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Limaprost (OP-1206) is a synthetic analog of **prostaglandin E1** with structural modifications designed for greater potency and prolonged half-life. It functions primarily as a **potent vasodilator**, increasing blood flow and inhibiting platelet aggregation. Limaprost is **orally active** and is primarily indicated to improve ischemic symptoms such as ulcer, pain, and intermittent claudication; it is also used in chronic lung disease and has shown the ability to lower pulmonary arterial pressure and vascular resistance and enhance cardiac performance. Its mechanism involves prostaglandin E receptor agonism, resulting in vasodilation, antiplatelet activity, and modulation of nerve growth factor expression in vitro. Developed and commercialized mainly in Japan, limaprost alfadex is a formulation utilizing an alpha-cyclodextrin clathrate for improved stability and delivery[1][3][4][5].
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