Cilostazol Sandoz 100 mg. 60 tablets

What is cilostazol Sandoz and what it is used
Cilostazol Sandoz is a group of medicines called phosphodiesterase type 3. His actions are few and include some expansion of blood vessels and reduce blood clotting activity (gluing) of certain blood cells called platelets in the blood vessels.
Cilostazol Sandoz has been prescribed for "intermittent claudication." It represents such a spasm of pain in the legs when walking and is caused by insufficient blood supply to the legs. Cilostazol may increase the distance you can take without pain, as it improves blood circulation in the legs. Cilostazol is recommended only for patients whose symptoms have not improved enough after making changes in lifestyle (such as smoking cessation and increasing physical exercise) and then other kinds of treatment. It is important to continue with the changes you have made in your lifestyle while taking cilostazol.

2. What you need to know before taking cilostazol Sandoz
Do not take cilostazol Sandoz:
if you are allergic (hypersensitive) to cilostazol or any of the other ingredients of this medicine (listed in section 6);
if you have a condition called "heart failure";
if you have persistent chest pain at rest or have had a "heart attack" or any surgery in the past six months;
if you currently have or have previously suffered from fainting due to heart disease or severe violations of the heart rate;
if it knows that you suffer from a disease which increases the risk of bleeding or bruising, such as:
active (s), gastric (s) ulcer (s);
stroke within the last six months;
eye problems if you suffer from diabetes;
if your blood pressure is not well controlled;
if you have severe kidney disease or moderate or severe liver disease;
if you are taking aspirin and clopidogrel or any combination of two or more drugs that may increase the risk of bleeding (if you're not sure, ask your doctor or pharmacist);
if you are pregnant.
Warnings and Precautions
Talk to your doctor before taking cilostazol Sandoz:
if you suffer from severe heart disease or other problems with the heart rate;
if you have blood pressure problems.
During treatment with Cilostazol Sandoz:
if you need to do surgery, including dental extraction, tell your doctor or pharmacist before taking cilostazol;
if you notice easy bruising or bleeding, stop taking cilostazol and tell your doctor.
Other medicines cilostazol and Sandoz
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines.

Before taking cilostazol Sandoz
In particular, you should inform your doctor if you are taking drugs that are usually used to treat painful and / or inflammatory diseases of the muscles or joints, or if you are taking medication to reduce blood clotting. These medications include:
acetylsalicylic acid;
clopidogrel;
anticoagulants (eg. warfarin, dabigatran, rivaroxaban, apixaban or LMWH).
If you are taking such medicines cilostazol Sandoz, your doctor may conduct some routine blood tests.

Certain drugs can affect the effects of cilostazol Sandoz when taken simultaneously. They can either increase adverse reactions to cilostazol Sandoz, or reduce its effect. Cilostazol Sandoz may have a similar effect on other medicines.
Before you start taking cilostazol Sandoz, tell your doctor if you are taking:
erythromycin, clarithromycin, or rifampicin (antibiotic);
ketoconazole (for fungal infections);
protease inhibitors (antiviral drugs);
omeprazole (used to treat acidity of the stomach);
diltiazem (used to treat high blood pressure or chest pain);
cisapride (used to treat stomach disorders);
lovastatin, simvastatin or atorvastatin (used to treat high blood cholesterol);
halofantrine (used to treat malaria);
pimozide (used to treat mental illness);
ergot derivatives (for migraine treatment, eg., ergotamine, dihydroergotamine);
carbamazepine or phenytoin (used to treat seizures);
St. John's Wort (an herbal product).
If you are not sure whether this applies to your medication, ask your doctor or pharmacist.

Before you start taking cilostazol Sandoz, tell your doctor if you are taking medications for high blood pressure because it might have an additional lowering effect on blood pressure. If your blood pressure drops too much, it can cause rapid heartbeat. These medications include:
diuretics (eg. hydrochlorothiazide, furosemide);
calcium channel blockers (eg. verapamil, amlodipine);
ACE inhibitors (eg., Captopril, lisinopril);
angiotensin II receptor antagonists (eg. valsartan, candesartan);
beta-blockers (e. labetapol, carvedilol).
You may be able to take both drugs above and cilostazol and your doctor can decide what is suitable for you.

Cilostazol with food and drink
Cilostazol tablets should be taken 30 minutes before breakfast and dinner. Always take the tablets with water.

Pregnancy and lactation
Cilostazol Sandoz MUST NOT be taken during pregnancy.
Not recommended for use cilostazol Sandoz women during lactation.
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking any medications.

