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In a rat forced-swimming model of mild organophosphorus intoxication, Meldonium (60 mg/kg) produced a smooth, sustained increase in endurance and maximal swimming time, but was less effective than hypoxen and octodrine, and combined administration did not show synergistic effects ( Metabolic modulators and clinical applications Meldonium is often grouped with metabolic modulators/antihypoxic agents that optimize energy utilization by shifting substrate selection and improving efficiency, including inhibitors of fatty-acid -oxidation (e.g., trimetazidine, ranolazine), succinate-based drugs (Mexidol, Cytoflavin), respiratory-chain components (cytochrome C, ubiquinone), and artificial redox systems (Hypoxen) ( Sports and regulatory context Because Meldonium shifts substrate utilization from fatty-acid oxidation toward carbohydrate metabolism, it was first placed under monitoring and then, in 2016, added to the World Anti-Doping Agency Prohibited List under S.4 Hormone and Metabolic Modulators

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