{"id":8592,"date":"2021-03-15T08:27:13","date_gmt":"2021-03-15T08:27:13","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8592"},"modified":"2021-04-10T08:00:23","modified_gmt":"2021-04-10T08:00:23","slug":"ezetimibe-simvastatin-glenmark","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ezetimibe-simvastatin-glenmark\/","title":{"rendered":"Ezetimibe \/ Simvastatin Glenmark &#8211; uses, dose, and side effects"},"content":{"rendered":"\n<p>\n\n10 mg \/ 10 mg, 10 mg \/ 20 mg, 10 mg \/ 40 mg, 10 mg \/ 80 mg&nbsp;tablets&nbsp;<br>ezetimibe and&nbsp;simvastatin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Ezetimibe \/ Simvastatin Glenmark is and what it is used for<\/h2>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark contains the active substances ezetimibe and&nbsp;simvastatin.&nbsp;Ezetimibe \/ Simvastatin Glenmark is a drug used to lower the levels of total cholesterol in the blood, the &#8220;bad&#8221;&nbsp;cholesterol&nbsp;(&nbsp;LDL&nbsp;&#8211;&nbsp;cholesterol&nbsp;), and blood fats called&nbsp;triglycerides.&nbsp;Ezetimibe \/ Simvastatin Glenmark also increases the levels of &#8220;good&#8221;&nbsp;cholesterol&nbsp;(&nbsp;HDL&nbsp;&#8211;&nbsp;cholesterol&nbsp;).<br><\/p>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark lowers cholesterol levels in two ways.&nbsp;The active substance ezetimibe reduces the cholesterol uptake into the gastrointestinal tract.&nbsp;The active ingredient&nbsp;simvastatin,&nbsp;which belongs to the class &#8220;statins&#8221;, inhibits the production of&nbsp;cholesterol&nbsp;that the body itself produces.<br><\/p>\n\n\n\n<p>Cholesterol&nbsp;is one of several fats found in your blood.&nbsp;Your total cholesterol is made up mainly of&nbsp;LDL&nbsp;&#8211; and&nbsp;HDL&nbsp;&#8211;&nbsp;cholesterol.<br><\/p>\n\n\n\n<p>LDL&nbsp;&#8211;&nbsp;cholesterol&nbsp;is often called &#8220;bad&#8221;&nbsp;cholesterol&nbsp;et because it can build up in the walls of your arteries and form&nbsp;plaque.&nbsp;This&nbsp;plaque&nbsp;storage can eventually lead to a narrowing of your&nbsp;vessels.&nbsp;This narrowing can reduce or block blood flow to important organs such as the heart and brain.&nbsp;Blockage of blood flow can result in a heart attack or&nbsp;stroke.<br><\/p>\n\n\n\n<p>HDL&nbsp;&#8211;&nbsp;cholesterol&nbsp;is often called &#8220;good&#8221;&nbsp;cholesterol&nbsp;et because it helps prevent the &#8220;bad&#8221;&nbsp;cholesterol&nbsp;et from building up in container&nbsp;one and protects against heart disease.<br><\/p>\n\n\n\n<p>Triglycerides&nbsp;are another type of fat in the blood that can increase the risk of heart disease.<\/p>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark is indicated for patients whose cholesterol levels cannot be controlled by diet alone.&nbsp;You should continue with a cholesterol-lowering diet while you are taking this medicine.<br><\/p>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark is used as a supplement to your cholesterol-lowering diet if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated blood cholesterol levels (primary&nbsp;hypercholesterolemia&nbsp;[heterozygous familial and non-familial]) or elevated blood lipids (combined&nbsp;hyperlipidemia&nbsp;):<ul><li>when a statin alone does not provide satisfactory regulation,<\/li><li>after using a statin and ezetimibe as two different tablets,<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>hereditary disease (&nbsp;homozygous&nbsp;familial&nbsp;hypercholesterolemia&nbsp;) which causes elevated cholesterol levels in the blood.&nbsp;You can also receive other treatment.<br><\/li><li>heart disease, Ezetimibe \/ Simvastatin Glenmark reduces the risk of heart attack,&nbsp;stroke, surgery to increase blood flow to the heart, or hospitalization for chest pain.<\/li><\/ul>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark does not help you lose weight.