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Drug interactions

Cilostazol + Dasatinib

Severity: Moderate

Cilostazol and Dasatinib: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Dasatinib is a weak CYP3A4 inhibitor, so any rise in cilostazol exposure is likely small. Dasatinib also impairs platelet function and can cause bleeding, which may add to cilostazol's antiplatelet effect.

What this interaction means in plain words

Cilostazol and Dasatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cilostazol belongs to Cardiovascular; Dasatinib belongs to Oncology.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by dasatinib plus additive antiplatelet effects.

What to do

Monitor for bleeding and for cilostazol adverse effects such as headache and palpitations; reduce the cilostazol dose if these occur.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Cilostazol with Dasatinib?

MediHelp rates the interaction as moderate. Cilostazol and Dasatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Dasatinib is a weak CYP3A4 inhibitor, so any rise in cilostazol exposure is likely small. Dasatinib also impairs platelet function and can cause bleeding, which may add to cilostazol's antiplatelet effect.

How serious is the interaction between Cilostazol and Dasatinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for bleeding and for cilostazol adverse effects such as headache and palpitations; reduce the cilostazol dose if these occur.

What other medicines interact with Cilostazol?

MediHelp also lists interactions of Cilostazol with, for example, Abrocitinib, Anagrelide, Betrixaban. The full list is on the Cilostazol page.

Full monographs, dosing and an interaction checker in the MediHelp app

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