Dipyridamole

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Contents

Introduction

The prototype phosphodiesterase type 5 inhibitor which did not predict the interesting properties of its more selective successors. Long used with weak evidence base, perhaps because of its half life in peripheral vascular disease, it has fair evidence of effectiveness in secondary prevention of ischaemic stroke, and is useful in cardiac stress testing.

Clinical Use

Indications

  • Antiplatelet agent
  • Vasodilator increasing cardiac workload (iv)

Administration

Oral - Usual dose is modified release 200mg bd with low dose aspirin in secondary stroke prevention.

IV

Clinical Issues

Contra-indications

Cautions and Interactions

  • Vasodilator

Side effects

Special advice

Pharmacology

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