Driving and using machines
Cilostazol Sandoz may cause dizziness. If you feel dizzy after taking cilostazol tablets Sandoz, do not drive or use any tools or machines, and tell your doctor or pharmacist.

3. How to take cilostazol Sandoz
Always take this medicine exactly as you have been told by your doctor. If you're not sure, ask your doctor or pharmacist.
The recommended dose is one 100 mg tablet twice daily (morning and evening). This dose should not be changed in the elderly. However, your doctor may prescribe a lower dose if you take other medicines that can affect cilostazol Sandoz.
The tablet can be divided into equal doses.
Sandoz tablets Cilostazol should be taken 30 minutes before breakfast and dinner. Always take the tablets with water.
In some cases, it can feel the benefit of taking cilostazol Sandoz within 4-12 weeks of treatment. Your doctor will assess the development of your disease after 3 months of treatment and may recommend discontinuation of cilostazol if the treatment effect is insufficient.
Cilostazol Sandoz is not suitable for children.

If you take more than the amount of cilostazol Sandoz
If for some reason you take more than the required amount of cilostazol tablets Sandoz may experience signs and symptoms such as headache, diarrhea, drop in blood pressure and an irregular heartbeat.
If you take more tablets than your prescribed dose, contact your doctor or local hospital. Remember to take the pack with you to understand what medications you take.

If you forget to take cilostazol Sandoz
If you miss a dose, do not worry - wait until the next administration to take the next tablet and continue normal. DO NOT take a double dose to make up for a forgotten tablet.

If you stop taking cilostazol Sandoz
If you stop taking cilostazol Sandoz, the pain in your legs may come back or intensify. Therefore, you should not stop taking cilostazol Sandoz if you notice side effects requiring urgent medical attention (see. Section 4) or if your doctor tells you to.

If you have any further questions on the use of this medicine, ask your doctor.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of these side effects, you may need urgent medical attention. Stop taking cilostazol Sandoz and immediately contact your doctor or go to the nearest hospital.
allergic reactions;
stroke;
heart attack;
heart problems that can cause shortness of breath or swelling of the ankles;
irregular heart rhythm (new or worsened condition);
noticeable bleeding;
easy bruising;
serious illness with blistering of the skin, mouth, eyes and genitals;
yellowing of the skin or whites of the eyes caused by liver or blood problems (jaundice).
Also, you should immediately inform your doctor if you have fever or sore throat. It needs to make certain your blood tests before starting treatment again.

The following adverse drug reactions of cilostazol Sandoz. You should inform your doctor as soon as possible:
Very common side effects (may affect more than 1 in 10 people):
headache;
abnormal stools;
diarrhea.
Common side effects (may affect up to 1 in 10 people):
increased heart rate;
pounding heartbeat (palpitations);
chest pain;
dizziness;
sore throat;
runny nose (rhinitis);
stomach ache;
abdominal discomfort (dyspepsia);
nausea or vomiting;
lack of appetite (anorexia);
excessive burping or wind (flatulence);
swelling of ankles, feet or face;
rash or change in skin appearance;
itchy skin;
spotted bleeding in the skin;
general weakness.
Uncommon side effects (may affect up to 1 in 100 people):
heart attack;
irregular heart rhythm (new or worsened condition);
heart problems that may cause shortness of breath, or swelling of the ankle;
pneumonia;
cough;
chills;
unexpected bleeding;
bleeding tendency (eg. in the stomach, eyes or muscles, nose, and blood in sputum or urine);
reducing the number of red blood cells in the blood;
dizziness upon standing;
fainting;
anxiety;
difficulty sleeping;
abnormal dreams;
allergic reaction;
pain;
diabetes, elevated blood glucose;
abdominal pain (gastritis);
malaise.
There may be an increased risk of bleeding in the eye in people with diabetes.

Rare side effects (may affect less than 1 in 1000 people):
tendency to bleed for longer than normal;
increasing the number of blood platelets;
kidney problems.
Side effects with unknown frequency (from the available data can not assess the frequency):
changes in blood pressure;
decrease the number of red and white blood cells and blood platelets;
difficulty breathing;
difficult movements;
fever;
hot flashes;
eczema and other skin rashes;
decreased skin sensitivity;
exudation or sticking of the eyes (conjunctivitis);
"ringing" in the ears (tinnitus);
liver problems, including hepatitis;
changes in urine.

5. How to store cilostazol Sandoz
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton and blister after "EXP". The expiry date refers to the last day of that month.