Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Risk of Spinal Haemorrhage from Cilostazol.

Resolved Question:

I am having cortisone injection to lumbar in two weeks. Pain said not to take blood thinner drugs. But cardiologist said to take Cilostazol for Intermittent clarification. Can I take that pill.

Category: Cardiologist

Ask Your Own Question

Category: Cardiologist
 20 Doctors Online


Thank you for your query at

Cilostazol is an anti platelet agent. It is necessary to avoid anti platelet agents when you are having a planned procedure like cortisone injection in your disc as bleeding at such a site could be catastrophic. In that case you should probably stop Cilostazol given the risk of spinal haemorrhage.

The guidelines recommend stopping Cilostazol at least 42 hours before the spinal procedure. Manufacturer recommends at least 5 days stoppage before procedure. The drug can be restarted 5 hours after the procedure.

As far as intermittent claudication is concerned it is not a critical limb ischemia and hopefully shall not worsen by stoppage of Cilostazol for a few days. However there is a small negligible risk of developing acute limb ischemia on stoppage of Cilostazol.
But still its better to stop Cilostazol and take the small risk rather than risking spinal hemorrhage.

Hope this helps, please feel free to discuss further.

Dr Vivek Mahajan

Dr. Vivek Mahajan
Category: Cardiologist
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news