Ezetimibe (Zetia)

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Indication & Role
- Lowers LDLs 15-20% as monotherapy
- In combo w/ high-dose simvastatin LDLs lowered 60%
MoA
- Inhibits jejunal transport of cholesterol may cause reflexive cholesterol synthesis increase.
- If taken with simvastatin it could lower LDLs
RoA
- Oral tab
- Combo w/ simvastatin in various strengths (Vytorin)
1. Absorption
2. Elimination
- 1. Water insoluble, absorbed in the intestine and into enterohepatic recirculation
- 2. 70% excreted in feces, 10% in urine
Common SEs

Rare allergic rxns.
Clinical Use
- Used in combo with a statin.
- Rarely used as monotherapy
- Contraindicated w/ bile-acid sequestrants