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Enprostil is a synthetic analog of prostaglandin E2 (PGE2) developed for the treatment and prevention of peptic ulcers and gastroduodenal ulcers. It acts primarily as an agonist at the prostaglandin E2 EP3 receptor on gastric mucosal cells, leading to potent inhibition of gastric acid secretion and providing mucosal protection. Unlike natural PGE2—which activates all four EP receptors—enprostil’s selectivity for EP3 may reduce unwanted side effects associated with broader prostaglandin activity. The drug has demonstrated efficacy in healing duodenal and gastric ulcers comparable to H2 antagonists such as cimetidine or ranitidine[1][3][4][5][6].
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