Drug interactions
Cilostazol + Milrinone
Severity: Major
Cilostazol and Milrinone: major 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
Both are PDE3 inhibitors, and combining them may amplify vasodilation, tachycardia and ventricular arrhythmia risk. Cilostazol is contraindicated in heart failure of any severity, which is the usual setting for milrinone.
What this interaction means in plain words
Cilostazol and Milrinone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Cilostazol belongs to Cardiovascular; Milrinone belongs to Cardiovascular.
Why it happens
Additive phosphodiesterase 3 inhibition.
What to do
Avoid concomitant use; hold cilostazol while milrinone is being given and monitor ECG and blood pressure.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Milrinone
- Anagrelide + Milrinone Major
- Enoximone + Milrinone Major
- Inamrinone + Milrinone Major
- Milrinone + Olprinone Major
- Milrinone + Riociguat Major
- Milrinone + Ozanimod Minor
Other interactions of Cilostazol
Frequently asked questions
Can I take Cilostazol with Milrinone?
MediHelp rates the interaction as major. Cilostazol and Milrinone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both are PDE3 inhibitors, and combining them may amplify vasodilation, tachycardia and ventricular arrhythmia risk. Cilostazol is contraindicated in heart failure of any severity, which is the usual setting for milrinone.
How serious is the interaction between Cilostazol and Milrinone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concomitant use; hold cilostazol while milrinone is being given and monitor ECG and blood pressure.
What other medicines interact with Milrinone?
MediHelp also lists interactions of Milrinone with, for example, Anagrelide, Enoximone, Inamrinone. The full list is on the Milrinone page.
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