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View eMedical Forums| The effect of ZETIA on cardiovascular morbidity and mortality has not been determined. | |
| ZETIA, administered alone or in combination with an HMG-CoA reductase inhibitor (statin), is indicated as adjunctive therapy to diet for the reduction of elevated TOTAL-C, LDL-C, and Apo B in patients with primary (heterozygous familial and nonfamilial) hyperlipidemia when diet alone is not enough. | |
| Contraindications: hypersensitivity to any component of this medication. | |
| Statin contraindications apply when used with a statin: active liver disease; unexplained persistent elevations in hepatic transaminase levels. Statins are contraindicated in pregnant and nursing women. Refer to the statin label for details. | |
| SELECTED CAUTIONARY INFORMATION | |
| When using ZETIA with a statin, also follow the label recommendations for that specific statin. | |
| When ZETIA was coadministered with a statin, consecutive elevations in hepatic transaminase levels (≥3 × ULN) were slightly higher (1.3%) than those of statins alone (0.4%). Liver function tests should be performed when ZETIA is added to statin therapy and according to statin recommendations. Should an increase in ALT or AST ≥3 × ULN persist, consider withdrawal of ZETIA and/or the statin. | |
| Patients should be advised to promptly report muscle pain, tenderness, or weakness. Risk for skeletal muscle toxicity increases with higher statin doses, advanced age (>65), hypothyroidism, renal impairment, and depending on the statin used, concomitant use of other drugs. Discontinue drug if myopathy is diagnosed or suspected. |
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Before prescribing ZETIA, please read the Prescribing Information.
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Copyright © 2010 Merck/Schering-Plough Pharmaceuticals, a subsidiary of Merck & Co., Inc. All rights reserved.
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