PLETOZ 50MG TABLET 10'S
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PLETOZ 50MG TABLET 10'SPLETOZ 50MG TABLET 10'SPLETOZ 50MG TABLET 10'S
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PLETOZ 50MG TABLET 10'S

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PLETOZ 50MG TABLET 10'S

By CIPLA PHARMACEUTICAL COMPANY LIMITED

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185.39

₹157.58

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Content Reviewed By:

Dr. Manoj Shah

, (MBBS)

Written By:

Ms. Priyanka Shah

, (B.Pharm)

About PLETOZ 50MG TABLET 10'S

  • Pletoz 50 is a branded formulation of cilostazol 50 mg, a phosphodiesterase III (PDE3) inhibitor used primarily to improve walking distance in adults with intermittent claudication due to peripheral arterial disease (PAD). Intermittent claudication is characterized by cramp-like pain in the legs during walking or exercise, caused by reduced blood flow to the muscles. Cilostazol works by inhibiting PDE3 in platelets and vascular smooth muscle, leading to increased cyclic adenosine monophosphate (cAMP). This results in vasodilation (widening of blood vessels) and inhibition of platelet aggregation, thereby improving blood flow to the limbs and enhancing exercise capacity. Pletoz 50 is generally used as part of a comprehensive management plan for peripheral arterial disease, which also includes smoking cessation, regular supervised exercise, weight management, and control of risk factors such as diabetes, hypertension, and dyslipidaemia. It is not a substitute for lifestyle modification or for revascularisation procedures when these are clinically indicated. The onset of symptomatic benefit may take several weeks, and maximum improvement in walking distance is often observed after a few months of continuous therapy. Patients should be reviewed periodically to assess response and tolerability. Common adverse effects associated with cilostazol include headache, diarrhoea, palpitations, dizziness, peripheral oedema, and tachycardia. Because cilostazol has antiplatelet and vasodilatory properties, it can increase heart rate and may precipitate or worsen cardiac symptoms in susceptible individuals. It is contraindicated in patients with any degree of heart failure due to an increased risk of mortality observed with other PDE3 inhibitors in this population. Caution is also required in patients with a history of serious arrhythmias, unstable angina, recent myocardial infarction, or severe hypertension. Cilostazol is metabolised mainly by hepatic cytochrome P450 enzymes (CYP3A4 and CYP2C19). Concomitant use with strong inhibitors or inducers of these enzymes can alter cilostazol exposure and may require dose adjustment or close monitoring, as determined by a physician. Pletoz 50 should be used with caution in patients with moderate to severe hepatic or renal impairment, and in those at increased risk of bleeding, particularly when used together with other antiplatelet or anticoagulant agents. It is not recommended in pregnancy unless the potential benefit clearly outweighs the potential risk, and its use during breastfeeding is generally discouraged due to limited human data. Pletoz 50 should always be taken under the supervision of a qualified healthcare professional, with careful attention to contraindications, drug interactions, and individual patient risk factors.

Uses of PLETOZ 50MG TABLET 10'S

  • PLETOZ 50MG TABLET 10'S is indicated for the management of intermittent claudication, a condition characterized by leg pain during exercise due to reduced blood flow.
  • Peripheral arterial disease (PAD): PLETOZ 50MG TABLET 10'S is used in the management of peripheral arterial disease (PAD), which involves the narrowing of arteries reducing blood flow to the limbs.
  • Thrombosis risk reduction: PLETOZ 50MG TABLET 10'S aids in thrombosis risk reduction, which refers to lowering the chances of blood clot formation that can obstruct blood vessels.

How PLETOZ 50MG TABLET 10'S Works

  • PLETOZ 50MG TABLET 10'S widens blood vessels, improves blood flow, and inhibits platelet aggregation, which helps relieve symptoms in peripheral vascular diseases.
  • PLETOZ 50MG TABLET 10'S exerts its pharmacological effects by selectively inhibiting phosphodiesterase III (PDE3) enzyme in platelets and vascular smooth muscle cells. By inhibiting PDE3, it increases cyclic adenosine monophosphate (cAMP) levels, leading to vasodilation of arteries and inhibition of platelet aggregation. Vasodilation helps improve blood flow and oxygen delivery to the muscles, relieving symptoms of intermittent claudication. In addition, the antiplatelet effect of PLETOZ 50MG TABLET 10'S prevents platelet adhesion and aggregation, reducing the risk of thrombus formation in the blood vessels.

