1 What is Liptruzet?

Brand: Liptruzet

Generic: Atorvastatin and Ezetimibe

Liptruzet is used to reduce the level of LDL (bad cholesterols) and triglyceride (fats) in the blood.

It may also use for patients with homozygous familial hypercholesterolemia. This medicine may lower your risk to develop certain cardiovascular diseases.

Ezetimibe is a cholesterol absorption inhibitor that acts by inhibiting the absorption of cholesterol in the small intestine.

Atorvastatin is an HMG-CoA reductase inhibitor or statin that acts by inhibiting the enzyme that is responsible for the production of cholesterol in the body.

This medication was withdrawn from the United States market on June 2, 2015. This product is available in a tablet.

2 What to Know Before Using

Before using Liptruzet, you must know all about the risks and complications associated with it.

Tell your doctor if you are allergic to Liptruzet or to any other medications. Inform your healthcare providers as well if you are allergic to foods, dyes, or animals.

Safety and effectiveness of this medication have not been established in children.

Although this medicine has not demonstrated geriatric-specific problems, the use of this medication in elderly requires caution as they are more likely to have age-related muscle problems.

Pregnancy category X - Do not use Liptruzet if you are pregnant or expecting a baby because this medication can cause fetal abnormalities.

There are no adequate studies whether Liptruzet can pass through breast milk or if it could cause harmful effects to the infant. Discuss with your doctor if you are breastfeeding a baby.

Taking this medicine with Posaconazole is not recommended and you may not be required to use this medication. Otherwise, alternative medicine may be prescribed for your other medications.

Taking this medicine with any of the following medications is usually not recommended, but with the exception in some cases.

Dosage or frequency of one or both of your medicines may be changed if both medicines are prescribed together.

  • Atazanavir
  • Bezafibrate
  • Ceritinib
  • Ciprofibrate
  • Clarithromycin
  • Clofibrate
  • Colchicine
  • Conivaptan
  • Crizotinib
  • Cyclosporine
  • Dabrafenib
  • Dalfopristin
  • Danazol
  • Daptomycin
  • Darunavir
  • Diltiazem
  • Domperidone
  • Eliglustat
  • Erlotinib
  • Erythromycin
  • Fenofibrate
  • Fenofibric Acid
  • Fentanyl
  • Fluconazole
  • Fosamprenavir
  • Fusidic Acid
  • Gemfibrozil
  • Idelalisib
  • Indinavir
  • Isavuconazonium Sulfate
  • Itraconazole
  • Ketoconazole
  • Lopinavir
  • Mibefradil
  • Nefazodone
  • Nelfinavir
  • Niacin
  • Nilotinib
  • Piperaquine
  • Quinupristin
  • Saquinavir
  • Simeprevir
  • Telaprevir
  • Telithromycin
  • Tipranavir
  • Troleandomycin
  • Verapamil

Taking this medicine with any of the following medications may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.

Dosage or frequency of one or both of your medicines may be changed if both medicines are prescribed together.

  • Amiodarone
  • Amprenavir
  • Azithromycin
  • Bexarotene
  • Black Cohosh
  • Boceprevir
  • Bosentan
  • Cholestyramine
  • Clopidogrel
  • Colestipol
  • Cyclosporine
  • Digoxin
  • Efavirenz
  • Eltrombopag
  • Etravirine
  • Fenofibrate
  • Fenofibric Acid
  • Fosphenytoin
  • Interferon Beta
  • Oat Bran
  • Pectin
  • Phenytoin
  • Pioglitazone
  • Quinine
  • Rifampin
  • St. John's Wort
  • Voriconazole

Some medical conditions can interact with this medication.

Tell your doctor if you have any of the following conditions:

3 Proper Usage

To use Liptruzet properly, you must follow all instructions given by your doctor.

Take atorvastatin exactly as prescribed by your doctor. Excessive use of medication is not recommended.

Your diet may be changed to low-fat and low-cholesterol diet to help this medication take full effect.

This medication must be swallowed whole. Do not break, crush, or chew it unless your doctor told you to do so. You may take this medicine with or without food.

If you are using other cholesterol-lowering medication, take Liptruzet 2 hours before or 4 hours after taking these medications.

