Dipyridamole
Dipyridamole is 2, 6-Bis (diethanolamino)-4, 8-dipiperidinopyrimido- (5, 4-d) pyrimidine. Dipyridamole is a platelet aggregation inhibitor. It prevents the blood cells from clumping together and keeps the blood flow smooth.
Primary Characteristics
It is of Synthetic origin and belongs to Piperidinopyrimidine.
It belongs to Phosphodiesterase inhibitor pharmacological group on the basis of mechanism of action and also classified in Antiplatelet Agent pharmacological group. It is also classified under Hematological Agents .
Molecular Weight: 504.6 · pKa: 6.4 · Solubility in Water: Insoluble in water · Solubility in Alcohol: soluble · Non-proprietary name: Dipyridamole.

Pharmacokinetics
Absorption: Dipyridamole has an oral bioavailability is 57.5% (±30.5%).
Distribution: Dipyridamole has a volume of distribution is 2 l/kg. plasma protein binding is > 99%.
Elimination: it is metabolised via Hepatic, plasma half-life is 11.6 ± 2.2 hr, renal excretion is 1-3%.
Advertisement
Indications
Dipyridamole is primarily indicated in conditions like Ischemic stroke prophylaxis, Secondary prevention of ischaemic stroke and tias, Transient ischemic attacks prophylaxis.
Dipyridamole is also indicated for secondary conditions like Analgesia and suppression of respiratory activity.
Contraindications
Dipyridamole is contraindicated in conditions like Bleeding disorders.
Dosage
Dipyridamole's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 200 mg | 200 mg | Every 6h | PO | Secondary prevention of stroke and iscaamic attack. |
| 450 mg | 450 mg | — | PO | Divided doses before meals. Prophylaxis of thromboembolism. |
| Paediatric Dosage (20kg) | ||||
| 5 mg/kg | 5 mg/kg | Every 6h | Oral | |
| Neonatal Dosage (3kg) | ||||
| 1.25 mg/kg | 1.25 mg/kg | Every 6h | Oral | - |
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Dipyridamole in overdosage may give rise to further complications which include Angina .
Dipyridamole produces potentially life-threatening effects which include Hemorrhage , Coronary steel, Hemorrhage. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Dipyridamole are Flushing.
Dipyridamole is known to cause more or less tolerable side effects which are usually transient. These include Diarrhea, Dizziness, Facial flushing, Fainting, GI disturbance, Headache, Nausea, Pruritus , Skin rash, Syncope , Vomiting , Weakness.
Warnings / Precautions
Interference in Pathology
Dipyridamole may interfere in the diagnosis of Laboratory tests involving fluorescence or nephelometry measurements .
Available Brands
Storage Conditions
Drug Classification
- 1.10.2 — Anticoagulants/Platelet deaggregators