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Plavix vs. Pletal

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)

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Cilostazol

 

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Summary for Plavix

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.

Indications for Plavix

Pros and Cons for Plavix

Pros

  • Good choice for lowering the risk of heart attack or stroke
  • Tablet that's taken once a day by mouth
  • Can be taken with or without food

Cons

  • Can cause major bleeding or bruising
  • Has many interactions with other medications
  • Might not work as well for people with East Asian descent

Common Side Effects for Plavix

  • Minor bleeding (5%)
  • Major bleeding (4%)

Warnings for Plavix

  • Clopidogrel (Plavix) not working as well
  • Bleeding
  • Risk of heart attack or stroke if stopped suddenly
  • Blood clotting condition
  • Allergic reaction

Summary for Pletal

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.

Indications for Pletal

Pros and Cons for Pletal

Pros

  • Helps you walk further with less pain
  • Comes as a tablet that's taken by mouth
  • Available as a lower-cost generic

Cons

  • Can take 2 to 4 weeks before symptoms start to improve
  • Interacts with certain foods and medications
  • Not safe for people with heart failure

Common Side Effects for Pletal

  • Headache (34%)
  • Diarrhea (19%)
  • Abnormal stools (15%)
  • Heart palpitations (10%)
  • Dizziness (10%)
  • Sore throat (10%)
  • Infection (10%)

Warnings for Pletal

  • Not safe for people with heart failure
  • Fast heart rate
  • Blockage in the heart's blood flow
  • Changes in blood cell counts
  • Bleeding problems

Prices with our coupons for Plavix vs. Pletal

Price Card Drug Icon
Clopidogrel30 tablets / 75mg
$11.70$16.91
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Price Card Drug Icon
Cilostazol180 tablets / 100mg
$24.00$24.00
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