Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Clopidogrel (Plavix) and cilostazol are both medications used to help with blood flow, but they work in different ways and are used for different conditions. Clopidogrel is a P2Y12 inhibitor that prevents platelets from clumping together, which helps lower the risk of heart attacks and strokes. It's taken once a day and is available in a generic form. Cilostazol, on the other hand, is a PDE-3 inhibitor that not only stops platelets from clumping but also relaxes blood vessels in the legs. It's used to treat intermittent claudication, a condition that causes pain in the legs when walking. Cilostazol must be taken twice a day on an empty stomach and is not safe for people with heart failure. Both medications can increase the risk of bleeding, but cilostazol also has side effects like headaches and diarrhea. Additionally, you should avoid grapefruit products with both medications.
Clopidogrel (Plavix)
Cilostazol
Clopidogrel (Plavix)
Cilostazol
Summary of Plavix vs. Pletal
Summary for P2Y12 inhibitor
Prescription only
Clopidogrel (Plavix) is a prescription antiplatelet medication that helps lower your risk of heart attack or stroke. It works by stopping platelets in your blood from sticking together and forming clots. You take it as a tablet by mouth once a day, and it might be used alone or with aspirin in some situations. Since it's a blood thinner, the most common side effect is bleeding.
Summary for PDE-3 inhibitor
Prescription only
Cilostazol is a leg pain medication that helps adults with poor blood flow from a condition called intermittent claudication. It can help you walk longer distances with less pain or discomfort. Cilostazol belongs to a group of medications called PDE-3 inhibitors. It comes as a tablet that you take by mouth, usually twice a day on an empty stomach — at least 30 minutes before or 2 hours after breakfast and dinner. Common side effects include headache, diarrhea, and abnormal stools.