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Combination therapy with ezetimibe and simvastatin to achieve aggressive LDL reduction
Journal article

Combination therapy with ezetimibe and simvastatin to achieve aggressive LDL reduction

Jennifer G Robinson and Michael H Davidson
Expert review of cardiovascular therapy, Vol.4(4), pp.461-476
07/2006
DOI: 10.1586/14779072.4.4.461
PMID: 16918265

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Abstract

A low-density lipoprotein (LDL) cholesterol goal of less than 100 mg/dl is recommended for patients at moderate to high risk of cardiovascular disease with an optional LDL goal of less than 70 mg/dl for patients at a very high risk of cardiovascular disease. Most patients will require reductions in LDL of more than 50% in order to achieve these more aggressive goals. Only a few agents will lower LDL by at least 50%. This review will focus on the efficacy and safety ezetimibe/simvastatin coadministered as a therapy with enhanced LDL-lowering efficacy, while minimizing the adverse effects of statins in a wide range of patients. Ezetimibe 10 mg/simvastatin 80 mg lowers LDL by approximately 60% and has been demonstrated to be superior to the highest doses of atorvastatin and rosuvastatin for lowering LDL and raising high-density lipoprotein.
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage Simvastatin - therapeutic use Cardiovascular Diseases - prevention & control Heptanoic Acids - therapeutic use Humans Ezetimibe Intestinal Absorption - drug effects Azetidines - metabolism Azetidines - pharmacology Simvastatin - pharmacology Hypercholesterolemia - drug therapy Pyrroles - administration & dosage Lipoproteins, LDL - drug effects Cardiovascular Diseases - blood Heptanoic Acids - administration & dosage C-Reactive Protein - drug effects C-Reactive Protein - analysis Drug Therapy, Combination Pyrroles - therapeutic use Pravastatin - therapeutic use Heptanoic Acids - pharmacology Intestinal Absorption - physiology Pravastatin - pharmacology Hypercholesterolemia - blood Simvastatin - administration & dosage Simvastatin - metabolism Atorvastatin Calcium Pyrroles - pharmacology Anticholesteremic Agents - therapeutic use Azetidines - administration & dosage Azetidines - therapeutic use Phytosterols - blood Pravastatin - administration & dosage Anticholesteremic Agents - administration & dosage Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use Lipoproteins, LDL - blood

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