Combining Aspirin and Cilostazol is a major interaction and should generally be avoided without close medical supervision.
Combining aspirin and cilostazol significantly increases your risk of bleeding, especially from the stomach or intestines. This combination should generally be avoided unless specifically recommended and closely monitored by your doctor.
Mechanism: Both aspirin and cilostazol exert antiplatelet effects through different mechanisms, leading to an additive inhibition of platelet aggregation. Aspirin irreversibly inhibits cyclooxygenase-1 (COX-1), reducing thromboxane A2 production, while cilostazol inhibits phosphodiesterase III (PDE3), increasing cyclic AMP and thereby reducing platelet activation. The combined effect profoundly impairs hemostasis.
Aspirin vs. Cilostazol
Compare Aspirin and Cilostazol: mechanism of action, indications, side effects, cost, and which may be right for you.
Drug A
Aspirin
Aspirin Regular Strength
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
RxDrug B
Cilostazol
Cilostazol
Antiplatelet Agents
RxQuick Comparison
| Category | Aspirin | Cilostazol |
|---|---|---|
| Drug Class | NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) | Antiplatelet Agents |
| Rx Status | Rx | Rx |
| Generic Available | No | No |
| Typical Cost | $5–$20/month | $50–$150/month |
Aspirin Overview
ASPIRIN (brand name: Aspirin Regular Strength) is a NSAIDs. Uses temporarily relieves: headache muscle pain toothache menstrual pain pain and fever of colds minor pain of arthritis
Full Aspirin guide →Cilostazol Overview
Cilostazol is a medication that belongs to a class of drugs called phosphodiesterase III inhibitors. It is primarily used to help people with a condition called intermittent claudication, which causes leg pain during exercise due to poor blood flow. By improving blood flow and preventing blood clots, cilostazol helps reduce these symptoms and allows patients to walk further without pain.
Full Cilostazol guide →How Each Drug Works
Cilostazol
Cilostazol and several of its metabolites inhibit phosphodiesterase III activity and suppress cAMP degradation with a resultant increase in cAMP in platelets and blood vessels, leading to inhibition of platelet aggregation and vasodilation, respectively. Cilostazol reversibly inhibits platelet aggregation induced by a variety of stimuli, including thrombin, ADP, collagen, arachidonic acid, epinephrine, and shear stress. Cardiovascular effects: Cilostazol affects both vas…
Approved Uses (Indications)
Aspirin
Uses temporarily relieves: headache muscle pain toothache menstrual pain pain and fever of colds minor pain of arthritis
Cilostazol
Cilostazol tablets are indicated for the reduction of symptoms of intermittent claudication, as demonstrated by an increased walking distance. Cilostazol tablets are a phosphodiesterase III inhibitor (PDE III inhibitor) indicated for the reduction of symptoms of intermittent claudication, as demonstrated by an increased walking distance
Side Effects
Cilostazol
Cost Comparison
Aspirin
$5–$20/month
Aspirin is available over-the-counter at a very low cost, often less than $5 for a large supply. Discount cards can sometimes offer minor savings on the prescription version, but it's generally more cost-effective to buy OTC.
Cilostazol
$50–$150/month
Since Cilostazol is available as a generic, comparing prices at different pharmacies and using discount cards like GoodRx can significantly reduce your monthly cost. Manufacturer coupons may also be available for the brand-name version if preferred.
Compare prices for Aspirin and Cilostazol
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Medical Disclaimer
The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.