Generic Name: Generic zetia
What is Generic Zetia?
Because statins decrease cholesterol synthesis and possibly the synthesis of other biologically active substances derived from cholesterol, ZETIA in combination with a statin may cause fetal harm when administered to pregnant women.
Additionally, there is no apparent benefit to therapy during pregnancy, and safety in pregnant women has not been established. If the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus and the lack of known clinical benefit with continued use during pregnancy. Patients with a known hypersensitivity to any component of this product.
Pharmacodynamics Clinical studies have demonstrated that elevated levels of total-C, LDL-C and Apo B, the major protein constituent of LDL, promote human atherosclerosis. Pharmacokinetics Absorption After oral administration, ezetimibe is absorbed and extensively conjugated to a pharmacologically active phenolic glucuronide ezetimibe-glucuronide.
Effect Of Food On Oral Absorption Concomitant food administration high-fat or non-fat meals had no effect on the extent of absorption of ezetimibe when administered as ZETIA 10-mg tablets.
Metabolism And Excretion Ezetimibe is primarily metabolized in the small intestine and liver via glucuronide conjugation a phase II reaction with subsequent biliary and renal excretion. Clinical Studies Primary Hyperlipidemia ZETIA reduces total-C, LDL-C, Apo B, non-HDL-C, and TG, and increases HDL-C in patients with hyperlipidemia.
Monotherapy In two multicenter, double-blind, placebo-controlled, 12-week studies in 1719 patients with primary hyperlipidemia, ZETIA significantly lowered total-C, LDL-C, Apo B, non-HDL-C, and TG, and increased HDL-C compared to placebo see Table 6.
Combination with Statins ZETIA Added to On-going Statin Therapy In a multicenter, double-blind, placebo-controlled, 8-week study, 769 patients with primary hyperlipidemia, known coronary heart disease or multiple cardiovascular risk factors who were already receiving statin monotherapy, but who had not met their NCEP ATP II target LDL-C goal were randomized to receive either ZETIA or placebo in addition to their on-going statin.
Combining statins with other available lipid-lowering drugs e. Now, however, ezetimibe is a safe and effective alternative that may be used alone or in combination with statins to reduce LDL levels to the recommended goal.
Adapted from: Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of the National Cholesterol Education Program NCEP Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults Adult Treatment Panel III. In turn, to produce more bile acids, the liver breaks down cholesterol. Similar to bile acid sequestrants, ezetimibe also acts in the small intestine.
After oral administration, it is glucuronidated to an active metabolite ezetimibe glucuronidetravels through the portal vessels to the bile, and is then brought back to the small intestine via enterohepatic recycling. When food is ingested, ezetimibe is excreted with the bile and acts at the brush border of the small intestine to inhibit the uptake of dietary and biliary cholesterol into the enterocytes.
Furthermore, there is no inhibition of cholesterol synthesis in the liver or increase in bile acid secretion. Due to unknown effects of increased exposure, ezetimibe is not recommended in patients with moderate-to-severe hepatic insufficiency. Currently, no dosage adjustment is necessary in renal insufficiency. Then, the patients were randomized to treatment group 1 or 2.
Treatment group 1 received ezetimibe 10 mg daily for 2 weeks, followed by a 2-week washout period, and then received placebo for 2 weeks. Treatment group 2 received placebo for 2 weeks, followed by a 2-week washout period, and then received ezetimibe 10 mg daily for 2 weeks.
The primary efficacy endpoint was the effect of ezetimibe on the intestinal absorption of cholesterol.
How should I take Generic Zetia?
ZETIA, anche se assunto da solo senza una statina, non deve essere usato durante l'allattamento. Si rivolga al medico per le raccomandazioni del caso. Se il medico ha prescritto ZETIA insieme ad una statina, i due medicinali si possono prendere nello stesso momento.
