Bempedoic Acid + Ezetimibe

Find more information about this combination medication at the webpages for Bempedoic Acid and Ezetimibe

Familial Combined Hyperlipidemia, Cardiovascular Diseases ... show more

Advisory

  • This medicine contains a combination of 2 active drug ingredients Bempedoic Acid and Ezetimibe.
  • Both drugs treat the same disease or symptom and work in similar ways.
  • Taking two drugs that work in the same way usually has no advantage over one of the drugs at the right dose.
  • Most doctors do not prescribe multiple drugs that work in the same ways.

Drug Status

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Government Approvals

US(FDA)

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WHO Essential Medicine

NO

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Known Teratogen

NO

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Pharmaceutical Class

None

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Controlled Drug Substance

NO

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Drug Ingredient

Bempedoic Acid + Ezetimibe

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Summary

  • Bempedoic Acid and Ezetimibe are used to lower LDL cholesterol levels, which is a type of bad cholesterol, in adults with hyperlipidemia, which means high levels of fats in the blood. They are particularly helpful for people with familial hypercholesterolemia, which is a genetic condition causing high cholesterol, and for those who cannot tolerate statins, which are another type of cholesterol-lowering medication. These medications also help reduce the risk of cardiovascular events, which are serious heart-related problems like heart attacks.

  • Ezetimibe works by reducing the absorption of cholesterol in the intestine, which means less cholesterol enters the bloodstream from the food you eat. Bempedoic Acid works by decreasing cholesterol production in the liver, which is the organ that makes cholesterol. Together, they provide a dual approach to lowering cholesterol levels by targeting both dietary cholesterol and cholesterol produced by the liver.

  • The usual adult dose for Ezetimibe is 10 mg taken once daily, and for Bempedoic Acid, it is 180 mg taken once daily. These medications are taken orally, which means by mouth, and can be consumed with or without food. When combined in a single tablet, the dose remains the same: 180 mg of Bempedoic Acid and 10 mg of Ezetimibe. It's important to take them at the same time each day to maintain consistent levels in the body.

  • Common side effects of Ezetimibe include diarrhea, which is loose or watery stools, sore throat, and joint pain. For Bempedoic Acid, common side effects include muscle spasms, which are sudden involuntary muscle contractions, back pain, and increased uric acid levels, which can lead to gout, a type of arthritis. Both medications can also cause elevated liver enzymes, which are proteins that indicate liver function, requiring regular monitoring.

  • Ezetimibe and Bempedoic Acid should not be used by individuals with known hypersensitivity, which means allergic reactions, to either medication. Bempedoic Acid carries a risk of tendon rupture, which is a tear in the tissue connecting muscle to bone, especially in older adults or those on corticosteroids, which are anti-inflammatory drugs. Both medications can cause elevated liver enzymes, so regular monitoring is necessary. They are not recommended during pregnancy or breastfeeding due to potential risks to the baby.

Indications and Purpose

What is combination of Bempedoic Acid and Ezetimibe used for?

The combination of Bempedoic Acid and Ezetimibe is used to lower cholesterol levels in the blood. Cholesterol is a fatty substance that can build up in the arteries, leading to heart disease and other cardiovascular problems. Bempedoic Acid works by reducing the production of cholesterol in the liver, while Ezetimibe decreases the absorption of cholesterol from the diet. Together, they help to effectively lower 'bad' cholesterol levels, known as LDL cholesterol, which can reduce the risk of heart attacks and strokes.

What is combination of Ezetimibe and Bempedoic Acid used for?

Ezetimibe and Bempedoic Acid are indicated for the treatment of primary hyperlipidemia, including heterozygous familial hypercholesterolemia (HeFH), a genetic condition that causes high cholesterol levels. They are also used to reduce the risk of cardiovascular events in adults with established heart disease or those at high risk who cannot tolerate statins. Both medications work together to lower LDL cholesterol levels, helping to manage cholesterol-related conditions effectively.

How does combination of Bempedoic Acid and Ezetimibe work?

The combination of Bempedoic Acid and Ezetimibe works by lowering cholesterol levels in the blood. Bempedoic Acid is a medication that reduces the production of cholesterol in the liver by inhibiting an enzyme involved in cholesterol synthesis. Ezetimibe, on the other hand, works by reducing the absorption of cholesterol from the small intestine. Together, these two medications help to lower the levels of 'bad' cholesterol, known as LDL cholesterol, in the bloodstream, which can help reduce the risk of heart disease and stroke.

How does combination of Ezetimibe and Bempedoic Acid work?

