Ezetimibe

Chemical formula: C₂₄H₂₁F₂NO₃  Molecular mass: 409.425 g/mol  PubChem compound: 150311

Therapeutic indications

Ezetimibe is indicated for:

Primary hypercholesterolaemia

Population group: only adults (18 years old or older)

Ezetimibe, co-administered with an HMG-CoA reductase inhibitor (statin) is indicated as adjunctive therapy to diet for use in patients with primary (heterozygous familial and non-familial) hypercholesterolaemia who are not appropriately controlled with a statin alone.

Ezetimibe monotherapy is indicated as adjunctive therapy to diet for use in patients with primary (heterozygous familial and non-familial) hypercholesterolaemia in whom a statin is considered inappropriate or is not tolerated.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Cardiovascular events

Population group: only adults (18 years old or older)

Ezetimibe is indicated to reduce the risk of cardiovascular events in patients with coronary heart disease (CHD) and a history of acute coronary syndrome (ACS) when added to ongoing statin therapy or initiated concomitantly with a statin.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Homozygous familial hypercholesterolaemia

Population group: only adults (18 years old or older)

Ezetimibe co-administered with a statin, is indicated as adjunctive therapy to diet for use in patients with homozygous familial hypercholesterolaemia (HoFH). Patients may also receive adjunctive treatments (e.g. LDL apheresis).

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Homozygous sitosterolemia

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 years old or older)

As an adjunct to diet for the reduction of elevated sitosterol and campesterol levels in adults and in pediatric patients 9 years of age and older with homozygous familial sitosterolemia.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Heterozygous familial hypercholesterolemia

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old)

In combination with a statin as an adjunct to diet to reduce elevated LDL-C in pediatric patients 10 years of age and older with heterozygous familial hypercholesterolemia (HeFH).

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Ezetimibe is contraindicated in the following cases:

Lactation

Lactation

Moderate hepatic impairment, severe hepatic impairment

at least one of
Hepatic failure stage III
Hepatic failure stage IV

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Factors such as age, gender, and health history are evaluated to create a personalized medication regimen.

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