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Medicines & co-medication

Ezetimibe: Effects, Evidence and Risks

Also known as Ezetrol, Zetia; combinations with statins or bempedoic acid.

StatusApproved (EU)
EvidenceLarge RCTs
Drug classCholesterol absorption inhibitor · tablet

What is Ezetimibe?

Reduces cholesterol absorption from the gut, so less cholesterol reaches the liver and LDL falls. Usually prescribed together with a statin.

How well studied is Ezetimibe?

Approved since the early 2000s; LDL lowering shown in registration trials, and a benefit on cardiovascular events in combination with a statin shown in large trials.

What side effects and risks does Ezetimibe have?

Diarrhoea, cold symptoms, joint/muscle pain. Rarely muscle breakdown (mainly combined with statins) and liver damage; not for moderate to severe liver disease. Interacts with bile acid sequestrants (cholestyramine etc.), ciclosporin, gemfibrozil and warfarin. No known direct interaction with GLP-1 drugs.

Is Ezetimibe approved in Germany?

In short: yes. Approved in Germany/EU, prescription-only. Not on the WADA Prohibited List. Taking it without a prescription and medical monitoring – e.g. bought from “peptide shops” – is dangerous: unknown quality, no lab checks, no adjustment to blood pressure, kidney values or other medicines.

Sources

Note: We deliberately do not list any doses here. For approved medicines, your doctor sets the dose; for unapproved substances there is no reliable information.