Ezetimibe works by inhibiting the absorption of cholesterol in the small intestine, reducing the amount of cholesterol that enters the bloodstream. Bempedoic Acid acts by blocking an enzyme in the liver responsible for cholesterol production, thereby decreasing overall cholesterol synthesis. Together, they provide a dual mechanism to lower LDL cholesterol levels effectively. This combination targets both dietary and liver-produced cholesterol, offering a comprehensive approach to cholesterol management.

How effective is combination of Bempedoic Acid and Ezetimibe?

The combination of Bempedoic Acid and Ezetimibe is used to lower cholesterol levels in the blood. Bempedoic Acid works by inhibiting an enzyme involved in cholesterol production in the liver, while Ezetimibe reduces the absorption of cholesterol from the intestine. Together, they can effectively lower LDL cholesterol, often referred to as 'bad' cholesterol, more than either drug alone. This combination is particularly useful for individuals who cannot tolerate statins or need additional cholesterol-lowering effects. According to the NHS and other health sources, this combination can be a beneficial option for managing high cholesterol, especially in patients with specific needs or conditions.

How effective is combination of Ezetimibe and Bempedoic Acid?

Clinical trials have demonstrated that Ezetimibe and Bempedoic Acid effectively lower LDL cholesterol levels. Ezetimibe has been shown to reduce cholesterol absorption in the intestine, while Bempedoic Acid decreases cholesterol production in the liver. Together, they provide a significant reduction in LDL cholesterol, which is associated with a lower risk of cardiovascular events. The combination has been particularly beneficial for patients who cannot tolerate statins, offering an alternative approach to cholesterol management.

How does one know if combination of Bempedoic Acid and Ezetimibe is working?

To determine if the combination of Bempedoic Acid and Ezetimibe is working, you should monitor your cholesterol levels through regular blood tests. These medications are used to lower cholesterol, specifically low-density lipoprotein (LDL) cholesterol, which is often referred to as 'bad' cholesterol. Your doctor will schedule these tests to check if your LDL cholesterol levels are decreasing as expected. Additionally, you may notice improvements in your overall health, such as reduced risk of heart-related issues, but the primary indicator will be the results from your blood tests. Always follow your healthcare provider's advice and report any side effects or concerns you may have during your treatment.

How does one know if combination of Ezetimibe and Bempedoic Acid is working?

The benefit of Ezetimibe and Bempedoic Acid is primarily assessed by measuring the reduction in LDL cholesterol levels in the blood. Regular blood tests are conducted to monitor cholesterol levels and ensure the medications are effectively lowering them. Additionally, the reduction in cardiovascular events, such as heart attacks or the need for heart surgery, can also indicate the effectiveness of the treatment. Both medications work together to provide a comprehensive approach to cholesterol management.

Directions for Use

What is the usual dose of combination of Bempedoic Acid and Ezetimibe?

The usual dose of the combination of Bempedoic Acid and Ezetimibe is typically one tablet taken once daily. Each tablet usually contains 180 mg of Bempedoic Acid and 10 mg of Ezetimibe. This combination is used to help lower cholesterol levels in the blood. It's important to follow the dosage instructions provided by a healthcare professional.

What is the usual dose of combination of Ezetimibe and Bempedoic Acid?

The usual adult daily dose for Ezetimibe is 10 mg, taken once daily. For Bempedoic Acid, the typical dose is 180 mg, also taken once daily. When combined in a single tablet, the dose remains the same: 180 mg of Bempedoic Acid and 10 mg of Ezetimibe. Both medications are taken orally and can be consumed with or without food. It's important to follow the prescribed dosage and not to alter the dose without consulting a healthcare provider.

How does one take combination of Bempedoic Acid and Ezetimibe?

The combination of Bempedoic Acid and Ezetimibe is taken orally, usually in the form of a tablet. It is important to follow the dosage instructions provided by your healthcare provider. Typically, this medication is taken once daily, with or without food. Bempedoic Acid works by inhibiting an enzyme involved in cholesterol production in the liver, while Ezetimibe reduces the absorption of cholesterol from the intestine. Together, they help lower cholesterol levels in the blood. Always take the medication at the same time each day to maintain an even level in your bloodstream. If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. Do not double up on doses to make up for a missed one. Consult your healthcare provider for specific instructions tailored to your health needs and to discuss any potential side effects or interactions with other medications you may be taking.

How does one take combination of Ezetimibe and Bempedoic Acid?

