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Ezetrol Ezetimibe
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What is Ezetrol?

Ezetrol (ezetimibe) is a medication used to help lower cholesterol levels in the blood.

It’s usually prescribed when changes in diet and lifestyle alone aren’t enough to control high cholesterol. Ezetrol works by reducing the amount of cholesterol your body absorbs from food.

It can be used on its own or with other medicines like statins to lower different types of cholesterol, including total cholesterol, LDL cholesterol (often called “bad” cholesterol), and triglycerides (a type of fat in the blood). It also helps to increase HDL cholesterol (known as “good” cholesterol).

For people with a specific genetic condition called homozygous familial hypercholesterolemia, Ezetrol can be combined with a statin to help manage high cholesterol levels.

It is also used in people with homozygous sitosterolemia, a rare condition where plant sterols build up in the body, to reduce these levels.

However, Ezetrol should not be used by people who are allergic to any of its components or those with active liver disease.

If Ezetrol is taken with other medicines, like statins or fenofibrate, it’s important to ensure that it’s safe to combine these treatments.

How Does Ezetrol Work?

Ezetrol works by reducing the amount of cholesterol that your body absorbs from the food you eat.

It targets a specific protein in your intestines called Niemann-Pick C1-Like 1 (NPC1L1), which is responsible for taking cholesterol into your body.

By blocking this protein, Ezetrol lowers the cholesterol levels that are delivered to the liver.

This leads to a decrease in the amount of cholesterol stored in the liver and helps your body remove more cholesterol from the blood.

Unlike some other cholesterol-lowering medications, Ezetrol does not affect bile acids or cholesterol production in the liver. Instead, it works directly in the intestines to help manage cholesterol levels.

Dosage Information and Usage

Dosage Form and Strengths of Ezetrol

Ezetrol is available as a 10 mg tablet for oral administration. The tablets are white to off-white, capsule-shaped, and marked with “414” on one side.

Each tablet contains 10 mg of the active ingredient, ezetimibe, along with non-medicinal ingredients such as croscarmellose sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and sodium lauryl sulfate.

Usage

  • Recommended Dose: The usual dose of Ezetrol is 10 mg taken once daily. It can be taken alone or in combination with a statin or fenofibrate.
  • Administration: Ezetrol can be taken with or without food, at any time of day, but should ideally be taken at the same time each day.
  • Missed Dose: If a dose is missed, take it as soon as possible. If the next dose is near, skip the missed dose and resume the regular schedule. Do not take two doses at once.

Special Considerations

  • Diet: Before starting Ezetrol, patients should follow a cholesterol-lowering diet similar to the NCEP Adult Treatment Panel III (ATP III) TLC diet and continue this diet during treatment.
  • Elderly and Pediatric Use: No dosage adjustment is needed for elderly patients or children over 10 years old.
  • Liver and Kidney Impairment: No dosage adjustment is needed for mild liver or kidney issues. Ezetrol is not recommended for moderate to severe liver dysfunction.
  • Interactions with Bile Acid Sequestrants: Ezetrol should be taken at least 2 hours before or 4 hours after bile acid sequestrants.

Monitoring

  • Diet and Lipid Levels: Ensure a cholesterol-lowering diet is followed and check lipid levels regularly before starting and during Ezetrol therapy.

Side Effects

Common Side Effects

  • Abdominal pain
  • Diarrhea
  • Flatulence (gas)
  • Tiredness
  • Viral infections
  • Throat infections (pharyngitis)
  • Nose infections (sinusitis)
  • Joint pain (arthralgia)
  • Back pain
  • Coughing

Serious but Rare Side Effects

  • Muscle aches and pains (myopathy or rhabdomyolysis)
  • Severe allergic reactions (swelling of the face, lips, tongue, and/or throat; difficulty breathing or swallowing; rash; hives)
  • Liver problems (severe abdominal pain, dark urine, general itchiness, severe nausea or vomiting, pale stools, yellowing of the skin or eyes)
  • Gallstones or inflammation of the gallbladder (severe abdominal pain, nausea, vomiting)
  • Pancreas problems (severe abdominal pain)

