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Lansoprazole + naproxen + aspirin is a combination therapy that includes three active pharmaceutical ingredients: - Lansoprazole, a proton pump inhibitor (PPI) that reduces gastric acid secretion by inhibiting the Gastric H+/K+ ATPase enzyme in gastric parietal cells. - Naproxen, a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties, which works by inhibiting Cyclooxygenase 1 (COX-1) and Cyclooxygenase 2 (COX-2), thereby reducing prostaglandin synthesis involved in inflammation and pain. - Aspirin, an antiplatelet agent and NSAID that irreversibly inhibits cyclooxygenase enzymes (primarily COX-1), leading to decreased thromboxane A2 production for platelet aggregation inhibition as well as anti-inflammatory effects. This combination is used primarily for patients with osteoarthritis, rheumatoid arthritis, or ankylosing spondylitis who require long-term NSAID therapy but are at increased risk of gastrointestinal ulcers or cardiovascular events. Lansoprazole helps protect the stomach lining from ulceration caused by chronic NSAID use. The addition of low-dose aspirin may be indicated for cardiovascular prophylaxis in patients at risk[1][3][5][6].
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