthcare provider promptly. In many cases, the benefits of using both medications may outweigh the risks, especially when each medication is addressing a distinct medical condition.

References

Research

Pentoxifylline for intermittent claudication.

The Cochrane database of systematic reviews, 2020

Research

Cilostazol: a review of its use in intermittent claudication.

American journal of cardiovascular drugs : drugs, devices, and other interventions, 2003

Research

Donepezil: a clinical review of current and emerging indications.

Expert opinion on pharmacotherapy, 2004

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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