User:Mr. Ibrahem/Ezetimibe

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Mr. Ibrahem/Ezetimibe
Clinical data
Pronunciation/ɛˈzɛtɪmɪb, -mb/
Trade namesZetia, Ezetrol, others
AHFS/Drugs.comMonograph
MedlinePlusa603015
License data
Pregnancy
category
  • AU: C
Routes of
administration
By mouth (tablets)
Drug classCholesterol absorption inhibitor
Legal status
Legal status
Pharmacokinetic data
Bioavailability35% to 65%
Protein binding>90%
MetabolismIntestinal wall, liver
Elimination half-life19 h to 30 h
ExcretionRenal 11%, faecal 78%
Identifiers
  • (3R,4S)-1-(4-fluorophenyl)-3-[(3S)-3-(4-fluorophenyl)-3-hydroxypropyl]-4-(4-hydroxyphenyl)azetidin-2-one
Chemical and physical data
FormulaC24H21F2NO3
Molar mass409.433 g·mol−1
3D model (JSmol)
Melting point164 to 166 °C (327 to 331 °F)
  • Fc1ccc(cc1)[C@@H](O)CC[C@H]4C(=O)N(c2ccc(F)cc2)[C@@H]4c3ccc(O)cc3
  • InChI=1S/C24H21F2NO3/c25-17-5-1-15(2-6-17)22(29)14-13-21-23(16-3-11-20(28)12-4-16)27(24(21)30)19-9-7-18(26)8-10-19/h1-12,21-23,28-29H,13-14H2/t21-,22+,23-/m1/s1 checkY
  • Key:OLNTVTPDXPETLC-XPWALMASSA-N checkY
  (verify)

Ezetimibe is a medication used to treat high blood cholesterol and certain other lipid abnormalities.[2] Generally it is used together with dietary changes and a statin.[3] Alone, it is less preferred than a statin.[2] It is taken by mouth.[2] It is also available in the fixed combinations ezetimibe/simvastatin, ezetimibe/atorvastatin, and ezetimibe/rosuvastatin.[2]

Common side effects include upper respiratory tract infections, joint pain, diarrhea, and tiredness.[2] Serious side effects may include anaphylaxis, liver problems, depression, and muscle breakdown.[2][3] Use in pregnancy and breastfeeding is of unclear safety.[4] Ezetimibe works by decreasing cholesterol absorption in the intestines.[3]

Ezetimibe was approved for medical use in the United States in 2002.[2] It is available as a generic medication.[3] A month supply in the United Kingdom costs the NHS about £26.21 as of 2019.[3] In the United States the wholesale cost of this amount is about US$5.85.[5] In 2017, it was the 151st most commonly prescribed medication in the United States, with more than four million prescriptions.[6][7]

References[edit]

  1. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Retrieved 9 September 2020.
  2. ^ a b c d e f g "Ezetimibe Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 13 April 2019.
  3. ^ a b c d e British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 196. ISBN 9780857113382.
  4. ^ "Ezetimibe (Zetia) Use During Pregnancy". Drugs.com. Retrieved 13 April 2019.
  5. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Retrieved 3 March 2019.
  6. ^ "The Top 300 of 2020". ClinCalc. Retrieved 11 April 2020.
  7. ^ "Ezetimibe - Drug Usage Statistics". ClinCalc. Retrieved 11 April 2020.