Drug/Small Molecule:
dipyridamole

2D structure

Overview

Generic Names: Dipiridamol; Dipyridamine; Dipyridamol; Dipyudamine; Dypyridamol; Usaf Ge-12
Trade Names: Aggrenox; Agilease; Anginal; Apo-Dipyridamole Fc; Apo-Dipyridamole Sc; Apricor; Cardioflux; Cardoxil; Chilcolan; Cleridium; Cleridium 150; Coribon; Coridil; Coronarine; Corosan; Coroxin; Curantyl; Dipyidamole; Dipyridan; Gulliostin; IV Persantine; Justpertin; Kurantil; Natyl; Novo-Dipiradol; Peridamol; Permiltin; Persantin; Persantine; Piroan; Prandiol; Prandiol 75; Protangix; RA 8; RA-8; Stenocardil; Stenocardiol; Stimolcardio
PharmGKB Accession Id: PA449367

Description

A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752) (source: Drug Bank)

Indication

For as an adjunct to coumarin anticoagulants in the prevention of postoperative thromboembolic complications of cardiac valve replacement and also used in prevention of angina. (source: Drug Bank)

ATC Therapeutic Categories

  • B01AC:Platelet aggregation inhibitors excl. heparin
  • C01DX:Other vasodilators used in cardiac diseases

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Dipyridamole likely inhibits both adenosine deaminase and phosphodiesterase, preventing the degradation of cAMP, an inhibitor of platelet function. This elevation in cAMP blocks the release of arachidonic acid from membrane phospholipids and reduces thromboxane A2 activity. Dipyridamole also directly stimulates the release of prostacyclin, which induces adenylate cyclase activity, thereby raising the intraplatelet concentration of cAMP and further inhibiting platelet aggregation. (source: Drug Bank)

Pharmacology

Dipyridamole, a non-nitrate coronary vasodilator that also inhibits platelet aggregation, is combined with other anticoagulant drugs, such as warfarin, to prevent thrombosis in patients with valvular or vascular disorders. Dipyridamole is also used in myocardial perfusion imaging, as an antiplatelet agent, and in combination with aspirin for stroke prophylaxis. (source: Drug Bank)

Food Interactions

Coffee and tea can decrease the effect of dipyridamole.
Take with food to reduce irritation. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

hepatic (source: Drug Bank)

Protein Binding

99% (source: Drug Bank)

Absorption

70% (source: Drug Bank)

Toxicity

Hypotension, if it occurs, is likely to be of short duration, but a vasopressor drug may be used if necessary. The oral LD<sub>50</sub> in rats is greater than 6,000 mg/kg while in the dogs, the oral LD<sub>50</sub> is approximately 400 mg/kg. LD<sub>50</sub>=8.4g/kg (orally in rat) (source: Drug Bank)

Isomeric SMILES Code:

C1CCN(CC1)c2c3c(c(nc(n3)N(CCO)CCO)N4CCCCC4)nc(n2)N(CCO)CCO (source: Drug Bank)

The following genes are in curated knowledge about this drug.

  Gene Relationship Evidence
Phenotype data available Genotype Data Available Literature annotations available Has annotations
ABCB1
  •   
  •   
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  • FA
  •   
Publications
Phenotype data available Genotype Data Available Literature annotations available Not annotated
SLC29A1
  •   
  •   
  •   
  • FA
  • GN
Publications

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
ABCB1 Uncurated Annotation (source: Drug Bank)
ADA Uncurated Annotation (source: Drug Bank)
PDE10A Uncurated Annotation (source: Drug Bank)
PDE4A Uncurated Annotation (source: Drug Bank)
PDE5A Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

Drug Interactions

Drug Description
adenosine Uncurated Annotation Increases the effect/toxicity of adenosine (source: Drug Bank)
fludarabine Uncurated Annotation Decreases the effect of fludarabine (source: Drug Bank)

Curated Information

The following diseases are in curated knowledge about this drug.

  Disease Relationship Evidence
No phenotype data No genotype data Literature annotations available Not annotated
cancer or viral infections
  •   
  •   
  •   
  • FA
  • GN
Publications

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

Additional Datasets

These datasets are minimally curated and are sorted alphabetically by title.

  1. The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00975
KEGG Drug ID:
D00302
PubChem Compound ID:
3108
PubChem Substance ID:
148864

Common Searches

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

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