Atorvastatin lowers plasma cholesterol and lipoprotein levels by inhibiting HMG-CoA reductase, a key enzyme involved in hepatic cholesterol synthesis. It also increases hepatic LDL receptor expression, enhancing LDL uptake and clearance from the bloodstream while reducing LDL particle production.
Ezetimibe decreases serum cholesterol by selectively inhibiting intestinal cholesterol absorption. It targets the Niemann-Pick C1-Like 1 (NPC1L1) transporter in the small intestine, reducing the delivery of dietary and biliary cholesterol to the liver. This results in reduced hepatic cholesterol stores and increased clearance of circulating cholesterol.
This mechanism is complementary to statins and does not affect hepatic cholesterol synthesis, bile acid excretion, or fat-soluble vitamin levels.
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Lipid-modifying therapy should be considered as part of a comprehensive cardiovascular risk-reduction strategy in patients with a significantly increased risk of atherosclerotic vascular disease due to hypercholesterolemia. Pharmacological treatment is recommended as an adjunct to dietary modification and lifestyle interventions when non-drug measures alone fail to achieve adequate lipid control.
Xerova EZ Tablet is indicated to reduce elevated levels of:
Non-HDL cholesterol
It also helps increase high-density lipoprotein cholesterol (HDL-C) in patients with primary (heterozygous familial and non-familial) hyperlipidemia or mixed dyslipidemia.
Xerova EZ Tablet is indicated to lower total cholesterol and LDL-C in patients with HoFH, either as an adjunct to other lipid-lowering therapies (such as LDL apheresis) or when such therapies are unavailable.
Pediatric Use: Safety and efficacy not established
Geriatric Use: No dosage adjustment required
Pregnancy Category X
Contraindicated during pregnancy due to potential fetal harm
Lipid-lowering therapy provides no benefit during pregnancy
Breastfeeding is not recommended as statins may pass into breast milk
Store below 30°C, protected from light and moisture. Keep out of reach of children.
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