Ezetimibe: Perbedaan antara revisi
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'''Ezetimibe''' adalah obat yang digunakan untuk mengobati [[hiperkolesterolemia|kolesterol darah tinggi]] dan [[dislipidemia|kelainan lipid]] tertentu lainnya.<ref name="Zetia FDA label">{{cite web | title=Zetia- ezetimibe tablet | website=DailyMed | date=26 January 2011 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=582e1593-1e6c-4ce8-8bae-134fbc3a66f0 | access-date=13 August 2022 | archive-date=10 May 2021 | archive-url=https://web.archive.org/web/20210510134732/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=582e1593-1e6c-4ce8-8bae-134fbc3a66f0 | url-status=live }}</ref><ref name=AHFS2019>{{cite web |title=Ezetimibe Monograph for Professionals |url=https://www.drugs.com/monograph/ezetimibe.html |website=Drugs.com |publisher=American Society of Health-System Pharmacists |access-date=13 April 2019 |archive-date=17 June 2019 |archive-url=https://web.archive.org/web/20190617034725/https://www.drugs.com/monograph/ezetimibe.html |url-status=live }}</ref> Umumnya, obat ini digunakan bersama dengan perubahan pola makan dan dikombinasikan dengan golongan [[statin]].<ref name=BNF76/> Obat ini kurang disukai dibandingkan statin jika digunakan sendiri. Obat ini digunakan dengan cara diminum.<ref name=AHFS2019/> Obat ini juga tersedia dalam [[obat kombinasi|kombinasi dosis tetap]] [[ezetimibe/simvastatin]],<ref>{{cite web | title=Vytorin- ezetimibe and simvastatin tablet | website=DailyMed | date=1 June 2022 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=89b860d2-de83-468e-b7e8-76aeec2edca2 | access-date=13 August 2022 | archive-date=14 August 2022 | archive-url=https://web.archive.org/web/20220814023845/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=89b860d2-de83-468e-b7e8-76aeec2edca2 | url-status=live }}</ref> [[ezetimibe/atorvastatin]],<ref>{{cite web | title=Liptruzet (ezetimibe and atorvastatin) tablets for oral useInitial U.S. Approval: 2013 | website=DailyMed | date=30 September 2016 | url=https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=257849 | access-date=13 August 2022 | archive-date=14 August 2022 | archive-url=https://web.archive.org/web/20220814023846/https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=257849 | url-status=live }}</ref> [[ezetimibe/rosuvastatin]],<ref name=AHFS2019/><ref>{{cite web | title=Roszet- rosuvastatin and ezetimibe tablet Roszet (- rosuvastatin and ezetimibe tablet | website=DailyMed | date=15 September 2021 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1653b3c4-2b2a-408b-918a-c687918c6265 | access-date=13 August 2022 | archive-date=14 August 2022 | archive-url=https://web.archive.org/web/20220814023845/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1653b3c4-2b2a-408b-918a-c687918c6265 | url-status=live }}</ref> dan [[ezetimibe/asam bempedoat]].<ref>{{cite web | title=Nexlizet- bempedoic acid and ezetimibe tablet, film coated | website=DailyMed | date=24 September 2021 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3fa2108c-0300-47b8-9d34-f762af7c93c6 | access-date=13 August 2022}}</ref>
Efek samping yang paling sering dilaporkan meliputi [[infeksi saluran napas atas]], [[nyeri]] sendi, diare, dan kelelahan.<ref name=AHFS2019/> Efek samping yang serius dapat meliputi [[anafilaksis]], masalah hati, depresi, dan kerusakan otot.<ref name=AHFS2019/><ref name=BNF76/> Penggunaan pada [[kehamilan]] dan [[menyusui]] tidak jelas keamanannya.<ref>{{cite web |title=Ezetimibe (Zetia) Use During Pregnancy |url=https://www.drugs.com/pregnancy/ezetimibe.html |website=Drugs.com |access-date=13 April 2019 |archive-date=13 April 2019 |archive-url=https://web.archive.org/web/20190413032023/https://www.drugs.com/pregnancy/ezetimibe.html |url-status=live }}</ref> Ezetimibe bekerja dengan mengurangi penyerapan kolesterol di usus.<ref name=BNF76>{{cite book|title=British national formulary : BNF 76|date=2018|publisher=Pharmaceutical Press|isbn=9780857113382|pages=196|edition=76}}</ref>
