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**Dipyridamole + aspirin** is an oral fixed-dose antiplatelet combination, most widely marketed as Aggrenox. Each capsule contains extended-release dipyridamole 200 mg plus immediate-release aspirin 25 mg. Aspirin irreversibly inhibits platelet cyclooxygenase-1, suppressing thromboxane A2 production, while dipyridamole inhibits adenosine uptake and cyclic-nucleotide phosphodiesterase activity, increasing extracellular adenosine and platelet cyclic nucleotide signaling to reduce platelet activation and aggregation. It is approved for secondary prevention of stroke in patients with a prior transient ischemic attack or completed ischemic stroke due to thrombosis. ([dailymed.nlm.nih.gov](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f07c8535-f9fb-4697-9b63-1ab22210efc9))
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