单词 | dipyridamole |
释义 | dipyridamoledi·pyr·id·a·moleD0242800 (dī-pĭr′ĭ-də-mōl′, dī′pə-rĭd′ə-mōl′)dipyridamoledipyridamole[di″pi-rid´ah-mōl]dipyridamolePharmacologic class: Platelet adhesion inhibitor Therapeutic class: Antiplatelet agent, diagnostic agent (coronary vasodilator) Pregnancy risk category B ActionUnclear. May reduce platelet aggregation by inhibiting phosphodiesterase, adenosine uptake, or formation of thromboxane A2. AvailabilityTablets: 25 mg, 50 mg, 75 mg Indications and dosages➣ To prevent thromboembolism in patients with prosthetic heart valves Adults: 75 to 100 mg P.O. q.i.d. Off-label uses• Prevention of myocardial reinfarction (given with aspirin) • Thrombotic thrombocytopenia purpura Contraindications• Hypersensitivity to drug PrecautionsUse cautiously in: • hypotension, hepatic insufficiency, severe coronary artery disease • pregnant or breastfeeding patients • children younger than age 12 (safety not established). Administration• Know that drug is usually given with warfarin when used to prevent thromboembolism. • Give with a full glass of water at least 1 hour before or 2 hours after meals. If gastric distress occurs, give with food. Adverse reactionsCNS: dizziness, headache CV: hypotension GI: abdominal distress Hepatic: hepatic failure Skin: rash InteractionsDrug-drug. Adenosine: increased adenosine plasma level and CV effects Cholinesterase inhibitors: counteracts activity of cholinesterase inhibitors Drug-diagnostic tests. Hepatic enzymes: increased levels Drug-behaviors. Alcohol use: increased risk of hypotension Patient monitoring• Monitor for therapeutic efficacy, including improved exercise tolerance and decreased need for nitrates. • Assess platelet and coagulation studies regularly. • Monitor ECG and vital signs, especially blood pressure. • Monitor hepatic function tests regularly. Patient teaching• Advise patient to take drug 1 hour before or 2 hours after meals for best absorption. See Instruct patient to immediately report unusual tiredness, chest pain or other cardiac symptoms, upper right abdominal pain, yellowing of skin or eyes, or dark urine. • As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs and tests mentioned above. dipyridamole(dī-pĭr′ĭ-də-mōl′, dī′pə-rĭd′ə-mōl′)dipyridamoleA drug used to reduce platelet stickiness and thus the risk of STROKE in people having TRANSIENT ISCHAEMIC ATTACKS. Aspirin is more effective, but sometimes cannot be safely taken. A brand name is Persantin. |
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