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Salfaprodil is a small molecule neuroprotectant that acts as an NR2B-selective and uncompetitive antagonist of the N-methyl-D-aspartate (NMDA) receptor, specifically targeting the NR2B subunit. It also functions as a free radical scavenger, providing antioxidant effects. Salfaprodil has been developed primarily for acute ischemic stroke and has demonstrated neuroprotection in preclinical models of cerebral ischemia/reperfusion injury. The drug is administered intravenously and is considered a first-in-class dual neuroprotectant due to its combined NMDA antagonism and antioxidant properties[3][4][5].
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