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Before using this medicationtell your doctor or pharmacist your medical historyespecially ofserious/active bleedingsuch as bleeding ulcersbleeding in the eye/brainblood disorderssuch as hemophilialow platelet countsheart diseasesuch as heart attackchest painfast/irregular heartbeatstrokekidney disease.

Caution should be exercised when prescribing cilostazol for patients with atrial or ventricular ectopy and patients with atrial fibrillation or flutter.

There are no adequate data in the use of cilostazol in pregnant womenStudies in animals have shown reproductive toxicitysee Section 5.3The potential risk for humans is unknownPletal must not be used during pregnancysee section 4.3

Tell your doctor if you have any side effect that bothers you or does not go awayThese are not all the possible side effects of PletalFor more informationask your doctor or pharmacist.

Pletal and several of its metabolites inhibit phosphodiesterase III activity and suppress cAMP degradation with a resultant increase in cAMP in platelets and blood vesselsleading to inhibition of platelet aggregation and vasodilationrespectively.

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