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levocarnitine + cilostazol is a combination therapy evaluated by CPC Clinical Research (Colorado Prevention Center) for the treatment of intermittent claudication in patients with peripheral artery disease (PAD). Levocarnitine (L-carnitine) is an endogenous amino acid derivative that facilitates the transport of long-chain fatty acids into the mitochondria for beta-oxidation, addressing metabolic deficiencies and the accumulation of short-chain acylcarnitines in ischemic muscle. Cilostazol is a phosphodiesterase 3 (PDE3) inhibitor that provides vasodilatory and antiplatelet effects. The Phase 4 ECLECTIC trial (NCT00822172) investigated the efficacy and safety of adding 1 g of levocarnitine twice daily to a standard cilostazol regimen to improve peak walking time and quality of life in symptomatic PAD patients.
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