国家: 马来西亚
语言: 英文
来源: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
EZETIMIBE; SIMVASTATIN
Duopharma Marketing Sdn. Bhd.
EZETIMIBE; SIMVASTATIN
10 Tablets; 30 Tablets; 100 Tablets
DUOPHARMA MANUFACTURING (BANGI) SDN BHD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _ _ VYTOCOR 10MG/40MG TABLET _ _ Ezetimibe/Simvastatin 10mg/40mg Page 1 of 3 WHAT IS IN THIS LEAFLET 1. What VYTOCOR is used for 2. How VYTOCOR works 3. Before you use VYTOCOR 4. How to use VYTOCOR 5. While you are using it 6. Side effects 7. Storage and Disposal of VYTOCOR 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision 11. Serial number WHAT VYTOCOR IS USED FOR VYTOCOR is a medicine used to lower levels of total cholesterol, LDL (bad) cholesterol, and fatty substances called triglycerides in the blood. In addition, VYTOCOR raises levels of HDL (good) cholesterol. VYTOCOR is for patients who cannot control their cholesterol levels by diet alone. You should stay on a cholesterol-lowering diet while taking this medicine. If you have heart disease, VYTOCOR reduces the risk of heart attack, stroke, surgery to increase heart blood flow, or hospitalization for chest pain HOW VYTOCOR WORKS VYTOCOR works to reduce your cholesterol in two ways. It reduces the cholesterol absorbed in your digestive tract, as well as the cholesterol your body makes by itself. VYTOCOR does not help you lose weight. BEFORE YOU USE VYTOCOR - _When you must not use it _ Do not use it if you: • are hypersensitive (allergic) to ezetimibe, simvastatin, or any of the other ingredients of VYTOCOR tablets • have active liver disease • are pregnant or breast-feeding • are taking any of the following medicines: - certain antifungal medicines (such as itraconazole, ketoconazole, posaconazole, or voriconazole) - HIV protease inhibitors (such as indinavir, nelfinavir, ritonavir, and saquinavir) - hepatitis C antiviral agents (such as boceprevir, telaprevir, elbasvir, or grazoprevir) - certain antibiotics (such as erythromycin, clarithromycin, or telithromycin) - the antidepressant nefazodone - medicines containing cobicistat (used as an enhancer for antiretroviral agents) - gemfibrozil (a fibric acid medicine for lowering cholesterol) - cyclosporine (use 阅读完整的文件
Pg 1 of 10 VYTOCOR 10MG/40MG TABLET 1 2 I. DESCRIPTION 3 VYTOCOR 10MG/40MG: White to off-white, 14mm capsule shaped, with ‘40’ marking on one side and ‘10’ on the other side, 4 uncoated tablet. 5 6 II. COMPOSITION 7 VYTOCOR 10MG/40MG: This tablet contains 40mg of Simvastatin and 10mg of Ezetimibe. 8 9 III. PHARMACODYNAMICS 10 VYTOCOR (ezetimibe/simvastatin) is a lipid-lowering product that selectively inhibits the intestinal absorption of cholesterol 11 and related plant sterols and inhibits the endogenous synthesis of cholesterol. 12 MECHANISM OF ACTION 13 _VYTOCOR_ 14 Contains ezetimibe and simvastatin, two lipid-lowering compounds with complementary mechanisms of action. VYTOCOR 15 reduces elevated total-C, LDL-C, APO B, TG, and non-HDL-C, and increases HDL-C through dual inhibition of cholesterol 16 absorption and synthesis. 17 _EZETIMIBE _ 18 _ _Ezetimibe inhibits the intestinal absorption of cholesterol. Ezetimibe is orally active and has a mechanism of action that 19 differs from other classes of cholesterol-reducing compounds (e.g. statins, bile acid sequestrants [resins], fibric acid 20 derivatives, and plant stanols). The molecular target of ezetimibe is the sterol transporter, Niemann-Pick C1-Like 1 (NPC1L1), 21 which is responsible for the intestinal uptake of cholesterol and phytosterols. 22 Ezetimibe localizes at the brush border of the small intestine and inhibits the absorption of cholesterol, leading to a decrease 23 in the delivery of intestinal cholesterol to the liver; statins reduce cholesterol synthesis in the liver and together these distinct 24 mechanisms provide complementary cholesterol reduction. 25 _SIMVASTATIN _ 26 After oral ingestion, simvastatin, which is an inactive lactone, is hydrolysed in the liver to the corresponding active β- 27 hydroxyacid form which has a potent activity in inhibiting HMG-CoA reductase (3 hydroxy- 3 methylglutaryl CoA reductase). 28 This enzyme catalyses the conversion of HMG- CoA to mevalonate, an early and rate -limiting step in the biosynthesis 阅读完整的文件