REVIEW Cilostazol is a quinolinone derivative, and several of its metabolites are cyclic AMP (cAMP) phosphodiesterase III inhibitors (PDE III inhibitors), inhibiting phosphodiesterase activity and suppressing cAMP degradation with a resultant increase in cAMP in platelets and blood vessels, leading to inhibition of platelet aggregation and vasodilation. It is indicated for the reduction of symptoms of intermittent claudication as indicated by an increased walking distance.
REFERENCES
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Liu, Yongge; Shakur, Yasmin; Yoshitake, Masuhiro; Kambayashi, Jun-Ichi. Cilostazol (Pletal): a dual inhibitor of cyclic nucleotide phosphodiesterase type 3 and adenosine uptake. Cardiovascular Drug Reviews. (2001) 19(4): 369-386.
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Kambayashi, Junichi; Liu, Yongge; Sun, Bing; Shakur, Yasmin; Yoshitake, Masuhiro; Czerwiec, Frank. Cilostazol as a unique antithrombotic agent. Current Pharmaceutical Design. (2003) 9(28): 2289-2302.
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Barnett, A. H.; Bradbury, A. W.; Brittenden, J.; Crichton, B.; Donnelly, R.; Homer-Vanniasinkam, S.; Mikhailidis, D. P.; Stansby, G. The role of cilostazol in the treatment of intermittent claudication. Current Medical Research and Opinion. (2004) 20(10): 1661-1670.
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Therapeutic tetrazolylalkoxycarbostyril derivatives Belg. (1979), BE 878548 A1 19791217.
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