<br><\/p>\n\n\n\n<p>Ezetimibe and&nbsp;simvastatin&nbsp;contained in Ezetimibe \/ Simvastatin Glenmark may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Ezetimibe \/ Simvastatin Glenmark:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to ezetimibe,&nbsp;simvastatin,&nbsp;or any of the other ingredients of this medicine (listed in section 6: Contents of the pack and other information)<\/li><li>if you have liver problems<\/li><li>if you are pregnant or breastfeeding<\/li><li>if you are taking medicines containing one or more of the following active ingredients:<ul><li>itraconazole,&nbsp;ketoconazole&nbsp;, posaconazole or voriconazole (used to treat fungal infections),<\/li><li>erythromycin, clarithromycin or telithromycin (used to treat&nbsp;infections&nbsp;),<\/li><li>HIV&nbsp;&#8211;&nbsp;protease inhibitors&nbsp;such as indinavir, nelfinavir, ritonavir, and saquinavir (&nbsp;HIV&nbsp;&#8211;&nbsp;protease inhibitors&nbsp;used in the treatment of&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;s),<\/li><li>boceprevir or telaprevir (used to treat&nbsp;hepatitis&nbsp;C virus infections),<\/li><li>nefazodone (used to treat depression),<\/li><li>cobicistat,<\/li><li>gemfibrozil (used to lower cholesterol),<\/li><li>cyclosporine (commonly used in organ transplant patients),<\/li><li>danazol (a synthetic&nbsp;hormone&nbsp;used to treat&nbsp;endometriosis, a condition in which the lining of the uterus grows outside the uterus).<\/li><\/ul><\/li><li>if you are taking, or have taken in the last 7 days, a medicine called fusidic acid (a medicine used to treat bacterial&nbsp;infections&nbsp;), either by mouth or by&nbsp;injection.&nbsp;The combination of fusidic acid and Ezetimibe \/ Simvastatin Glenmark can lead to severe muscle problems (&nbsp;rhabdomyolysis&nbsp;).<\/li><li>Do not take more than 10 mg \/ 40 mg Ezetimibe \/ Simvastatin Glenmark if you are taking lomitapide (used to treat a serious and rare genetic cholesterol condition).<\/li><\/ul>\n\n\n\n<p>Consult a doctor if you are unsure if your medicine is listed above.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Ezetimibe \/ Simvastatin Glenmark<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>about all your medical ailments, including&nbsp;allergies,<\/li><li>if you have a high alcohol consumption or if you have or have previously had any liver disease.&nbsp;Ezetimibe \/ Simvastatin Glenmark may not be the right drug for you<\/li><li>if you are going to have surgery.&nbsp;Discontinuation of treatment with Ezetimibe \/ Simvastatin Glenmark may be necessary for a shorter period,<\/li><li>If you are of Asian descent, then another&nbsp;dose&nbsp;may apply to you.<\/li><\/ul>\n\n\n\n<p>Your doctor should take a blood sample before you start taking Ezetimibe \/ Simvastatin Glenmark, and if you have any symptoms of liver problems during treatment with Ezetimibe \/ Simvastatin Glenmark.&nbsp;This blood test is taken to check your liver function.<br><\/p>\n\n\n\n<p>Your doctor may also need to take a blood test to check your liver function after you start taking Ezetimibe \/ Simvastatin Glenmark.<br><\/p>\n\n\n\n<p>During treatment with this medicine, your doctor will closely monitor you if you have&nbsp;diabetes&nbsp;or are at risk of developing&nbsp;diabetes.&nbsp;You are more likely to get&nbsp;diabetes&nbsp;if you have high blood sugar and high blood fat levels, are overweight and have high&nbsp;blood pressure.<br><\/p>\n\n\n\n<p>Tell your doctor if you have any serious lung disease.<br><\/p>\n\n\n\n<p>Concomitant use of Ezetimibe \/ Simvastatin Glenmark and fibrates (a specific type of cholesterol-lowering drug) should be avoided as the use of the combination of Ezetimibe \/ Simvastatin Glenmark and fibrates has not been studied.<br><\/p>\n\n\n\n<p><strong>Contact a doctor immediately if you experience unexplained muscle aches, soreness, or weakness.&nbsp;The reason for this is that in rare cases, muscle problems can be serious and involve the breakdown of muscles with kidney damage as a result, and deaths have occurred in very rare cases.<\/strong><br><\/p>\n\n\n\n<p>The risk of muscle breakdown is greater with higher&nbsp;doses&nbsp;of Ezetimibe \/ Simvastatin Glenmark, especially for a&nbsp;dose of&nbsp;10 mg \/ 80 mg.&nbsp;The risk of muscle breakdown is also greater in some patients.&nbsp;Talk to your doctor if any of the following apply to you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have kidney problems,<\/li><li>you have thyroid problems,<\/li><li>you are 65 years or older,<\/li><li>you are a woman,<\/li><li>if you have ever had muscle problems during treatment with cholesterol-lowering medicines called &#8220;statins&#8221; (such as&nbsp;simvastatin, atorvastatin, and rosuvastatin) or fibrates (such as gemfibrozil and bezafibrate),<\/li><li>you or a close relative has a hereditary muscle disease.<\/li><\/ul>\n\n\n\n<p>Tell your doctor or pharmacist if you have persistent muscle weakness.&nbsp;Additional tests and medications may be needed to investigate and treat this.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Ezetimibe \/ Simvastatin Glenmark is not recommended for use in children below 10 years of age.