Introducing Menopause Hormone Therapy
Menopause hormone therapy (MHT) is a new term for what used to be called hormone replacement therapy or HRT. If you’ve never heard about menopause hormone therapy, it’s worth remembering that the change of name
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For visual reference only; actual product may vary
US Name:
Nexletol
Alternative Names:
Nilemdo
Active Ingredients:
Bempedoic Acid
Brand Manufacturer:
Daiichi-Sankyo
Manufacturer Location:
UK
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For visual reference only; actual product may vary
Nexletol (bempedoic acid) is a prescription medication used to lower high LDL cholesterol. It is prescribed for adults with atherosclerotic cardiovascular disease (ASCVD) or heterozygous familial hypercholesterolemia (HeFH), often alongside diet and statin therapy when they are not enough.
| Nilemdo Brand | 180mg 28 Tablets |
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Our price: $187.00 |
Nexletol is a prescription medication used to lower low-density lipoprotein cholesterol (LDL-C), often called “bad” cholesterol. This oral tablet is designed for adults who struggle with high cholesterol levels. It is an important tool for managing conditions that increase heart disease risk. Nexletol helps reduce the amount of harmful cholesterol circulating in the blood. Lowering LDL-C is a key part of a healthy heart plan. This medication is often used with other treatments. Your doctor may add it to your current statin therapy. It can also be prescribed if you cannot take statins.
Nexletol works by blocking a key enzyme in the liver called ATP-citrate lyase (ACL). This enzyme is involved in the body’s natural cholesterol production process. By inhibiting ACL, Nexletol reduces the liver’s ability to make cholesterol. This leads to lower levels of LDL-C in the bloodstream. The body then works to clear existing cholesterol more effectively. This mechanism is different from statins, which work on a different enzyme. Because of this, it can provide additional cholesterol-lowering effects. It is a targeted therapy to help manage high cholesterol.
Nexletol is for adults dealing with specific cholesterol-related health issues. It is approved for patients with heterozygous familial hypercholesterolemia (HeFH). HeFH is a genetic condition causing very high cholesterol. It is also for patients with established atherosclerotic cardiovascular disease (ASCVD). ASCVD involves the buildup of plaque in the arteries. These patients need additional help to lower their LDL-C. It is prescribed when diet and the highest tolerated statin dose are not enough. It offers an option for those who need more aggressive cholesterol management to reduce their risk of heart attack and stroke.
Nexletol is typically prescribed as a 180 mg tablet taken once each day. You can take the tablet with or without a meal. It is best to take it at the same time every day to maintain even levels of the drug in your body. Always follow your healthcare provider’s specific instructions. Do not change your dose or stop taking the medication without their guidance. If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed one. Do not take two tablets to make up for a missed dose.
Nexletol may cause side effects, although many people have none or only minor issues. The most common side effects include symptoms of an upper respiratory tract infection, like a cold. Some people may experience muscle spasms, back pain, or stomach discomfort. Nexletol can also increase uric acid levels in the blood, which could lead to gout in some individuals. A rare but serious side effect is tendon rupture. This risk is higher for people over 60 or those taking certain other medications. Contact your doctor if you experience any unusual or persistent symptoms.
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Most individuals who take Nexletol do not experience significant side effects. Your doctor has determined that the benefits of this medication outweigh the potential risks.
Some of the more common side effects may include:
A more serious but rare side effect is tendon rupture. The risk is higher in patients over 60, those taking corticosteroids, or individuals with kidney failure. Seek immediate medical attention if you experience unusual tendon pain or swelling. Contact your doctor if any side effect persists or worsens.
Nexletol is approved by the FDA for lowering high LDL-C (“bad” cholesterol) in adults with:
It is used as an addition to a healthy diet and the highest dose of a statin that a patient can tolerate.
Nexletol is not a statin medication. It belongs to a different class of drugs called adenosine triphosphate-citrate lyase (ACL) inhibitors. It works by blocking cholesterol production in the liver through a different pathway than statins. This makes it a valuable alternative or add-on therapy for patients who cannot tolerate statins or need additional cholesterol reduction.
Nexletol can be taken at any time of day, but it is important to take it at the same time each day. This helps maintain a consistent level of the medication in your body. You can take your daily 180 mg tablet with or without food. Choose a time that fits easily into your daily routine to help you remember to take it.
If you miss a dose of Nexletol, you should take it as soon as you remember on the same day. However, if it is already time for your next scheduled dose, skip the missed one. You should not take two doses at once to make up for the missed dose, as this can increase your risk of side effects.
Nexletol is not known to have a direct major interaction with alcohol. However, heavy alcohol use can affect your liver, and Nexletol works in the liver. For this reason, it is wise to limit alcohol consumption. Please discuss your alcohol use with your healthcare provider before starting your treatment to ensure it is safe for you.
Nexletol begins to lower LDL cholesterol within a few weeks of starting treatment. You may see significant changes in your cholesterol levels in as little as four weeks. However, the full effect is typically seen after about 12 weeks of consistent daily use. Your doctor will monitor your progress with routine blood tests.
Nexletol is less likely to cause muscle-related side effects compared to statins because of how it is activated in the body. While some patients may still report muscle spasms or pain, the incidence is generally lower. If you could not tolerate statins due to muscle pain, Nexletol may be a suitable option for you to discuss with your doctor.
Nexletol is not known to have a significant interaction with grapefruit or grapefruit juice. Unlike some statins, its metabolism is not affected by the compounds in grapefruit. However, it is always a good practice to confirm with your doctor or pharmacist regarding any dietary restrictions while taking prescription medications.
Nexletol is not recommended for women who are pregnant or planning to become pregnant. The effects of the drug on a developing fetus have not been studied in humans. Cholesterol is important for fetal development. You must discuss your family planning with your doctor before starting this medication and use effective contraception during treatment.
Nexletol can increase the levels of uric acid in your blood, a condition called hyperuricemia. This elevation can increase the risk of developing gout, which is a painful form of arthritis. Your doctor may monitor your uric acid levels. If you have a history of gout, be sure to inform your doctor before you start taking this medication.
Nexletol tablets should be swallowed whole and should not be crushed, split, or chewed. Altering the tablet can change the way the medication is absorbed by your body, which could affect its efficacy and potentially increase side effects. If you have difficulty swallowing pills, please speak with your healthcare provider about other possible options.
Nexletol should be stored at room temperature, between 68°F to 77°F (20°C to 25°C). Keep the medication in its original container, tightly sealed and protected from moisture and light. It is important to keep this and all other medicines out of the reach of children and pets to ensure their safety.
Nexletol works in the liver to block cholesterol production. In clinical trials, some patients experienced an increase in liver enzyme levels, which could indicate liver stress. Your doctor will likely perform blood tests to monitor your liver function before and during your treatment with this medication. Report any signs of liver problems, like jaundice, to a doctor.
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