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cilostazol Side Effects

Also known as: Pletal

Analysis of 5,992 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

5,992

Death-Related

956

16.0% of reports

Hospitalizations

2,791

46.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
302
FALL
231
PNEUMONIA
230
DRUG INEFFECTIVE
229
DEATH
217
DYSPNOEA
209
NAUSEA
207
OFF LABEL USE
204
ANAEMIA
191
ASTHENIA
185
FATIGUE
182
DIZZINESS
181
VOMITING
179
PAIN IN EXTREMITY
170
PAIN
159
RENAL FAILURE
159
HEADACHE
152
DECREASED APPETITE
149
ACUTE KIDNEY INJURY
143
MALAISE
142

Who Reports Side Effects

Gender Distribution

Female 2,281 (41%)
Male 3,303 (59%)
Unknown 16

Age Distribution

0-17 66 (1%)
18-44 127 (3%)
45-64 1,032 (23%)
65-74 1,380 (31%)
75+ 1,865 (42%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 956 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 217
PNEUMONIA 88
CARDIAC ARREST 46
FALL 44
RENAL FAILURE 43
ACUTE KIDNEY INJURY 41
CHRONIC KIDNEY DISEASE 41
SEPSIS 41
DIARRHOEA 40
ANAEMIA 37
CARDIO-RESPIRATORY ARREST 36
HYPOTENSION 36
CARDIAC FAILURE 34
DYSPNOEA 34
MYOCARDIAL INFARCTION 34
SEPTIC SHOCK 34
ASTHENIA 33
DECREASED APPETITE 32
INTERSTITIAL LUNG DISEASE 31
RESPIRATORY FAILURE 31

Reactions in Hospitalization Reports

Top reactions in 2,791 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 176
FALL 145
ANAEMIA 129
DIARRHOEA 128
ASTHENIA 114
DYSPNOEA 110
GASTROINTESTINAL HAEMORRHAGE 110
NAUSEA 105
DECREASED APPETITE 95
VOMITING 94
PYREXIA 93
ACUTE KIDNEY INJURY 84
MALAISE 82
OFF LABEL USE 82
DRUG INTERACTION 80
DIZZINESS 78
DRUG INEFFECTIVE 77
DEHYDRATION 76
CEREBRAL INFARCTION 75
RENAL FAILURE 75

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What the FAERS Data Reveals About cilostazol Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 5,992 voluntary reports linked to cilostazol and its brand equivalents (Pletal), spanning 2004 through 2025. Of those, 956 (16.0%) listed death as an outcome and 2,791 (46.6%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 41% were female and 59% male; age distribution skews toward 75+, with 1,865 reports in that bracket. The single most reported reaction is diarrhoea with 302 submissions, followed by fall and pneumonia.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.