Experiences with

Dipyridamole

About dipyridamole

Dipyridamole is an antiplatelet medicine. It prevents a type of blood cell (platelets) sticking together and forming a dangerous blood clot.

Taking dipyridamole helps to prevent blood clots if you have an increased risk of having them. Your risk is higher if you have or have had:

• a stroke or "mini-stroke" (transient ischaemic attack or TIA)
• an operation on your heart to replace your heart valves

Dipyridamole is only available on prescription.

It comes as tablets and slow-release (called "modified-release") capsules. It is also available as a liquid if you find it difficult to swallow tablets or capsules.

Who can and cannot take dipyridamole

Dipyridamole can be taken by adults aged 18 years and over to prevent strokes and after heart valve replacement surgery.

It's sometimes prescribed for children to treat a rare condition called Kawasaki disease or prevent blood clots after heart surgery.

Dipyridamole is not suitable for some people. To make sure this medicine is safe for you, tell your doctor if you:

• have ever had an allergic reaction to dipyridamole or any other medicine
• have angina or other heart problems, or have had a recent heart attack
• have a muscle weakening disease called myasthenia gravis
• have any bleeding disorders, such as haemophilia or von Willebrand disease
• have low blood pressure
• have migraines
• are trying to get pregnant, are already pregnant or breastfeeding

How and when to take dipyridamole

How much dipyridamole you take depends on what form you have been prescribed. Always follow your doctor's instructions.

Dosage

The usual dose for slow-release capsules is 200mg, taken twice a day.

The usual dose for tablets and liquid is 300mg to 600mg, taken 3 or 4 times a day.

If the doctor prescribes it for your child, they usually need to take it 2 or 3 times a day. The doctor will use your child's weight to work out the right dose.

How to take slow-release capsules

These release the medicine slowly in your body over several hours. You will usually take 1 capsule in the morning and 1 capsule in the evening.

Take your capsules with or shortly after a meal. Swallow them whole with a drink of water. Do not crush or chew them.

Capsules are not prescribed for children.

How to take tablets or liquid

Your doctor will tell you whether to take your dose 3 or 4 times a day. Take it before meals at the same time each day. Swallow the tablet whole with a drink of water.

Dipyridamole liquid comes with a syringe or a spoon to help you or your child take the right amount. If you do not have a syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon because it will not give you the right amount.

What if I forget to take it?

If you forget to take dipyridamole, take it as soon as you remember, unless it's nearly time for your next dose. In this case, skip the missed dose and take the next one at the usual time.

Do not take a double dose to make up for a forgotten dose.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to remember to take your medicines.

What if I take too much?

Taking 1 or 2 extra doses is unlikely to harm you. However, the amount of dipyridamole that can lead to overdose is different from person to person.

you take too much dipyridamole and you have any symptoms including:

• a faster heart rate or pain in your chest – these can be signs of a heart problem
• feeling dizzy or lightheaded, especially when you stand up or sit up quickly
• shortness of breath, wheezing and tightening of the chest

Go to 111.nhs.uk or call 111

Call 111 if you're asking about a child under the age of 5 years.

If you need to go to hospital, do not drive yourself. Get someone else to drive you or call for an ambulance.

Take the dipyridamole packet or leaflet inside it plus any remaining medicine with you.

Side effects

Like all medicines, dipyridamole can cause side effects, although not everyone gets them.

Common side effects

These common side effects happen in more than 1 in 100 people. Talk to your doctor or pharmacist if these side effects bother you or do not go away:

• feeling sick
• diarrhoea and being sick
• headaches
• feeling dizzy
• feeling hot and flushed

Serious side effects

Serious side effects are rare and happen in less than 1 in 1,000 people.

• you have pain in your chest, shortness of breath, or a fast heartbeat

In rare cases, dipyridamole can cause a serious allergic reaction (anaphylaxis).

These are not all the side effects of dipyridamole. For a full list, see the leaflet inside your medicines packet.

How to cope with side effects of dipyridamole

What to do about:

• feeling sick – try taking your tablets with or after a meal or snack. It may also help if you do not eat rich or spicy food.
• diarrhoea and being sick – drink plenty of water in small, frequent sips. Speak to a pharmacist if you have signs of dehydration, such as peeing less than usual or having dark, strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
• headaches – make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Talk to your doctor if the headaches are severe or last longer than a week.
• feeling dizzy – if dipyridamole makes you feel dizzy when you stand up, try getting up very slowly or stay sitting down until you feel better. If you begin to feel dizzy, lie down so that you do not faint, then sit up for a while until you feel better. Do not drive, ride a bike or use tools or machinery if you feel dizzy or a bit shaky.
• feeling hot and flushed – try cutting down on coffee, tea and alcohol. It might help to keep the room cool and use a fan. You could also spray your face with cool water or sip cold or iced drinks. The flushing should go away after a few days. If it does not, or if it's causing you problems, contact your doctor.

Pregnancy and breastfeeding

Dipyridamole is not often used in pregnancy. This is because there is little information about how the medicine may affect your baby. However, your doctor may advise you to take it if they think the benefits of taking the medicine outweigh any risks.

If you're trying to get pregnant or you are already pregnant, talk to your doctor about the benefits and possible harms of taking dipyridamole. These will depend on how many weeks pregnant you are and the reason you need to take it. There may be other medicines that are more suitable for you while you're pregnant.

Dipyridamole and breastfeeding

Only take dipyridamole while breastfeeding if your doctor advises you to.

It's not known how much dipyridamole gets into breast milk, but it's likely to be a small amount.

If your doctor says it is OK for you to keep taking dipyridamole, then monitor your baby for any possible side effects, such as bruises or bleeding easily. However, it's unlikely that dipyridamole will cause any side effects in your baby.

Talk to your doctor, midwife, or health visitor if you have any concerns about your baby while you are breastfeeding.

Cautions with other medicines

Some medicines can affect the way dipyridamole works.

Tell your doctor if you're taking these medicines before you start taking dipyridamole:

• other medicines to prevent blood clots, such as low-dose aspirin, clopidogrel, ticagrelor, warfarin, dabigatran, apixaban or rivaroxaban
• medicines for high blood pressure, such as bisoprolol, ramipril or furosemide
• indigestion medicines, such as ranitidine, proton pump inhibitors like omeprazole, or antacids that contain magnesium or aluminium
• digoxin for heart problems
• medicines used to treat myasthenia gravis

Taking dipyridamole with everyday painkillers

You can take paracetamol together with dipyridamole if you need a painkiller.

Do not take aspirin for pain relief (300mg tablets) or ibuprofen while you're taking dipyridamole unless a doctor has said it's OK to. They increase the risk of bleeding.

To prevent blood clots, your doctor may prescribe daily low-dose aspirin (75mg tablets) to take together with dipyridamole.

Taking dipyridamole with indigestion medicines

Some indigestion medicines, such as omeprazole, may reduce the effect of dipyridamole. This is important if you're taking dipyridamole as tablets or liquid, but it's not a problem if you're taking capsules.

If you need to take indigestion medicines, do not take them at the same time of day as dipyridamole tablets or liquid. Take them 2 to 3 hours before or after your dose of dipyridamole.

Mixing dipyridamole with herbal remedies and supplements

There might be a problem with taking some herbal remedies and supplements with dipyridamole, especially ones that can affect your blood, such as ginkgo.

Related links

Stroke — Link to Related Condition

Transient ischaemic attack (TIA) — Link to Related Condition

HealthUnlocked: dipyridamole forum — Link to Useful Resource

British Heart Foundation: charity — Link to Useful Resource

Stroke Association: charity — Link to Useful Resource

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