Warnings and Precautions

  • Hepatitis: Watch for any signs of liver problems, such as jaundice (yellowing of the skin or eyes), dark urine, or severe abdominal pain. Hepatitis, an inflammation of the liver, has been reported in some patients using Ezetrol, so it’s important to monitor liver function regularly.
  • Pancreatitis: Sudden and severe abdominal pain can be a sign of pancreatitis, a serious condition that requires immediate attention. If you have these symptoms, seek medical help right away. Pancreatitis is rare but can be serious, so monitoring for these symptoms is crucial.
  • Myopathy/Rhabdomyolysis: Myopathy and rhabdomyolysis are conditions that affect muscle health, leading to muscle pain or weakness. These conditions can occur with or without Ezetrol and may require you to stop the medication.
  • Myalgia: Muscle pain, or myalgia, can occur as a side effect of Ezetrol. If you experience persistent or severe muscle pain with no clear cause, inform your healthcare provider. It’s important to address these symptoms early to prevent potential complications.
  • Anaphylaxis: Severe allergic reactions, such as swelling of the face, lips, tongue, or throat, can occur and may cause difficulty breathing or swallowing. If you experience any of these symptoms, seek emergency medical help immediately. Anaphylaxis is a rare but serious reaction that needs prompt treatment.
  • Statins and Fenofibrate Use: When taking Ezetrol with statins or fenofibrate, follow specific guidelines and monitoring recommendations for these medications. Regular liver function tests are important to ensure that the combination is not causing adverse effects. Make sure to follow your doctor’s advice on how to use these medications together.
  • Liver Enzymes: Regular liver function tests are recommended, especially if Ezetrol is used with statins or fenofibrate. These tests help detect any liver problems early. If liver enzymes are elevated, your doctor may adjust your treatment or recommend stopping the medication.
  • Liver Impairment: Ezetrol is not recommended for patients with moderate or severe liver problems due to the increased risk of side effects. For those with mild liver issues, regular monitoring is necessary.
  • Fibrates Other than Fenofibrate: Avoid using Ezetrol with other fibrates because interactions with these medications have not been studied. This could potentially lead to unexpected side effects or complications.
  • Gallbladder Issues: If you experience symptoms such as severe abdominal pain or nausea while on Ezetrol and fenofibrate, it could indicate gallbladder problems. In such cases, your doctor may recommend gallbladder tests and consider other treatment options. Monitoring for these symptoms is essential to manage any potential issues early.
  • Myopathy/Rhabdomyolysis: Be alert for signs of muscle pain or weakness, which can be serious and may require stopping Ezetrol. Report any muscle issues to your healthcare provider as soon as possible. Myopathy and rhabdomyolysis can occur with Ezetrol, especially when used with other medications that affect muscles.
  • Myalgia: Muscle pain or discomfort, known as myalgia, may occur with Ezetrol. If you experience this, especially if it’s severe or persistent, let your doctor know. Addressing muscle pain early can help prevent more serious muscle-related issues.
  • Renal Function: Patients with renal (kidney) impairment do not need a dosage adjustment for Ezetrol. However, it’s important to monitor kidney function regularly.
  • Pregnant Women: Ezetrol should be used cautiously during pregnancy, as there is no data on its effects. The use of Ezetrol in pregnant women is not well studied, so consult your doctor if you are pregnant or planning to become pregnant.

Overdosage

If you take too much Ezetrol, it’s usually not serious, but it’s important to get medical help right away.

Clinical studies have shown that even high doses of Ezetrol, like 50 mg per day for up to 14 days or 40 mg per day for up to 56 days, were generally well tolerated.

Most cases of Ezetrol overdose reported so far have not caused serious problems, but it’s always best to consult a healthcare provider for advice.

In case of an overdose, doctors will likely focus on treating symptoms and providing supportive care to ensure your safety.

