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Aspirin + hydroxychloroquine is a combination of two small molecule drugs, each with distinct mechanisms of action. Aspirin (acetylsalicylic acid) is a nonsteroidal anti-inflammatory drug (NSAID) that irreversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), leading to decreased synthesis of prostaglandins and thromboxanes, which results in anti-inflammatory, analgesic, antipyretic, and antiplatelet effects. Hydroxychloroquine is an antimalarial agent also used as a disease-modifying antirheumatic drug (DMARD); it modulates immune activity by interfering with lysosomal activity and antigen presentation in immune cells, reducing autoantibody production and inflammation. The combination has been studied primarily for its potential benefits in preventing pre-eclampsia in high-risk pregnancies and for improving outcomes in systemic lupus erythematosus (SLE), including reduction of thrombosis risk[1][3][5]. Both drugs are administered orally.
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