MRCEM Notes

Dipyridamole

Dipyridamole is an antiplatelet mainly used in combination with aspirin after an ischaemic stroke or transient ischaemic attack.

Mechanism of action
  • inhibits phosphodiesterase, elevating platelet cAMP levels which in turn reduce intracellular calcium levels
  • other actions include reducing cellular uptake of adenosine and inhibition of thromboxane synthase
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