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Taking Ezetimibe \/ Simvastatin Glenmark with any of the following medicines may increase the risk of muscle problems (some of these have already been listed in the section above &#8220;Do not take Ezetimibe \/ Simvastatin Glenmark&#8221;).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>If you need to take fusidic acid by mouth to treat a bacterial&nbsp;infection, you will need to temporarily stop using this medicine.&nbsp;Your doctor will tell you when it is safe to start using Ezetimibe \/ Simvastatin Glenmark again.&nbsp;Taking Ezetimibe \/ Simvastatin Glenmark with fusidic acid may in rare cases lead to muscle weakness, tenderness, and pain (&nbsp;rhabdomyolysis&nbsp;).&nbsp;See more information on&nbsp;rhabdomyolysis&nbsp;in section 4.<\/strong><\/li><li>ciclosporin (often used by patients who have had an organ transplant),<\/li><li>danazol (a synthetic&nbsp;hormone&nbsp;used to treat&nbsp;endometriosis, a condition in which the lining of the uterus grows outside the uterus),<\/li><li>drugs with an active ingredient such as itraconazole,&nbsp;ketoconazole,&nbsp;fluconazole, posaconazole, or voriconazole (used to treat fungal infections),<\/li><li>fibrates with active ingredients such as gemfibrozil and bezafibrate (used to lower cholesterol),<\/li><li>erythromycin, clarithromycin, or telithromycin (used to treat bacterial infections),<\/li><li>HIV&nbsp;&#8211;&nbsp;protease inhibitors&nbsp;such as indinavir, nelfinavir, ritonavir, and saquinavir (used in the treatment of&nbsp;AIDS&nbsp;),<\/li><li>antiviral drugs for&nbsp;hepatitis&nbsp;C, such as boceprevir, telaprevir, elbasvir, or grazoprevir (used to treat&nbsp;hepatitis&nbsp;C virus infection),<\/li><li>nefazodone (used to treat depression),<\/li><li>medicinal products containing the active substance cobicistat,<\/li><li>amiodarone&nbsp;(used to treat irregular heartbeat),<\/li><li>verapamil,&nbsp;diltiazem,&nbsp;or amlodipine (used to treat high&nbsp;blood pressure, chest pain associated with heart disease or other heart conditions),<\/li><li>lomitapide (used to treat a serious and rare genetic cholesterol condition),<\/li><li>high&nbsp;doses&nbsp;(1 gram\/day or more) of&nbsp;niacin&nbsp;or&nbsp;nicotinic acid&nbsp;(also used to lower cholesterol),<\/li><li>colchicine (used in the treatment of&nbsp;gout&nbsp;).<\/li><\/ul>\n\n\n\n<p>Also tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.&nbsp;It is especially important to tell your doctor if you are taking any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>anticoagulants with an active ingredient such as&nbsp;warfarin, fluindione, phenprocoumon, or acenocoumarol (so-called&nbsp;anticoagulants&nbsp;),<\/li><li>cholestyramine (also used to lower cholesterol), as it affects the way Ezetimibe \/ Simvastatin Glenmark works,<\/li><li>fenofibrate (also used to lower cholesterol),<\/li><li>rifampicin (used to treat&nbsp;tuberculosis&nbsp;).<\/li><\/ul>\n\n\n\n<p>Tell your doctor that you are prescribing a new medicine that you are taking Ezetimibe \/ Simvastatin Glenmark.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ezetimibe \/ Simvastatin Glenmark with drink<\/h2>\n\n\n\n<p>Grapefruit juice contains one or more substances that alter the breakdown of certain drugs, including Ezetimibe \/ Simvastatin Glenmark.&nbsp;Intake of grapefruit juice should be avoided as it may increase the risk of muscle problems.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p>Do not use Ezetimibe \/ Simvastatin Glenmark if you are pregnant, trying to conceive, or think you may be pregnant.&nbsp;If you become pregnant while taking Ezetimibe \/ Simvastatin Glenmark, stop treatment immediately and tell your doctor.<br><\/p>\n\n\n\n<p>Do not take Ezetimibe \/ Simvastatin Glenmark if you are breast-feeding as it is unknown if the medicine passes into breast milk.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark is not expected to affect your ability to drive or use machines.&nbsp;However, keep in mind that some people get dizzy when they take Ezetimibe \/ Simvastatin Glenmark.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ezetimibe \/ Simvastatin Glenmark contains lactose<\/h2>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark contains a sugar called&nbsp;lactose, milk sugar.&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<p>Your doctor will decide which&nbsp;dose&nbsp;is right for you, depending on your current treatment and your personal risk profile.