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Ezetimibe (IPA: ) is an anti-hyperlipidemic medication which is used to lower cholesterol levels. It acts by decreasing cholesterol absorption in the intestine. It may be used alone when other cholesterol-lowering medications are unable to be tolerated, or together with statins (e.g. ezetimibe/simvastatin) when cholesterol levels are unable to be controlled on statins alone. It is marketed by Schering-Plough and Merck under the trade names Ezetrol, Zetia and Ezemibe.

Pharmacology


Ezetimibe localises at the brush border of the small intestine, where it inhibits the absorption of cholesterol from the diet. Specifically, it appears to bind to the Niemann-Pick C1-Like 1 (NPC1L1) protein on the gastrointestinal tract epithelium, a critical mediator of cholesterol absorption.Garcia-Calvo M, Lisnock J, Bull HG, Hawes BE, Burnett DA, Braun MP, et al. The target of ezetimibe is Niemann-Pick C1-Like 1 (NPC1L1). Proc Natl Acad Sci U S A 2005;102(23):8132-7. PMID 15928087 In addition to this direct effect, decreased cholesterol absorption leads to an increase in LDL-cholesterol uptake into cells, thus decreasing levels in the blood plasma.

Clinical use


Indications

Ezetimibe is indicated as an adjunct to dietary measures in the management of:

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#SideEfects of Ezetrol. Ezetimibe #cholesterol # http://t.co/mKpnDaru #drug
ManuraNanayakka (Manura Nanayakkara) Fri, 03 Feb 2012 18:55:36 -0000
#SideEfects of Ezetrol. Ezetimibe #cholesterol # http://t.co/mKpnDaru #drug
Ezetimibe, a drug cholesterol inhibiting drug approved for use in humans, inhibits infection by the hepatitis C virus http://t.co/EUBOx2RO
TwitAIDS (Jose Este) Fri, 03 Feb 2012 18:41:22 -0000
Ezetimibe, a drug cholesterol inhibiting drug approved for use in humans, inhibits infection by the hepatitis C virus http://t.co/EUBOx2RO
Ezetimibe and Regression of Carotid Atherosclerosis: Importance of Measuring Plaque Burden. http://t.co/zUag
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