Silvesta Tablet (Cilostazol)

Adult dose

Cilostazol is usually taken orally at a dose of 100mg for adults, twice a day. It may be adjusted appropriately based on age and symptoms.

This medication may increase heart rate, which can pose a risk for angina symptoms, so careful monitoring of symptoms such as chest pain is essential. It should not be administered to patients at high risk for bleeding, those who have recently suffered from bleeding disorders, or patients with uncontrolled hypertension. Use should also be avoided in patients with heart failure or previous hypersensitivity to any component of this medication, as well as in pregnant or breastfeeding women. Patients taking anticoagulants, antiplatelet agents, thrombolytics, or other medications that may increase bleeding risk should be administered this medication with caution, and women during menstruation should also be careful due to bleeding risk. Special attention is required for patients with severely impaired kidney or liver function, diabetic patients, hypertensive patients, or those with heart rhythm abnormalities while using this medication. Severe side effects such as bleeding, blood cell reduction, pneumonia, heart problems, and liver dysfunction may occur, so if any abnormal symptoms arise, consult a physician immediately. Various side effects such as dizziness, headache, dyspepsia, rash, palpitations may occur, so caution should be exercised when symptoms arise. For patients with cerebral infarction, administration should begin after symptoms stabilize, and blood pressure and heart condition should be continuously monitored. If symptoms of bleeding or initial signs of blood disorders appear, inform healthcare providers immediately and check the condition through blood tests. Care should be taken when driving or operating machinery due to the risk of accidents from side effects such as dizziness. This medication is primarily metabolized in the liver, so its concentration may change when used with other drugs that affect liver metabolic enzymes, requiring dosage adjustments. In particular, it is advisable to avoid taking it with grapefruit juice as it may increase drug concentration. Pregnant or breastfeeding women should not use this medication, and breastfeeding should be halted during the period of administration. The safety of this medication in children and newborns has not been established, so use should be approached with caution. Elderly patients may have reduced bodily function, thus careful dosage adjustment is necessary. In cases of overdose, symptoms such as headache, diarrhea, hypotension, and arrhythmias may occur, requiring immediate appropriate treatment at a medical facility.

Serious side effects

Hives, severe swelling, chest tightness, difficulty breathing, cold sweat, paleness, severe rash accompanied by high fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities combined with cough + fever, yellowing of skin or eyes, extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion of consciousness, visual disturbances, paralysis, significantly reduced urine output

Mild side effects

• Headache
• anxiety
• itching
• rash
• back pain
• infection
• chills
• malaise
• neck stiffness
• pelvic pain

This medication should be stored in a tightly sealed container to prevent air exposure, maintaining a storage temperature between 1 to 30 degrees Celsius. Proper storage will help maintain the medication's effectiveness and prevent degradation.

Appearance

White round tablets

Package unit

30 tablets/bottle, 100 tablets/bottle