Two types of medicine can help treat PAD by:
- Helping blood flow through narrowed arteries
- Thinning the blood so that it does not clot as easily
Here are the basics about each of the medicines below. Only common problems with them are listed.
Prescription Medications
- Clopidogrel
- Ticlopidine
- Dipyridamole
- Cilostazol
Clot-busting drugs (thrombolytic drugs)
- Recombinant tissue plasminogen activator (rt-PA, alteplase)
- Warfarin
- Heparin
Over the Counter Medications
Prescription Medications
Pentoxifylline helps blood flow by thinning it and making red blood cells move more easily.
Problems may be:
- Stomach upset
- Nausea
- Lightheadedness
Common names are:
- Clopidogrel
- Ticlopidine
- Dipyridamole
- Cilostazol
Cilostazol can help people walk for longer periods of time and distance. It should not be taken by people who have heart failure .
Problems may be:
- Headache
- Runny nose
- Sore throat
- Bowel changes
- Bleeding
Common name: Recombinant tissue plasminogen activator (rt-PA)
This drug is given in the hospital through an IV. It works by breaking down the chemicals that hold blood clots together. It is used on people who have poor blood flow to their arms and legs. This is a serious problem from PAD.
Problems may be:
- Bleeding, such as in surgical sites or stomach ulcers
- Allergic reaction
- Heart and lung problems
Common names are:
- Heparin
- Warfarin
These drugs may be given by mouth or by injection in the hospital. These drugs are used on people who have poor blood flow to their arms and legs. This is a serious problem from PAD.
These drugs work right away to stop blood from clotting. They do not break down a clot after it has formed.
Problems may be:
- Bleeding
- Allergic reaction
- Low platelet count
References
Peripheral artery disease (PAD). American Heart Association website. Available at: https://www.heart.org/en/health-topics/peripheral-artery-disease. Accessed March 24, 2022.
Peripheral artery disease (PAD). Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/heartdisease/PAD.htm. Accessed March 24, 2022.
Peripheral arterial disease (PAD) of lower extremities. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/peripheral-artery-disease-pad-of-lower-extremities. Accessed March 24, 2022.
Peripheral arterial disease (PAD) of upper extremities. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/peripheral-artery-disease-pad-of-upper-extremities. Accessed March 24, 2022.
Revision Information
- Reviewer: EBSCO Medical Review Board Daniel A. Ostrovsky, MD
- Review Date: 11/2021
- Update Date: 03/30/2022