Side Effects of PLETOZ 50MG TABLET 10'SArrow

Like all medications, PLETOZ 50MG TABLET 10'S can cause side effects, but not everyone experiences them.

  • Mood and mental health
  • Gastrointestinal disturbances
  • Allergic reactions
  • Gastrointestinal effects
  • Neurological effects
  • Respiratory tract infections
  • General symptoms

Safety Advice for PLETOZ 50MG TABLET 10'SArrow

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Heart and circulation

Use with extreme caution or avoid

Pletoz 50 (cilostazol) is contraindicated in patients with any degree of heart failure due to increased mortality observed with other phosphodiesterase III inhibitors in this population.

Dosage of PLETOZ 50MG TABLET 10'SArrow

  • PLETOZ 50MG TABLET 10'S is taken orally as a tablet, with or without food, precisely following your healthcare provider's instructions. The dosage will be determined by your doctor based on the specific condition being treated and how you respond to the medicine.
  • Typically, treatment starts with a specific initial dose, which may be adjusted over time to achieve the best results while minimizing potential side effects. It’s crucial to adhere to your doctor's prescribed schedule and dosage guidelines diligently.
  • Do not alter the dose yourself or stop taking the medication without consulting your healthcare provider, as doing so could affect the effectiveness of the treatment. Regular consultations with your doctor will help them assess your progress and make any necessary adjustments to your treatment plan.

How to store PLETOZ 50MG TABLET 10'S?Arrow

  • Keep PLETOZ 50MG TAB 1X10 away from the reach of children and pets.
  • Store PLETOZ 50MG TAB 1X10 at room temperature.

Benefits of PLETOZ 50MG TABLET 10'SArrow

  • PLETOZ 50MG TABLET 10'S is a medication that belongs to a class of drugs known as selective phosphodiesterase III (PDE3) inhibitors. Its primary action involves targeting and inhibiting PDE3 enzymes found in various cells, with a particular focus on platelets.
  • By inhibiting PDE3, this medication increases the levels of intracellular cAMP (cyclic adenosine monophosphate) within platelets and vascular smooth muscle cells. This increase in cAMP triggers a cascade of effects, most notably a reduction in intracellular calcium concentrations.
  • The decrease in intracellular calcium has two key consequences: it inhibits platelet aggregation, preventing the clumping of platelets that can lead to blood clot formation, and it promotes vasodilation, the relaxation and widening of blood vessels. This dual action provides both antiplatelet and vasodilatory effects.
  • This combined action helps improve blood flow throughout the body, reduces the risk of thrombus (blood clot) formation, and effectively alleviates symptoms associated with peripheral arterial disease, a condition where arteries narrow and reduce blood flow to the limbs. It is also used to manage intermittent claudication, a condition characterized by leg pain during exercise due to poor circulation.

How to use PLETOZ 50MG TABLET 10'SArrow

  • PLETOZ 50MG TABLET 10'S is typically taken orally, available in tablet form for convenient consumption. Administration guidelines emphasize following a healthcare professional's directions regarding dosage and timing.
  • You can take PLETOZ 50MG TABLET 10'S either with or without food, depending on your preference and any specific instructions provided by your doctor. Consistency in how you take the medication each day is advisable.
  • The healthcare provider will determine the appropriate initial dosage of PLETOZ 50MG TABLET 10'S, tailoring it to the specific medical condition being addressed. Subsequent adjustments to the dosage will be based on how effectively the medication is working and how your body is responding to the treatment.
  • Adhering to the prescribed dosage and schedule is crucial for optimizing the therapeutic benefits of PLETOZ 50MG TABLET 10'S. Do not alter the dosage or discontinue the medication without first consulting your healthcare provider.
  • If you have any questions or concerns about taking PLETOZ 50MG TABLET 10'S, including potential side effects or interactions with other medications, be sure to discuss them with your doctor or pharmacist. They can provide personalized guidance based on your individual health needs.

FAQs

How long does it take for PLETOZ 50MG TABLET 10'S to work?Arrow

PLETOZ 50MG TABLET 10'S's effects may vary from person to person. Some people may notice an improvement in their symptoms within a few weeks, while others may take longer. It is essential to follow the prescribed dosage and give it time to take effect.