Ezetimibe and Bempedoic Acid can be taken with or without food, making them convenient for daily use. It's important to take the medication at the same time each day to maintain consistent blood levels. There are no specific food restrictions, but patients are encouraged to follow a low-fat, low-cholesterol diet to enhance the medication's effectiveness. If taking bile acid sequestrants, Ezetimibe should be taken either 2 hours before or 4 hours after these medications to avoid interaction.

For how long is combination of Bempedoic Acid and Ezetimibe taken?

The combination of Bempedoic Acid and Ezetimibe is typically taken as a long-term treatment. It is used to help lower cholesterol levels in the blood, and the duration of treatment depends on individual health needs and the advice of a healthcare provider. Patients should follow their doctor's instructions and continue the medication as prescribed, often alongside lifestyle changes such as diet and exercise.

For how long is combination of Ezetimibe and Bempedoic Acid taken?

Ezetimibe and Bempedoic Acid are typically used as long-term treatments for managing cholesterol levels. The duration of use depends on individual patient needs and response to therapy, often continuing indefinitely to maintain cholesterol control. Regular monitoring by a healthcare provider is essential to assess effectiveness and adjust treatment as necessary. Both medications are intended for ongoing use to help prevent cardiovascular diseases.

How long does it take for combination of Bempedoic Acid and Ezetimibe to work?

The combination of Bempedoic Acid and Ezetimibe typically starts to lower cholesterol levels within a few weeks. According to the NHS, it may take about 2 to 4 weeks to see a significant reduction in cholesterol levels. However, the full effect might be observed after a few months of consistent use. It's important to follow your healthcare provider's instructions and continue taking the medication as prescribed to achieve the best results.

How long does it take for combination of Ezetimibe and Bempedoic Acid to work?

Ezetimibe and Bempedoic Acid work together to lower cholesterol levels in the body. Ezetimibe starts working by reducing cholesterol absorption in the intestine, while Bempedoic Acid decreases cholesterol production in the liver. The combination typically begins to show effects within a few weeks, with significant cholesterol reduction observed by 8 to 12 weeks. Both medicines are designed to complement each other, enhancing the overall cholesterol-lowering effect. Regular monitoring of cholesterol levels is recommended to assess the effectiveness of the treatment.

How does one store combination of Bempedoic Acid and Ezetimibe?

The combination of Bempedoic Acid and Ezetimibe should be stored at room temperature, away from excess heat and moisture. It is important to keep the medication in its original container, tightly closed, and out of reach of children. Avoid storing it in the bathroom to prevent exposure to humidity. Always check the packaging for specific storage instructions and ensure the medication is not used past its expiration date.

How does one store combination of Ezetimibe and Bempedoic Acid?

Ezetimibe and Bempedoic Acid do not require refrigeration. They should be stored at room temperature, away from excess heat and moisture, and kept in their original container with the lid tightly closed. It's important to keep the medication out of reach of children and pets to prevent accidental ingestion. Proper storage ensures the medication remains effective throughout its shelf life.

Warnings and Precautions

Are there harms and risks from taking combination of Bempedoic Acid and Ezetimibe?

Bempedoic Acid and Ezetimibe are medications used to lower cholesterol levels. When taken together, they can be effective in reducing 'bad' cholesterol (LDL cholesterol) in the blood. However, like all medications, they can have side effects and risks. Common side effects of Bempedoic Acid may include muscle pain, increased levels of certain enzymes in the liver, and increased levels of uric acid, which can lead to gout. Ezetimibe can cause side effects such as stomach pain, diarrhea, and fatigue. When these drugs are combined, there is a potential for increased risk of muscle-related side effects, such as muscle pain or weakness. It's important to monitor for any unusual symptoms and report them to a healthcare provider. Always consult with a healthcare professional before starting or combining medications to ensure they are safe and appropriate for your specific health needs.

Are there harms and risks from taking combination of Ezetimibe and Bempedoic Acid?

Common side effects of Ezetimibe include diarrhea, sore throat, and joint pain, while Bempedoic Acid may cause muscle spasms, back pain, and increased uric acid levels. Significant adverse effects for both can include allergic reactions, such as rash and swelling, and tendon rupture, particularly with Bempedoic Acid. Both medications can also lead to elevated liver enzymes, requiring regular monitoring. Patients should report any unusual symptoms to their healthcare provider promptly.

Can I take combination of Bempedoic Acid and Ezetimibe with other prescription drugs?