Drug Interactions With Other Medications

  • Cyclosporine: When taken with cyclosporine, Ezetrol can increase its levels significantly in the body. This means you should monitor cyclosporine levels closely if you’re using both medications together. This interaction can lead to higher exposure to Ezetrol, so it’s important to watch for any potential side effects.
  • Cholestyramine: Taking Ezetrol with cholestyramine can reduce the amount of Ezetrol absorbed into your body by about 55%. This interaction might lessen the effectiveness of Ezetrol in lowering cholesterol. If both are prescribed, you might need to adjust the timing or dosage.
  • Fibrates: Ezetrol’s safety with fibrates, other than fenofibrate, hasn’t been well-studied. Combining Ezetrol with other fibrates might increase the risk of gallbladder issues. Therefore, this combination is generally not recommended until more research is done.
  • Fenofibrate: When Ezetrol is taken with fenofibrate, it can increase the levels of Ezetrol in the body by about 1.5 times. This increase is not usually a problem but should be monitored to ensure effectiveness and safety.
  • Gemfibrozil: Gemfibrozil can increase Ezetrol levels in the body by about 1.7 times. Although this increase is generally not significant, it’s important to monitor for any unusual effects.
  • Statins: No major drug interactions have been observed when Ezetrol is used with statins like atorvastatin or simvastatin. This means Ezetrol can be safely combined with these medications without major concerns.
  • Anticoagulants: Ezetrol does not significantly affect warfarin or other anticoagulants, but regular blood tests are still recommended. This ensures that anticoagulant levels remain stable and effective.
  • Digoxin: Ezetrol has no significant impact on the absorption or effects of digoxin. This means you can use both medications together without worrying about major interactions.
  • Oral Contraceptives: Ezetrol does not affect the effectiveness of oral contraceptives like ethinyl estradiol or levonorgestrel. This means you can use Ezetrol without impacting the effectiveness of your birth control.
  • Cimetidine: Cimetidine does not significantly alter how Ezetrol is absorbed in the body. This allows for concurrent use without affecting Ezetrol’s effectiveness.

Alternative Medications

Cost & Coupons

We understand that finding the best price for your medication is important. That’s why we strive to offer competitive prices for all our products, including Ezetrol.

Pharma Giant offer Ezetrol options:

  • 10mg – 30 tabs – $91.95
  • 10mg – 60 tabs – $176.00
  • 10mg – 90 tabs – $255.00

Special Discount Offer

  • Coupon Code: Enter PGSAVE10 at checkout to get a 10% discount on your Ezetrol purchase. This special offer lets you save on important medications without losing quality.
  • Offer Details: The discount can be used only once per customer, so make sure to use it while it’s available.

Ordering Information

  • Prescription Required: You need a valid prescription to buy Ezetrol to ensure safety and follow medical rules.
  • Bulk Purchases: You can order up to a 90-day supply, making it easier to keep up with your treatment and manage costs.

Quality and Fast Delivery

At Pharma Giant, we promise to provide high-quality medicine with fast delivery to your home.

  • Express Shipping: Your medications will be sent quickly from Canada to anywhere in the US within 3-5 business days, so you get your order fast.
  • Secure Packaging: Each order is shipped in safe, tamper-proof containers, keeping your medication secure during its journey.

At Pharma Giant, you can focus on your health without worrying about high costs. Invest in quality medications at an affordable price.

