Can Cilostazol interact with blood thinners in the elderly?

Hi,

My 80-year-old father has been diabetic for the past 30 years and hypertensive for the past five years. He has had bypass surgery and a stroke in the past. He had shooting pain in his right foot for two days, so we consulted a podiatrist. He changed his one medicine from capsule Maxgalin 75 mg to capsule Maxgalin NT.

My father is already feeling better. He also ordered an arterial Doppler test. He started on a tablet of Cilostazol 50 mg once in the morning for 15 days and then reviewed it. My father is already taking the tablet Ecosprin 75 mg once in the morning and the capsule Arreno twice a day.

My father's platelets usually remain close to 150,000. His current medication includes Mixtard Insulin 30/70, 50 units in the morning and 13 units at night, Glycomet GP2 two times, Linagliptin 5 mg once in the morning, tablet Fibator 10 mg once at night, Telma-CT 12.5 once in the morning, capsule Dynapres 0.4 once at night, capsule Arreno twice, tablet Ecosprin 75 once in the morning, tablet Thyronorm 25 mg, one tablet from Monday to Thursday and two tablets from Friday to Sunday, capsule Uprise once a month.

I have a few questions:

1) Is it fine to take so many thinners? And please review if it can interact with any of his other drugs. Or have any effect on the heart or brain?

2) Is it safe to take Cilostazol with PAN D or PAN 40?

3) Please review his latest ECG and echo reports, which we do annually.

Thank you.

Hi doctor,

Thank you for the reply,

Tablets Arreno and Ecosprin have been prescribed by our cardiologist, so I do not want to touch those. As per our family doctor, we need not start Cilostazol as he is already on the other two blood thinners. His platelets also stay in the range of 1.5 lakhs. So I guess we will continue with the existing medications. I hope the existing thinners also help with PVD. Also, since he is experiencing no pain in his foot now, can we go back to Maxgalin 75 instead of Maxgalin NT?