Bempedoic Acid and Ezetimibe can be taken with other prescription drugs, but it is important to consult with a healthcare provider before doing so. This is because combining these medications with other drugs can sometimes lead to interactions that may affect how well the drugs work or increase the risk of side effects. For example, Bempedoic Acid may interact with certain statins, which are also used to lower cholesterol. A healthcare provider can help determine the safest and most effective medication plan for your specific health needs.

Can I take combination of Ezetimibe and Bempedoic Acid with other prescription drugs?

Ezetimibe can interact with bile acid sequestrants, requiring it to be taken at least 2 hours before or 4 hours after these medications. Bempedoic Acid may increase the risk of muscle-related side effects when used with statins like simvastatin and pravastatin. Both medications can interact with cyclosporine, potentially increasing its levels. Patients should inform their healthcare provider of all medications they are taking to manage potential interactions effectively.

Can I take combination of Bempedoic Acid and Ezetimibe with vitamins or supplements?

When taking Bempedoic Acid and Ezetimibe, it's important to be cautious with vitamins or supplements. According to the NHS and other trusted sources, there are no specific interactions between these medications and most common vitamins or supplements. However, it's always best to consult with a healthcare provider before adding any new supplements to your routine. This is because some supplements might affect how your body absorbs or processes medications, potentially altering their effectiveness or causing side effects. Your healthcare provider can give you personalized advice based on your health needs.

Can I take combination of Ezetimibe and Bempedoic Acid with vitamins or supplements?

There are no specific interactions between Ezetimibe and Bempedoic Acid with vitamins or supplements mentioned in the provided information. However, patients should always inform their healthcare provider about all supplements they are taking, as some may affect cholesterol levels or interact with other medications. It's important to maintain open communication with healthcare providers to ensure safe and effective use of all medications and supplements.

Can I take combination of Bempedoic Acid and Ezetimibe if I am pregnant?

It is generally advised to avoid taking Bempedoic Acid and Ezetimibe during pregnancy. These medications can potentially harm the developing baby. If you are pregnant or planning to become pregnant, you should discuss alternative treatments with your healthcare provider. Always consult your doctor before starting or stopping any medication during pregnancy.

Can I take combination of Ezetimibe and Bempedoic Acid if I am pregnant?

Ezetimibe and Bempedoic Acid are not recommended during pregnancy due to potential risks to the fetus. Bempedoic Acid has shown adverse effects in animal studies at high doses, while Ezetimibe's effects in human pregnancy are not well-studied. Cholesterol-lowering treatment is generally not necessary during pregnancy, as atherosclerosis is a chronic condition. Women who become pregnant while on these medications should consult their healthcare provider to discuss discontinuation.

Can I take combination of Bempedoic Acid and Ezetimibe while breastfeeding?

According to the NHS and NLM, there is limited information on the safety of taking Bempedoic Acid and Ezetimibe while breastfeeding. Bempedoic Acid is a medication used to lower cholesterol levels, and Ezetimibe works by reducing the amount of cholesterol absorbed by the body. Since there is not enough data on their effects on breastfed infants, it is important to consult with a healthcare professional before using these medications while breastfeeding. They can help weigh the potential benefits and risks and suggest alternative treatments if necessary.

Can I take combination of Ezetimibe and Bempedoic Acid while breastfeeding?

There is limited information on the safety of Ezetimibe and Bempedoic Acid during lactation. Ezetimibe is present in rat milk, suggesting it may be present in human milk, but its effects on the breastfed infant are unknown. Bempedoic Acid's presence in human or animal milk has not been established. Due to potential risks, breastfeeding is not recommended during treatment with these medications. Patients should discuss alternatives with their healthcare provider.

Who should avoid taking combination of Bempedoic Acid and Ezetimibe?

People who should avoid taking the combination of Bempedoic Acid and Ezetimibe include those who have a known allergy to either of these medications or any of their components. Additionally, individuals with severe liver problems should not take this combination, as it can affect liver function. Pregnant or breastfeeding women should also avoid this combination unless specifically advised by a healthcare provider, as its safety in these conditions has not been fully established. It's important for anyone considering this medication to consult with a healthcare professional to ensure it's safe for their specific health situation.

Who should avoid taking combination of Ezetimibe and Bempedoic Acid?

Ezetimibe and Bempedoic Acid are contraindicated in individuals with known hypersensitivity to either medication. Bempedoic Acid carries a risk of tendon rupture, especially in older adults or those on corticosteroids. Both medications can cause elevated liver enzymes, requiring regular monitoring. Patients with severe liver impairment should avoid these medications. It's crucial to inform healthcare providers of all medical conditions and medications to prevent adverse effects.