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Xicotil 20 mg

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Xicotil 20mg is an oral medicine used to treat intermittent claudication caused by peripheral arterial disease (PAD). It contains Cilostazol, which improves blood flow, reduces leg pain, and increases walking distance.

Field Details
Original Brand Pletal
Generic Brand Xicotil 20
Generic Name Cilostazol 20mg
Pack Size 10 / 30 Tablets (Typical Pack)
Use / Indications Peripheral Arterial Disease, Intermittent Claudication
Manufacturer Everest Pharmaceuticals Ltd. (Produced in Bangladesh)
Status Prescription Only Medicine
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Introduction to Pletal (Cilostazol) 20mg

Pletal (Cilostazol) 20mg is a prescription medicine used to improve symptoms of intermittent claudication caused by peripheral arterial disease (PAD). Xicotil 20mg, a generic version, contains the same active ingredient, providing similar therapeutic effects under medical supervision.

Pletal (Cilostazol) 20mg is classified under Prescription Medicines, Cardiovascular Medicines, Antiplatelet Agents, and Peripheral Vascular Disease Therapy. It works by increasing blood flow to the limbs, helping reduce pain and improve walking distance.


What Is Pletal (Cilostazol)?

Pletal is the brand name for Cilostazol, an oral medication used to treat poor circulation in the legs.

Cilostazol works by inhibiting platelet aggregation and dilating blood vessels, improving blood flow and reducing symptoms of leg pain during walking.

Generic versions such as Xicotil 20mg may be used depending on physician recommendation and availability.


Drug Class and Mechanism of Action

Cilostazol is classified as a phosphodiesterase III inhibitor with antiplatelet and vasodilatory properties.

How Cilostazol Works

  • Inhibits platelet aggregation to prevent blood clots
  • Dilates blood vessels to increase blood flow to limbs
  • Reduces pain associated with walking (intermittent claudication)
  • Improves overall circulation in peripheral arteries

How Pletal Works in the Body

After oral administration, Cilostazol inhibits phosphodiesterase III in platelets and blood vessel walls, leading to improved circulation and reduced clot formation.

Key Actions of Cilostazol

  • Increases blood flow to the legs
  • Reduces leg pain during walking
  • Prevents abnormal platelet clumping
  • Enhances exercise tolerance and mobility

Xicotil 20mg provides similar benefits as Pletal when used as prescribed.


Medical Uses of Pletal (Cilostazol) 20mg

Pletal for Peripheral Arterial Disease (PAD)

Pletal 20mg is prescribed for adult patients with intermittent claudication due to PAD.

Potential Benefits

  • Reduces leg pain and cramping during walking
  • Improves walking distance and physical activity
  • Enhances quality of life in patients with PAD

Generic alternatives like Xicotil 20mg may also be used under supervision.

Other Uses

  • Prevention of stroke or cardiovascular events (off-label, as prescribed)
  • Improving peripheral blood circulation in specific vascular conditions

Who Can Take Xicotil 20mg?

This medicine should be taken under medical guidance.

Eligibility Criteria

Patients may be prescribed Pletal or Xicotil if they:

  • Experience intermittent claudication due to PAD
  • Have been evaluated for bleeding risks
  • Can tolerate cardiovascular medications

Who Should Avoid Pletal (Cilostazol) 20mg

Pletal should NOT be used by:

  • Patients with heart failure or severe heart disease
  • Individuals with hypersensitivity to Cilostazol
  • Patients with active bleeding or history of hemorrhagic stroke
  • Severe liver or kidney disease unless prescribed by a doctor

Pletal (Cilostazol) 20mg Dosage and Administration

Standard Dosage Guidelines

  • Typical dose: 20mg twice daily, 30 minutes before or 2 hours after meals
  • Swallow tablets whole with water
  • Do not exceed the prescribed dose

Dosage Adjustments

Doctors may adjust the dose depending on:

  • Kidney or liver function
  • Severity of PAD symptoms
  • Individual response and side effects

Side Effects of Xicotil 20mg

Common Side Effects

  • Headache
  • Dizziness
  • Diarrhea
  • Palpitations

Serious Side Effects

  • Irregular heartbeat
  • Severe bleeding or bruising
  • Allergic reactions
  • Chest pain or shortness of breath

Patients should report any unusual symptoms to their doctor immediately.

Storage:
Store below 25°C in a cool, dry place, away from direct sunlight. Keep tablets in original packaging and out of reach of children.


Frequently Asked Questions (FAQs)

1. How soon does Xicotil 20mg work?

Improvement in walking distance and reduction in leg pain is usually seen within 2–4 weeks.

2. Can it be taken with food?

Yes, it can be taken with or without food.

3. Is Xicotil 20mg safe for long-term use?

It is generally safe under regular medical supervision, with periodic cardiovascular monitoring.

4. Can it be used with other antiplatelet medicines?

Only under medical supervision, as it may increase bleeding risk.

5. Is Xicotil 20mg the same as Pletal?

Yes. It contains Cilostazol, the same active ingredient as Pletal.

6. Do I need a prescription to buy Xicotil 20mg?

Yes. It is a prescription-only medicine and must be used under medical supervision.


Medical Disclaimer

The information provided is for educational purposes only and should not be considered medical advice. Pletal (Cilostazol) is a prescription-only medicine and must be used under qualified healthcare supervision. Always consult your physician before starting, stopping, or changing any medication.

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