Ezetimibe drug interactions: Difference between revisions

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#REDIRECT [[Ezetimibe]]
{{Ezetimibe}}
{{CMG}}; {{AE}} {{SS}}
 
==Drug Interactions==
===[[cyclosporine]]===
 
Caution should be exercised when using ZETIA and [[cyclosporine]] concomitantly due to increased exposure to both ezetimibe and [[cyclosporine]]. [[cyclosporine]] concentrations should be monitored in patients receiving ZETIA and [[cyclosporine]].
 
The degree of increase in ezetimibe exposure may be greater in patients with severe [[renal insufficiency]]. 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.
 
===Fibrates===
 
The efficacy and safety of coadministration of ezetimibe with [[fibrates]] other than [[fenofibrate ]]have not been studied.
 
[[Fibrates]] may increase cholesterol excretion into the bile, leading to cholelithiasis. In a preclinical study in dogs, ezetimibe increased cholesterol in the gallbladder bile [seeNonclinical Toxicology (13.2)]. Coadministration of ZETIA with [[Fibrates]] other than [[fenofibrate]] is not recommended until use in patients is adequately studied.
 
===Fenofibrate===
 
If cholelithiasis is suspected in a patient receiving ZETIA and [[fenofibrate]], gallbladder studies are indicated and alternative lipid-lowering therapy should be considered [seeAdverse Reactions (6.1) and the product labeling for [[fenofibrate]].
 
===Cholestyramine===
 
Concomitant [[cholestyramine ]]administration decreased the mean area under the curve (AUC) of total ezetimibe approximately 55%. The incremental LDL-C reduction due to adding ezetimibe to cholestyramine may be reduced by this interaction.
 
===Coumarin Anticoagulants===
 
If ezetimibe is added to [[warfarin]], a coumarin [[anticoagulant]], the [[International Normalized Ratio ]]([[INR]]) should be appropriately monitored.<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = ZETIA (EZETIMIBE) TABLET [MERCK SHARP & DOHME CORP.] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=a773b0b2-d31c-4ff4-b9e8-1eb2d3a4d62a | publisher =  | date =  | accessdate = 11 February 2014 }}</ref>
 
==References==
 
{{Reflist|2}}
 
[[Category:Hypolipidemic agents]]
[[Category:Lactams]]
[[Category:Merck]]
[[Category:Schering-Plough]]
[[Category:Azetidines]]
[[Category:Organofluorides]]
[[Category:Phenols]]
[[Category:Cardiovasuclar Drugs]]
[[Category:Drugs]]

Latest revision as of 14:14, 21 July 2014

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