Repatha (evolocumab)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

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What brand names are available for evolocumab?

Repatha

Is evolocumab available as a generic drug?

GENERIC AVAILABLE: No

Do I need a prescription for evolocumab?

Yes

What are the uses for evolocumab?

  • Repatha is used along with diet, exercise and maximum tolerated doses of statins to reduce LDL cholesterol in adults with heterozygous familial hypercholesterolemia (and inherited disorder that causes high levels of LDL) or adults with heart problems related to excess cholesterol in the body.
  • Repatha is also used along with diet and other LDL-lowering treatments, for example, statins, ezetimibe (Zetia) and LDL apheresis, to reduce cholesterol in people with homozygous familial hypercholesterolemia (an inherited disorder that causes high levels of LDL).

What are the side effects of evolocumab?

The most common side effects associated with Repatha treatment include

Other side effects include

A more serious side effect is:

  • Hypersensitivity reactions: Repatha should not be used in patients with a history of serious hypersensitivity reactions to the product. Hypersensitivity reactions include itching, rash, and hives, have occurred. Repatha should be discontinued if signs or symptoms of serious allergic reactions occur.

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What is the dosage for evolocumab?

  • The recommended subcutaneous dose for patients with heterozygous familial hypercholesterolemia or adults with heart problems related to excess cholesterol in the body is either 140 mg every 2 weeks or 420 mg once monthly.
  • The recommended subcutaneous dosage in patients with homozygous familial hypercholesterolemia is 420 mg once monthly. LDL cholesterol levels should be measured 4 to 8 weeks after starting Repatha since response to therapy will depend on the degree of LDL-receptor function.
  • LDL cholesterol levels should be measured within 4 to 8 weeks of starting therapy to assess response to treatment, and a decision should be made whether or not to adjust the dose.
  • Repatha should only be injected subcutaneously into the thigh, abdomen, or upper arm. Injection sites should be rotated among different sites to prevent or reduce injection site reactions and irritation. Repatha should not be co-administered with other injectable drugs at the same injection site.

Which drugs or supplements interact with evolocumab?

No clinically significant drug-drug interactions are known for Repatha.

Is evolocumab safe to take if I'm pregnant or breastfeeding?

  • There is no data on the use of Repatha in pregnant women.
  • It is not known if Repatha is secreted in human milk or whether it can cause harm to the nursing infant.

What else should I know about evolocumab?

What preparations of evolocumab are available?

Single-use pre-filled syringe and single-use pre-filled Sureclick autoinjector, each designed to deliver 1 ml of 140 mg/ml solution.

How should I keep evolocumab stored?

Repatha should be stored in the refrigerator at 2 C to 8 C (36 F to 46 F) and protected from light. It should not be frozen.

REFERENCE: FDA Prescribing Information.

Last Editorial Review: 9/22/2016

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Reviewed on 9/22/2016
References
REFERENCE: FDA Prescribing Information.

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