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Cilostazol + probucol is a combination therapy of two small molecule drugs, cilostazol and probucol. Cilostazol is an antiplatelet agent and vasodilator that acts as a phosphodiesterase 3 (PDE3) inhibitor, increasing cAMP levels in platelets and blood vessels to inhibit platelet aggregation and promote vasodilation[1][4]. Probucol is a lipid-lowering agent with antioxidant properties that activates cholesteryl ester transfer protein, reduces LDL cholesterol, inhibits inflammation, and stabilizes atherosclerotic plaques[5][6]. The combination has been studied for its potential synergistic effects in preventing restenosis after percutaneous coronary interventions, improving endothelial function in patients with hypercholesterolemia or subclinical lacunar infarction (SLCI), reducing inflammation associated with atherosclerosis, and possibly attenuating cognitive decline after stroke by targeting vascular risk factors[3][4][5][6].
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