Dipyridamole

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Dipyridamole belongs to the group of glycoprotein IIb/IIIa receptor blockers.

Pharmacodynamics (Effect)
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Dipyridamole reduces the release of intrathrombocytic ionized calcium and decreases the calcium influx. In addition, the supply of ADP is reduced, thus inhibiting ADP-mediated platelet aggregation. It also inhibits the uptake of adenosine into the endothelium, platelets and erythrocytes. It also blocks cyclo-GMP and cyclo-AMP phosphodiesterases.

Further effects of dipyridamole are the stimulation of the synthesis and release of prostacyclin and an antagonization of the coagulation-promoting effect of the subendothelial structures, especially via the nitric oxide effect.

Indication
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Dipyridamole is used in combination with ASA for secondary prevention of TIA or apoplexy.

Dosage and method of use
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3 x 75 mg p.o.; in combination with ASS: Aggrenox (200 mg + 25 mg). Dosage: 2 x 1 tablet,

Preparations
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Curantyl N ®.

Literature
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  1. HA Neumann (2014) The coagulation system. ABW-Scientific Publisher GmbH Berlin

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Last updated on: 29.10.2020