Ezetimibe disetujui untuk penggunaan medis di Amerika Serikat pada tahun 2002.<ref name="AHFS2019"/> Obat ini tersedia sebagai [[obat generik]].<ref name=BNF76/>
==Kegunaan dalam medis==
Penambahan ezetimibe pada pengobatan statin untuk [[hiperkolesterolemia|kolesterol darah tinggi]] tidak memiliki efek pada mortalitas keseluruhan atau mortalitas kardiovaskular, meskipun secara signifikan mengurangi risiko [[serangan jantung|infark miokard]] dan [[strok]].<ref>{{cite journal | vauthors = Savarese G, De Ferrari GM, Rosano GM, Perrone-Filardi P | title = Safety and efficacy of ezetimibe: A meta-analysis | journal = International Journal of Cardiology | volume = 201 | pages = 247–252 | date = December 2015 | pmid = 26301648 | doi = 10.1016/j.ijcard.2015.08.103 }}</ref> Menggabungkan ezetimibe dengan [[simvastatin]] tidak memiliki efek pada mortalitas keseluruhan tetapi menurunkan risiko serangan jantung atau stroke pada orang dengan riwayat serangan jantung.<ref name=Phan/><ref>{{cite journal | vauthors = Cannon CP, Blazing MA, Giugliano RP, McCagg A, White JA, Theroux P, Darius H, Lewis BS, Ophuis TO, Jukema JW, De Ferrari GM, Ruzyllo W, De Lucca P, Im K, Bohula EA, Reist C, Wiviott SD, Tershakovec AM, Musliner TA, Braunwald E, Califf RM | display-authors = 6 | title = Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes | journal = The New England Journal of Medicine | volume = 372 | issue = 25 | pages = 2387–2397 | date = June 2015 | pmid = 26039521 | doi = 10.1056/NEJMoa1410489 | hdl-access = free | hdl = 11573/1150638 | doi-access = free | title-link = doi }}</ref> Beberapa pedoman pengobatan merekomendasikan penambahan ezetimibe pada orang berisiko tinggi tertentu yang target LDL-nya tidak dapat dicapai dengan statin yang ditoleransi secara maksimal saja.<ref name="AlenghatDavis2019">{{cite journal | vauthors = Alenghat FJ, Davis AM | title = Management of Blood Cholesterol | journal = JAMA | volume = 321 | issue = 8 | pages = 800–801 | date = February 2019 | pmid = 30715135 | pmc = 6679800 | doi = 10.1001/jama.2019.0015 }}</ref><ref>{{cite journal | vauthors = Catapano AL, Reiner Z, De Backer G, Graham I, Taskinen MR, Wiklund O, Agewall S, Alegria E, Chapman M, Durrington P, Erdine S, Halcox J, Hobbs R, Kjekshus J, Filardi PP, Riccardi G, Storey RF, Wood D | display-authors = 6 | title = ESC/EAS Guidelines for the management of dyslipidaemias The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS) | journal = Atherosclerosis | volume = 217 | issue = 1 | pages = 3–46 | date = July 2011 | pmid = 21882396 | doi = 10.1016/j.atherosclerosis.2011.06.011 }}</ref><ref>{{cite journal | vauthors = Teramoto T, Sasaki J, Ishibashi S, Birou S, Daida H, Dohi S, Egusa G, Hiro T, Hirobe K, Iida M, Kihara S, Kinoshita M, Maruyama C, Ohta T, Okamura T, Yamashita S, Yokode M, Yokote K | display-authors = 6 | title = Executive summary of the Japan Atherosclerosis Society (JAS) guidelines for the diagnosis and prevention of atherosclerotic cardiovascular diseases in Japan -2012 version | journal = Journal of Atherosclerosis and Thrombosis | volume = 20 | issue = 6 | pages = 517–523 | year = 2013 | pmid = 23665881 | doi = 10.5551/jat.15792 | doi-access = free | title-link = doi }}</ref><ref>{{cite web |url=http://www.nice.org.uk/Guidance/CG181++++ |title=Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease | Guidance and guidelines | NICE |archive-url=https://web.archive.org/web/20141119180833/http://www.nice.org.uk/guidance/CG181 |archive-date=19 November 2014 |url-status=dead }}</ref><ref>{{cite journal | title = An International Atherosclerosis Society Position Paper: global recommendations for the management of dyslipidemia--full report | journal = Journal of Clinical Lipidology | volume = 8 | issue = 1 | pages = 29–60 | year = 2014 | pmid = 24528685 | doi = 10.1016/j.jacl.2013.12.005 | doi-access = free | title-link = doi | vauthors = Grundy SM, Arai H, Barter P, Bersot TP, Betteridge DJ, Carmena R | collaboration=Expert Dyslipidemia Panel of the International Atherosclerosis Society }}</ref>
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