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Renexin CR + aspirin is a **fixed-dose combination oral therapy** consisting of Renexin CR (a controlled-release formulation that typically combines cilostazol and ginkgo biloba extract) plus aspirin (acetylsalicylic acid). This combination is investigated primarily for **secondary prevention in acute non-cardioembolic ischemic stroke**. Mechanistically, **aspirin inhibits platelet aggregation via irreversible inhibition of cyclooxygenase-1 and cyclooxygenase-2, thereby reducing thromboxane A2 synthesis and platelet activation**. Renexin CR's components add additional **antiplatelet (cilostazol, a phosphodiesterase-3 inhibitor increasing cAMP in platelets and vasculature)** and **vasodilatory/antioxidant (ginkgo biloba extract) effects**. The combination is designed to enhance antithrombotic efficacy while potentially minimizing bleeding risk compared to traditional dual antiplatelet regimens[1][5].
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