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Flavocoxid is a proprietary medical food composed of plant-derived flavonoids, specifically baicalin (from *Scutellaria baicalensis*) and catechin (from *Acacia catechu*), formulated for the dietary management of osteoarthritis. It acts as a dual balanced inhibitor of cyclooxygenase-1 (COX-1), cyclooxygenase-2 (COX-2), and 5-lipoxygenase (5-LOX) enzymes, thereby reducing the production of pro-inflammatory mediators such as prostaglandins and leukotrienes. Flavocoxid also exhibits antioxidant properties by reducing reactive oxygen species and modulates inflammatory gene expression via inhibition of Nuclear factor kappa B (NF-kappaB) activity. It was available by prescription in the United States under the brand name Limbrel for use in adults with chronic osteoarthritis. Developed by Primus Pharmaceuticals, Flavocoxid was marketed as a medical food rather than a pharmaceutical drug; it was withdrawn from the US market after reports of rare but potentially serious liver injury. Its mechanism involves both direct enzyme inhibition and modulation at the gene expression level.
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