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Berotralstat (BCX7353) is a synthetic small molecule oral inhibitor of plasma kallikrein developed for the prophylactic treatment of hereditary angioedema (HAE). It works by binding to and inhibiting plasma kallikrein activity in the kallikrein-kinin system to reduce bradykinin production and prevent HAE attacks. Digoxin is a cardiac glycoside derived from digitalis plant leaves. It increases myocardial contractility (positive inotropic effect) and decreases heart rate (negative chronotropic effect), making it useful for treating mild to moderate heart failure and controlling ventricular response rate in chronic atrial fibrillation[1][5][6][8].
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