Frequently Asked Questions

Ezetrol is used to lower cholesterol levels in the blood. It helps reduce the amount of cholesterol absorbed from food, which can help prevent heart disease and stroke.
You should not take Ezetrol if you are pregnant or breastfeeding. It is not known if Ezetrol passes into breast milk, so it should be avoided while breastfeeding. Always consult your doctor before using Ezetrol if you are pregnant or breastfeeding.
The best time to take Ezetrol is once a day, at any time that fits your schedule. You can take it with or without food. If prescribed with a statin, you can take both medications at the same time.
When taking Ezetrol, avoid consuming foods high in cholesterol or saturated fats, as they can reduce the effectiveness of the medication. Also, avoid taking Ezetrol with certain medications, like cholestyramine or other fibrates, unless your doctor advises otherwise.
Store Ezetrol in its original package at a temperature below 30°C. Keep it away from direct light and moisture. Do not store it in a place where it could become too hot.
Common side effects of Ezetrol include headache, stomach pain, diarrhea, and fatigue. Some people may also experience muscle pain or joint pain. If you experience severe side effects or symptoms persist, contact your doctor.
Yes, Ezetrol can be taken with other medications, but if you are also taking a bile acid sequestrant like colestyramine, you should take Ezetrol at least 2 hours before or 4 hours after the bile acid sequestrant.
If you miss a dose of Ezetrol, take it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses to make up for a missed one.
Yes, Ezetrol can cause drug-induced liver injury (DILI). It may also lead to severe skin reactions, such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). If you experience symptoms like jaundice, dark urine, or severe skin rash, contact your doctor immediately.
Ezetrol should not be taken with a statin if you are pregnant, planning to become pregnant or think you might be pregnant. If you become pregnant while taking Ezetrol with a statin, stop both medications immediately and contact your doctor.
Yes, Ezetrol can be used by people with chronic kidney disease (CKD). Studies have shown that Ezetrol is safe and can help protect kidney function in patients with CKD and high cholesterol.
Ezetrol typically starts to lower cholesterol levels within 2 weeks of use. However, the full effect may take a bit longer to become noticeable.
Yes, you can drink alcohol while taking Ezetrol. There are no specific food or drink restrictions, so you can eat and drink normally.
Signs of a serious allergic reaction to Ezetrol include:
  • Breathing problems or wheezing
  • Swelling of the face, lips, mouth, tongue, or throat
  • Trouble swallowing or throat tightness
  • Itching, skin rash, or hives
  • Nausea, vomiting, or stomach cramps
  • Dizziness or fainting
  • Joint pain
Yes, Ezetrol does not affect oral contraceptives, including the combined pill, progestogen-only pill, and emergency contraception. You can use Ezetrol while taking any form of birth control without worrying about interactions.
Yes, Ezetrol can be taken with statins. If your doctor has prescribed both medications, you can take Ezetrol and the statin at the same time. You can take them with or without food.
If you overdose on Ezetrol, it is important to seek medical help immediately. Symptoms of an overdose are usually not severe, but it’s still important to get professional advice. In most cases, supportive care and monitoring will be provided.
Ezetrol is not recommended for children and adolescents aged 6 to 17 unless prescribed by a specialist. There is limited data on its safety and effectiveness for this age group.
Yes, Ezetrol can be used by people with diabetes. It can help improve cholesterol levels, insulin resistance, and other related markers. It is a well-tolerated option for managing cholesterol in patients with diabetes.
Yes, Ezetrol can be taken with or without food. You can take it at any time of the day, and it does not need to be taken with meals. If prescribed with a statin, you can take both medications at the same time.

Disclaimer

Pharma Giant provides medical information to help you better understand medications and medical conditions.This content is for informational use only and does not replace advice from a licensed medical practitioner. Consult your doctor or pharmacist before starting or changing any medication. All our partners follow strict safety standards set by their country’s health authorities to make sure you receive safe and high-quality medications.

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We are committed to providing fair, competitive pricing on all medications. If you find a lower price on the same product at another verified Canadian online pharmacy, we’ll match it.

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  • The competitor’s price must be current and active (not from a past or future promotion).
  • The product must be identical in strength, pack size, quantity, manufacturer, and country of origin.
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Note: Price matching does not currently apply to Mounjaro® , Ozempic® or Saxenda®. However, this policy may be updated in the future.

Kenneth Fill, PharmD, MBA Fill

Kenneth Fill, PharmD, MBA, is a clinical pharmacist specialist and medical writer with a strong background in ambulatory care, pharmacogenomics, and medical content development. Based in the state of Michigan, he provides expert guidance on chronic disease state management. Kenneth completed his PharmD and MBA at the University of Toledo and pursued post-graduate residency training in ambulatory care and community-based pharmacy. His diverse background also includes academic detailing, clinical education, and interdisciplinary collaboration to enhance patient outcomes.