What should I do if I miss a dose of PLETOZ 50MG TABLET 10'S?Arrow

If you miss a dose of PLETOZ 50MG TABLET 10'S, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What are the common side effects of PLETOZ 50MG TABLET 10'S?Arrow

Common side effects of PLETOZ 50MG TABLET 10'S may include headache, diarrhea, abnormal stools, and palpitations. However, everyone may not experience these side effects. If you experience any unusual symptoms, contact your healthcare provider.

Can I stop taking PLETOZ 50MG TABLET 10'S if I feel better?Arrow

It is essential not to stop taking PLETOZ 50MG TABLET 10'S without consulting your healthcare provider, even if you feel better. Abruptly discontinuing the medication can lead to a return of symptoms or other health complications. Always follow your doctor's instructions regarding the duration of treatment.

Can PLETOZ 50MG TABLET 10'S be taken with food?Arrow

PLETOZ 50MG TABLET 10'S is usually taken at least half an hour before or two hours after meals. Consult your healthcare provider or read the medication guide for specific instructions on administering this medication.

What should I do if I overdose on PLETOZ 50MG TABLET 10'S?Arrow

If you suspect an overdose of PLETOZ 50MG TABLET 10'S or experience symptoms such as severe dizziness, fainting, or difficulty breathing, seek immediate medical help. Contact a poison control center or visit the nearest emergency room for assistance.

Does PLETOZ 50MG TABLET 10'S interact with other drugs?Arrow

PLETOZ 50MG TABLET 10'S can increase the risk of bleeding, so it is important to be cautious if you have a bleeding disorder or are taking other blood-thinning medications. It may also affect your heart and cause palpitations, so be watchful if you have any heart conditions. People with liver or kidney problems should use it carefully and may need adjustments in their dosage. If you have had recent surgery or have known allergies to it or any other medications, make sure to inform your doctor. It can interact with other medications, so let your healthcare provider know about all the drugs you are taking. If you have heart failure, a bleeding disorder, or are older, consult your doctor before taking this medication.

Is it safe to consume alcohol while taking PLETOZ 50MG TABLET 10'S?Arrow

It is a good idea to consult your healthcare provider about consuming alcohol while taking this medication. Always follow your doctor's advice, and if you experience any unusual symptoms, let your doctor know immediately.

What is Cilostazol and how does it work in PLETOZ 50MG TABLET 10'S?Arrow

Cilostazol is a molecule used for making PLETOZ 50MG TABLET 10'S. It helps the medicine exert its effects.

What type of cardiac conditions is PLETOZ 50MG TABLET 10'S prescribed for?Arrow

PLETOZ 50MG TABLET 10'S is prescribed for cardiac conditions related to Cardiology.

What is the use of PLETOZ 50MG TABLET 10'S in the context of Hematology?Arrow

PLETOZ 50MG TABLET 10'S is used for conditions related to Hematology.

What is Pletoz 50 and what is its active ingredient?Arrow

Pletoz 50 is a prescription medicine containing cilostazol 50 mg as its active ingredient. Cilostazol is a phosphodiesterase III inhibitor with antiplatelet and vasodilatory properties. It is used mainly to improve walking distance in adults with intermittent claudication due to peripheral arterial disease by increasing blood flow to the legs.

What is Pletoz 50 used for?Arrow

Pletoz 50 is indicated for the symptomatic treatment of intermittent claudication in adults, a condition where reduced blood flow to the leg muscles causes pain or cramping during walking or exercise. By improving blood flow and reducing platelet aggregation, Pletoz 50 can increase pain-free walking distance. It is used as part of a broader management plan that includes lifestyle modification and control of cardiovascular risk factors.

How does Pletoz 50 work in the body?Arrow

Pletoz 50 (cilostazol) inhibits the enzyme phosphodiesterase III in platelets and vascular smooth muscle cells. This inhibition increases intracellular cAMP levels, leading to relaxation of vascular smooth muscle (vasodilation) and reduced platelet aggregation. The combined effect is improved microcirculation and blood flow in the peripheral arteries, which helps relieve symptoms of intermittent claudication and enhances exercise tolerance.

Can Pletoz 50 be used to prevent heart attack or stroke?Arrow

Pletoz 50 is not primarily indicated for the prevention of heart attack or stroke. Its approved use is for improving walking distance in intermittent claudication associated with peripheral arterial disease. Although cilostazol has antiplatelet effects, other antiplatelet agents are generally preferred and better established for primary or secondary prevention of cardiovascular and cerebrovascular events. Any off-label use must be determined by a specialist based on individual risk–benefit assessment.

