Ezetimibe: Request More Information

Please enter the information below to receive an Information Kit about ZETIA. Items marked with an * are required.

Tell us a little more about yourself.
*Who is the requested information for?

Myself A family member/friend

Female Male

*First Name:

*Last Name:

*Street Address 1:

Street Address 2:

*City:

*State:

*ZIP:

Date of Birth:

Why?

*E-mail Address:

Merck/Schering-Plough’s Privacy Commitment
The information you provide will be available to the Merck/Schering-Plough Pharmaceuticals family of companies (collectively, “Merck/Schering-Plough”) and others working on behalf of Merck/Schering-Plough, and according to the same standards, to provide the information and services you request. Personal information about you will not otherwise be disclosed for marketing purposes without your permission. Merck/Schering-Plough reviews personal information and nonidentifiable information not only to provide the requested information and services but also to develop and offer additional services and communications that we believe our customers might find of interest. Merck/Schering-Plough also may use personal information to audit its resources for compliance and security purposes. For more information about how Merck/Schering-Plough protects personal information about you, please read the Internet Privacy Policy and Privacy Commitment for U.S. Patients, Consumers, and Caregivers.

By providing your name, address, and other personal information, and by clicking the “Continue” button below, you agree to permit Merck/Schering-Plough, and others working on behalf of Merck/Schering-Plough, to use this information to provide the information about ZETIA that you have requested and to use your information for market research purposes.

Occasionally, Merck/Schering-Plough sends e-mail and other communications about new resources or services related to ZETIA. Please check the box below this paragraph if you would like to receive additional information in the future about ZETIA. Also, at any time, you can request a copy of your selections on this form and that personal information about you be removed from the Merck/Schering-Plough contact list for ZETIA by calling 1-888-851-9086.

I wish to receive additional information about ZETIA in the future. I understand that unless I change my selection sooner, my permission will expire 1 year after Merck/Schering-Plough no longer promotes ZETIA.

Merck/Schering-Plough, and others working on behalf of Merck/Schering-Plough, may provide additional materials about other Merck/Schering-Plough products and services, health conditions, and topics that Merck/Schering-Plough believes you might find useful. You also may be asked for your opinion about programs and materials. By checking the box below, you agree to receive additional information and to be contacted about other Merck/Schering-Plough products and services, health conditions, and topics in the future. At any time, you can request that personal information about you be removed from the Merck/Schering-Plough contact list for additional materials and services by calling 1-888-851-9086.

I wish to receive this additional information and to be contacted in the future. I understand that unless I change my selection sooner, my permission will expire 1 year after Merck/Schering-Plough no longer promotes ZETIA.

By clicking "Submit" below, I am agreeing to the use and disclosure of the information provided as described above.

Unlike some statins, ZETIA has not been shown to prevent heart disease or heart attacks.

Important Risk Information About ZETIA
ZETIA is a prescription medicine and should not be taken by people who are allergic to any of its ingredients. ZETIA can be taken alone or with a statin. Statins should not be taken by women who are nursing or pregnant or who may become pregnant, or by anyone with liver problems. If you have ever had liver problems or are pregnant or nursing, your doctor will decide if ZETIA alone is right for you. Your doctor may do blood tests to check your liver before you start taking ZETIA with a statin and during treatment.

Unexplained muscle pain or weakness could be a sign of a rare but serious side effect and should be reported to your doctor right away. In clinical studies, patients reported few side effects while taking ZETIA. These included diarrhea, joint pains, and tiredness.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please read the Patient Information and discuss it with your doctor. Also available is the physician Prescribing Information.