Cilostazol, the active ingredient in Pletal, works by inhibiting platelet aggregation and increasing blood flow. If Pletal isn’t suitable, your doctor might suggest other medications targeting similar mechanisms. These include aspirin, clopidogrel (Plavix), and dipyridamole.
Aspirin, a widely available and relatively inexpensive drug, reduces platelet stickiness, helping to prevent blood clots. However, it may not be as potent as cilostazol for improving peripheral artery disease (PAD) symptoms.
Clopidogrel offers a stronger antiplatelet effect than aspirin. It’s frequently used alongside aspirin to enhance its preventative capabilities in patients at high risk of blood clots.
Dipyridamole works similarly to cilostazol, though its efficacy in PAD may be less pronounced. It’s often used in combination with aspirin.
Beyond medication, lifestyle changes significantly impact PAD management. Regular exercise, such as walking, improves circulation. A healthy diet, rich in fruits and vegetables, supports overall vascular health. Maintaining a healthy weight reduces strain on the circulatory system. Quitting smoking is crucial, as it directly damages blood vessels.
In some cases, surgical or minimally invasive procedures may be necessary. Angioplasty, using a balloon catheter to widen narrowed arteries, and bypass surgery, creating new pathways for blood flow, are common options. Your doctor will assess your specific condition and suggest the most appropriate course of treatment.
