What is Liptruzet and how does it work?
Liptruzet is indicated for the reduction of
- elevated total cholesterol (total-C),
- low-density lipoprotein cholesterol (LDL-C),
- apolipoprotein B (Apo B),
- triglycerides (TG), and
- non-high-density lipoprotein cholesterol (non-HDL-C), and to
- increase high-density lipoprotein cholesterol (HDL-C) in patients with primary (heterozygous familial and non-familial) hyperlipidemia or mixed hyperlipidemia.
Liptruzet contains ezetimibe, a selective inhibitor of intestinal cholesterol and related phytosterol absorption, and atorvastatin, a 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor.
What are the side effects of Liptruzet?
The following serious adverse reactions are discussed in greater detail in other sections of the label:
The most common adverse reactions in the group treated with Liptruzet that led to treatment discontinuation and occurred at a rate greater than placebo were:
The most commonly reported adverse reactions (incidence ≥2% and greater than placebo) were:
- increased ALT (5%),
- increased AST (4%), and
- musculoskeletal pain (4%).
What is the dosage for Liptruzet?
- The dosage range of Liptruzet is 10/10 mg/day to 10/80 mg/day.
- The recommended starting dose of Liptruzet is 10/10 mg/day or 10/20 mg/day.
- Liptruzet can be administered as a single dose at any time of the day, with or without food.
- The recommended starting dose for patients who require a larger reduction in LDL-C (greater than 55%) is 10/40 mg/day.
- After initiation and/or upon titration of Liptruzet, lipid levels should be analyzed within 2 or more weeks and dosage adjusted accordingly.
- Patients should swallow Liptruzet tablets whole. Tablets should not be crushed, dissolved, or chewed
What drugs interact with Liptruzet?
The risk of myopathy during treatment with statins is increased with concurrent administration of
Is Liptruzet safe to take when pregnant or breastfeeding?
- Liptruzet is contraindicated in women who are or may become pregnant.
- Serum cholesterol and triglycerides increase during normal pregnancy. Lipid-lowering drugs offer no benefit during pregnancy, because cholesterol and cholesterol derivatives are needed for normal fetal development.
- There are no adequate and well-controlled studies of Liptruzet use during pregnancy.
- There have been rare reports of congenital anomalies following intrauterine exposure to statins.
- Women who are breastfeeding should be advised to not use Liptruzet.
- Patients who have a lipid disorder and are breastfeeding should be advised to discuss the options with their healthcare professionals.
Liptruzet is indicated for the reduction of elevated total cholesterol (total-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (Apo B), triglycerides (TG), and non-high-density lipoprotein cholesterol (non-HDL-C), and to increase high-density lipoprotein cholesterol (HDL-C).
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Cholesterol is naturally produced by the body, and is a building block for cell membranes and hormones. Low-density lipoprotein (LDL) cholesterol is the "bad" cholesterol, and high-density lipoprotein (HDL) cholesterol is the "good" cholesterol. High levels of LDL and low levels of HDL cholesterol put a person at risk for heart attack, stroke, transient ischemic attack (TIA or mini stroke), and peripheral artery disease. High cholesterol can be lowered by eating foods that lower cholesterol, for example, eat more high soluble fiber foods (oatmeal, oat bran, vegetables, and certain fruits), use olive oil, eat foods fortified with plant sterols and stanols, soy, nuts, and omega-3 fatty acids. Foods that raise LDL or bad cholesterol include foods high in saturated and trans fats, fatty meats, limit egg yolks, limit milk products, limit crackers, muffins, and snacks, and avoid unhealthy fast foods that are high in fat and sugar High cholesterol treatment includes lifestyle changes (diet and exercise), and medications such as statins, bile acid resins, and fibric acid derivatives.
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