Avoid drinking alcohol while you are under this medication. Drinking alcohol with atorvastatin may increase your risk to liver damage.

Avoid drinking large amounts of grape juice if you are taking atorvastatin. Doing so can increase your risk of serious muscle and kidney problems.

Recommended dosage for high cholesterol and triglycerides:

  • Adults — initially, one tablet per day will be prescribed. The dose may be adjusted by your doctor up to 10 mg of ezetimibe and 80 mg of atorvastatin.
  • Children — Use and dose must be determined by your doctor.

Recommended dosage for homozygous familial hypercholesterolemia:

  • Adults —10/40 milligram per day or 10/80 milligrams per day of the ezetimibe-atorvastatin combination.
  • Children — Use and dose must be determined by your doctor.

If you miss a dose of this medicine, take it as soon as possible. However, if it is near for your next dose, skip the missed dose and start again to your regular dosing schedule.

Do not take a double dose to make up for a missed one.

Store the medication in a cool and dry place. Keep it away from heat, moisture, and direct light. Keep out of reach of children. Do not keep expired medications.

4 Precautions to Take

Before using Liptruzet, there are some precautions you must take.

Your doctor will be checking you regularly to monitor the effectiveness of the medication. Blood tests may be ordered for undesirable effects.

Contraceptives must be used to keep you or your partner from getting pregnant. Tell your doctor immediately if you think you have become pregnant while using this medication.

This medicine may cause immune-mediated necrotizing myopathy. Check with your doctor if you have unexplained muscle pain, tenderness, or weakness.

This medicine may cause kidney problems. Check with your doctor if you have dark-colored urine, fever, muscle cramps or spasms, muscle pain or stiffness, or unusual tiredness or weakness.

This medicine may cause liver damage. Check with your doctor if you have a headache, stomach pain, vomiting, dark-colored urine, loss of appetite, weight loss, general feeling of tiredness or weakness, light-colored stools, upper right stomach pain, or jaundice.

Tell your doctor first that you are using this medication before undergoing any medical procedures. Do not take any other medication without discussing it first with your doctor.

5 Potential Side Effects

As with many medications, there are several potential side effects associated with Liptruzet.

If any of the following side effects occur, check with your doctor right away:

  • Abdominal or Stomach pain
  • Confusion
  • Difficult breathing
  • Difficulty with moving
  • Irregular heartbeat
  • Muscle, Joint, or Bone pain
  • Muscle stiffness
  • Muscle weakness
  • Nausea or Vomiting
  • Nervousness
  • Numbness or Tingling in the hands, feet, or lips
  • Weakness or Heaviness of the legs
  • Black, Tarry stools
  • Blistering, Peeling or Loosening of the skin
  • Blood in the urine or stools
  • Chills
  • Dark-colored urine
  • Diarrhea
  • Fever
  • Gaseous abdominal or stomach pain
  • General tiredness and weakness
  • Hives, Welts, or Skin rash
  • Itching
  • Large, Hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • Light-colored stools
  • Severe nausea or vomiting
  • Sores, Ulcers, or White spots in the mouth or on the lips
  • Swelling of the eyes, face, or inside of the nose
  • Unsteadiness or Awkwardness
  • Unusual bleeding or bruising
  • Unusual tiredness or weakness
  • Yellow eyes and skin

Less serious side effects:

  • Cough
  • Dizziness
  • Feeling of warmth
  • Pain or Tenderness around the eyes and cheekbones
  • Redness of the face, neck, arms, and occasionally, upper chest
  • Stuffy or a Runny nose
  • Sudden sweating
  • Tightness in the chest
  • Being forgetful
  • Bloating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • Chills
  • Constipation
  • Discouragement
  • Fast heartbeat
  • Feeling sad or empty
  • Irritability
  • Lack of appetite
  • Loss of interest or pleasure
  • Loss of memory
  • Pains in the stomach, side, or abdomen, possibly radiating to the back
  • Tiredness
  • Trouble concentrating
  • Trouble sleeping

Not all side effects are listed above. If you notice any other effects, check with your healthcare professional.

6 Related Clinical Trials