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Flunoxaprofen is a chiral nonsteroidal anti-inflammatory drug (NSAID) of the arylalkanoic acid class, structurally related to naproxen. It was developed for the treatment of osteoarthritis and rheumatoid arthritis, showing comparable or superior anti-inflammatory activity to other NSAIDs such as indomethacin and ibuprofen. Unlike many NSAIDs, flunoxaprofen primarily inhibits leukotriene synthesis rather than prostaglandin synthesis and does not significantly inhibit gastric cyclooxygenase activity, which may reduce gastrointestinal side effects. However, its clinical use was discontinued due to concerns about hepatotoxicity[1][3][4][5]. The drug acts as a protein kinase C agonist in addition to its anti-inflammatory properties[1].
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