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This is a **combination drug** containing cilostazol, a selective phosphodiesterase type III inhibitor with antiplatelet, vasodilatory, neuroprotective, and antioxidant properties, and Ginkgo biloba leaf extract (GBE), a plant-derived extract with antioxidant, anti-inflammatory, neuroprotective, and antiapoptotic actions. The combination, marketed as Renexin, has been investigated primarily for the treatment of **peripheral arterial disease** and as a neuroprotective agent (including prevention of cisplatin-induced hearing loss and vestibular dysfunction). Preclinical and clinical data indicate the combination potentiates the antiplatelet and antithrombotic effects of cilostazol without increasing bleeding risk, with additional synergistic effects in reducing oxidative stress and mitochondrial injury in models of cochleo-vestibular dysfunction. The combination targets platelet function, vascular health, and reduces reactive oxygen species–mediated injury[1][2][3][4].
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