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Drug interactions

Cilostazol + Oxcarbazepine

Severity: Moderate

Cilostazol and Oxcarbazepine: 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

Oxcarbazepine is a weak to moderate CYP3A4 inducer and may reduce cilostazol exposure. The clinical effect on claudication may be diminished.

What this interaction means in plain words

Cilostazol and Oxcarbazepine 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; Oxcarbazepine belongs to Central Nervous System.

Evidence level: Low

Why it happens

CYP3A4 induction by oxcarbazepine increases cilostazol metabolism.

What to do

Monitor walking tolerance and symptom response; reassess cilostazol therapy if benefit declines.

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 Oxcarbazepine?

MediHelp rates the interaction as moderate. Cilostazol and Oxcarbazepine 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. Oxcarbazepine is a weak to moderate CYP3A4 inducer and may reduce cilostazol exposure. The clinical effect on claudication may be diminished.

How serious is the interaction between Cilostazol and Oxcarbazepine?

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 walking tolerance and symptom response; reassess cilostazol therapy if benefit declines.

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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