Currently taking medication for diabetes, hypertension, Coenzyme Q10, and Aspirin. Is it safe to take Circulin?
I have been managing my hypertension, hyperglycemia, and hyperlipidemia for many years with Glucomet (Metformin) and Vytorin (Ezetimibe/Simvastatin), and my blood pressure is well controlled.
I also take Aspirin.
I am considering taking Circulin (Cilostazol) and would like to ask my doctor if it will have any adverse interactions with Aspirin or my medications for the three highs.
Mr. Yao, 60~69 year old female. Ask Date: 2015/09/30
Dr. Li Zhiyao reply Internal Medicine
Dear Mr.
Yao: Since you are already taking Aspirin, it is not recommended for you to use Clopidogrel to avoid increasing the risk of side effects.
Aspirin has been proven to reduce the likelihood of cardiovascular diseases, while Clopidogrel has not been confirmed to do so.
It is advisable for you to consult with your primary physician and not to self-medicate.
Wishing you good health!
Reply Date: 2015/09/30
More Info
When considering the combination of Circulin (also known as Cilostazol) with Aspirin and diabetes medications such as Glucomet (Metformin) and Vytorin (Ezetimibe/Simvastatin), it is essential to understand the pharmacological interactions and potential effects on your health.
Cilostazol is primarily used to treat intermittent claudication, a condition characterized by pain in the legs due to inadequate blood flow. It works by inhibiting platelet aggregation and causing vasodilation, which improves blood flow. Aspirin, on the other hand, is an antiplatelet medication that prevents blood clots by inhibiting the aggregation of platelets. The concurrent use of Cilostazol and Aspirin can be beneficial in certain patients, particularly those at high risk for cardiovascular events, as they can provide a synergistic effect in preventing thrombotic events.
Regarding the diabetes medications you are taking, Metformin is a first-line treatment for type 2 diabetes, and Ezetimibe/Simvastatin is used to manage cholesterol levels. There are no direct contraindications for taking Cilostazol with Metformin or Ezetimibe/Simvastatin. However, it is crucial to monitor your blood sugar levels and lipid profiles regularly, as Cilostazol can sometimes cause side effects such as headache, diarrhea, or palpitations, which may complicate the management of diabetes or cardiovascular health.
While there are no significant drug interactions reported between Cilostazol, Aspirin, and the diabetes medications you mentioned, it is always prudent to consult with your healthcare provider before starting any new medication. They can assess your overall health status, review your current medications, and determine the best course of action based on your specific medical history and conditions.
Additionally, it is essential to be aware of potential side effects when combining these medications. For instance, both Aspirin and Cilostazol can increase the risk of bleeding due to their antiplatelet effects. Therefore, if you experience unusual bruising, prolonged bleeding from cuts, or any signs of gastrointestinal bleeding (such as black or bloody stools), you should seek medical attention immediately.
In summary, taking Circulin with Aspirin and your diabetes medications appears to be safe, but close monitoring and consultation with your healthcare provider are crucial to ensure that your treatment plan remains effective and safe. Regular follow-ups will help manage your conditions effectively while minimizing the risk of adverse effects.
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