Who should not take Pletoz 50?Arrow

Pletoz 50 is contraindicated in patients with any degree of heart failure, due to increased mortality seen with other phosphodiesterase III inhibitors in this population. It should also not be used in patients with known hypersensitivity to cilostazol or any excipient in the formulation, in those with active pathological bleeding, and generally in patients with severe arrhythmias, unstable angina, recent myocardial infarction, or severe hypotension or uncontrolled hypertension, unless a specialist judges that potential benefits outweigh risks.

What are the common side effects of Pletoz 50?Arrow

Common side effects of Pletoz 50 include headache, diarrhoea, palpitations, dizziness, peripheral oedema, abdominal pain, dyspepsia, and tachycardia. Some patients may also experience nausea, vomiting, or flushing. These adverse effects are often dose-related and may improve with continued therapy. However, any persistent, severe, or concerning symptoms, especially chest pain, shortness of breath, fainting, or signs of bleeding, require prompt medical evaluation.

Can Pletoz 50 be taken with other blood thinners such as aspirin or clopidogrel?Arrow

Pletoz 50 has antiplatelet activity and may be used in combination with other antiplatelet agents such as aspirin or clopidogrel in selected patients, but this increases the risk of bleeding. Such combinations should only be used under close medical supervision, with careful assessment of bleeding risk versus potential benefit. Patients should be advised to report any signs of bleeding, such as unusual bruising, nosebleeds, blood in urine or stools, or prolonged bleeding from cuts.

Is Pletoz 50 safe for use in patients with kidney or liver problems?Arrow

Cilostazol is metabolised in the liver and its metabolites are excreted partly via the kidneys. In patients with moderate to severe hepatic impairment or significant renal dysfunction, exposure to the drug and its metabolites may be altered, potentially increasing the risk of adverse effects. Use of Pletoz 50 in such patients requires caution, possible dose adjustment as per the prescriber’s judgement, and close monitoring. In severe hepatic impairment, cilostazol is generally not recommended.

Can pregnant or breastfeeding women use Pletoz 50?Arrow

Data on the use of cilostazol in pregnant women are limited, and animal studies have shown reproductive toxicity at high exposures. Therefore, Pletoz 50 is not recommended during pregnancy unless the potential benefit to the mother clearly outweighs the potential risk to the fetus, and this decision must be made by a specialist. It is not known whether cilostazol or its metabolites are excreted in human breast milk. Because of the potential for serious adverse reactions in the breastfed infant, use during breastfeeding is generally discouraged, and an alternative therapy or discontinuation of breastfeeding should be considered.

How long does it take to see improvement with Pletoz 50 in intermittent claudication?Arrow

Clinical improvement with Pletoz 50 is not immediate. Some patients may notice an increase in pain-free walking distance within a few weeks, but maximal benefit is often observed after several weeks to a few months of continuous therapy. Treatment response should be reassessed periodically, and if there is no meaningful improvement after an adequate trial period, the prescriber may consider discontinuing the drug or exploring alternative options.

Can I drive or operate machinery while taking Pletoz 50?Arrow

Pletoz 50 can cause dizziness, headache, and, less commonly, visual disturbances in some individuals. These effects may impair the ability to drive or operate machinery safely. Patients should observe how they react to the medicine before engaging in such activities. If dizziness, light-headedness, or visual symptoms occur, they should avoid driving or operating potentially dangerous machinery and consult their healthcare provider.

Does Pletoz 50 interact with other medications?Arrow

Yes. Pletoz 50 (cilostazol) is metabolised mainly by CYP3A4 and CYP2C19. Strong inhibitors of these enzymes, such as certain azole antifungals, macrolide antibiotics, or some proton pump inhibitors, can increase cilostazol levels and may raise the risk of adverse effects. Enzyme inducers can reduce its effectiveness. Concomitant use with other antiplatelet agents, anticoagulants, or nonsteroidal anti-inflammatory drugs can increase bleeding risk. Patients should inform their healthcare provider about all prescription medicines, over-the-counter drugs, and herbal supplements they are taking before starting Pletoz 50.

References

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Mylan, Electronic medicines compendium (EMC)

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Otsuka America Pharmaceutical Inc., US Food and Drug Administration

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