In questo caso, consulti anche le istruzioni di dosaggio specifiche contenute nel foglio illustrativo dell'altro medicinale prescritto. Se il medico ha prescritto ZETIA insieme ad un altro medicinale per ridurre il colesterolo contenente il principio attivo colestiramina o a qualsiasi altro medicinale contenente sequestranti biliari, deve prendere ZETIA almeno 2 ore prima o 4 ore dopo aver assunto il sequestrante biliare.
Il farmaco deve essere somministrato per via orale.
What should I avoid while taking Generic Zetia?
Ezitimibe Zetia is a commonly prescribed drug which lowers LDL cholesterol but is expensive and has never been shown to lower heart attack or stroke risk and, in my opinion, should not be prescribed. Well, I guess I know enough to turn you inside out, old gal - you sockdologizing old man-trap. The Skeptical Cardiologist SearchAbout Diet and Heart Disease Dairy Fat and Heart Disease Dietary Cholesterol and Heart Disease Sugar as Toxin: Avoiding Added Sugar, Fructose and Stealth Sugar Tofu, Cheerios, Smoothies, Coffee Creamer Atherosclerosis Screening Carotid IMT and Plaque Screening Coronary Calcium Score Medications-Statins Aspirin Statin Drugs Cardiac Testing Dr.
AnthonyP 2 Comments Important findings from the IMPROVE-IT trial were presented at the American Heart Association meeting yesterday. Share this:TwitterFacebookEmailPrintPinterestRedditLinkedInGoogleLike this:Like Loading. Good Doctoring October 21, 2014 Dr. Is this the right dosage. A recently published analysis of the impact of these guidelines found that As compared with the ATP-III guidelines, the new guidelines would increase the number of U.
Generic Zetia side effects
Contributors Teresa is a pharmacist and recent graduate from the University of Texas in Austin with a Doctor of Pharmacy degree. Join Epocrates for Free Download free mobile applications Access free drug information online Participate in paid market research studies And more. The results of the study, published in The New England Journal of Medicine, were presented here Sunday night at an annual meeting of the American Heart Association.
The study has been a polarizing topic here and has also attracted the attention of a powerful senator who has been investigating the conduct of two drug makers, Merck and Schering-Plough, in relation to their sales and marketing of Zetia and a combination cholesterol drug, Vytorin, which includes Zetia.
The drug makers merged this month. The small study, with only 208 patients, has attracted outsize attention because the researchers did a head-to-head comparison of niacin and Zetia, which has been heavily marketed. The Food and Drug Administration approved Zetia in 2002 to lower bad cholesterol, a risk factor for heart disease.
Common Generic Zetia ide effects may include:
In patients treated with cyclosporine, the potential effects of the increased exposure to ezetimibe from concomitant use should be carefully weighed against the benefits of alterations in lipid levels provided by ezetimibe.
However, that's down substantially: Zetia prescriptions fell 22 percent, from nearly 16.
But statins do much more than lower LDL-they affect the function of the lining of our blood vessels and reduce some markers of inflammation, for instance.
TABLE 5: Effect of Ezetimibe Coadministration on Systemic Exposure to Other Drugs Coadministered Drug and its Dosage Regimen Ezetimibe Dosage Regimen Change in AUC of Coadministered Drug Change in Cmax of Coadministered Drug Warfarin.
Probably the main place where resistant organisms and pathogens are acquired is in intensive care units ICUs. Ezetimibe does not, however, affect triglyceride absorption. The recent cholesterol lowering guidelines, published by the National Cholesterol Education Program Adult Treatment Panel III NCEP ATP IIIhave low-density lipoprotein LDL goals lower than previously recommended See Table 1.
Statins are currently recommended as part of the management for hypercholesterolemia.
Where can I get more information?
The idea that there are "bad" and "good" blood lipids that contribute to heart disease is known as the "lipid hypothesis," or "cholesterol myth.
Statin drugs, which also are not immune to controversy, may reduce the risk of heart attacks by reducing inflammation, not by reducing cholesterol levels per se.