<br><\/p>\n\n\n\n<p>The tablets are not scored and should not be divided.<br><\/p>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Before you start taking Ezetimibe \/ Simvastatin Glenmark, eat a cholesterol-lowering diet.<\/li><li>You should continue with this cholesterol-lowering diet while you are being treated with Ezetimibe \/ Simvastatin Glenmark.<\/li><\/ul>\n\n\n\n<p>Adults:&nbsp;Dose&nbsp;a is&nbsp;<strong>1 tablet<\/strong>&nbsp;Ezetimibe \/ Simvastatin Glenmark once daily by mouth<br><\/p>\n\n\n\n<p><strong>Use in young<\/strong>&nbsp;(aged 10 to 17 years)&nbsp;Dose&nbsp;a is&nbsp;<strong>1 tablet<\/strong>&nbsp;Ezetimibe \/ Simvastatin Glenmark once daily by mouth.&nbsp;(a maximum&nbsp;dose&nbsp;of 10 mg \/ 40 mg should not be exceeded).<br><\/p>\n\n\n\n<p>Ezetimibe \/ Simvastatin Glenmark&nbsp;dose of&nbsp;10 mg \/ 80 mg is recommended only for adult patients with very high cholesterol levels and who are at high risk of heart disease and who have not achieved their treatment goals at lower&nbsp;doses.<br><\/p>\n\n\n\n<p>Take Ezetimibe \/ Simvastatin Glenmark in the evening.&nbsp;You can take the tablet with or without food.<br><\/p>\n\n\n\n<p>If your doctor has prescribed Ezetimibe \/ Simvastatin Glenmark in combination with another cholesterol-lowering medicine containing the active substance cholestyramine or any other bile acid sequestrant, you should take Ezetimibe \/ Simvastatin Glenmark at least 2 hours before or 4 hours after taking the bile acid sequestrant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Ezetimibe \/ Simvastatin Glenmark then you should<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Contact a doctor or pharmacist.&nbsp;If you have ingested too much or if e.g.&nbsp;If a child has inadvertently ingested a medicine, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.&nbsp;Only take your usual&nbsp;dose of&nbsp;Ezetimibe \/ Simvastatin Glenmark at the usual time the next day.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Talk to your doctor or pharmacist if you stop taking Ezetimibe \/ Simvastatin Glenmark as your cholesterol levels may rise again.<\/li><\/ul>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.&nbsp;(See section 2. What you need to know before you take Ezetimibe \/ Simvastatin Glenmark).<br><\/p>\n\n\n\n<p>The following common&nbsp;side effects&nbsp;have been reported (may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle aches,<\/li><li>elevated liver function values \u200b\u200b(&nbsp;transaminases&nbsp;) and \/ or muscle function values \u200b\u200b(CK) in the blood.<\/li><\/ul>\n\n\n\n<p>The following common&nbsp;side effects&nbsp;have been reported (may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated liver function values \u200b\u200bin the blood, elevated levels of&nbsp;uric acid&nbsp;in the blood, prolonged bleeding time,&nbsp;protein&nbsp;in the urine, weight loss,<\/li><li>dizziness, headache, &#8220;ant crawls&#8221;,<\/li><li>abdominal pain, indigestion, flatulence, nausea, vomiting, bloating, diarrhea,&nbsp;dry mouth&nbsp;, heartburn,<\/li><li>skin rash,&nbsp;itching&nbsp;, hives,<\/li><li>joint pain, muscle aches, soreness, weakness or muscle spasms, neck pain, pain in arms and legs, back pain,<\/li><li>unusual tiredness or weakness, fatigue, chest pain, swelling, especially in hands and feet,<\/li><li>sleep disorders, difficulty sleeping.<\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have also been reported in people taking Ezetimibe \/ Simvastatin Glenmark or medicines containing the active substance ezetimibe or simvastatin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>low number of&nbsp;red blood cells&nbsp;(&nbsp;anemia&nbsp;), decreased number of&nbsp;blood cells&nbsp;that can cause bruising \/ bleeding (&nbsp;thrombocytopenia&nbsp;),<\/li><li>numbness or weakness in the arms and legs, poor memory, memory loss, confusion,<\/li><li>difficulty breathing including persistent cough and \/ or shortness of breath or fever,<\/li><li>constipation,<\/li><li>inflammation&nbsp;of the pancreas often with severe abdominal pain,<\/li><li>inflammation&nbsp;of the liver with the following symptoms: yellowing of the skin and eyes,&nbsp;itching&nbsp;, dark-colored urine or light-colored stools, feeling of tiredness or weakness, loss of appetite, liver failure,&nbsp;gallstones&nbsp;or&nbsp;inflammation&nbsp;of the gallbladder (which may cause abdominal pain, nausea and vomiting),<\/li><li>hair loss, raised red, sometimes target-like rash (erythema multiforme),<\/li><li>blurred vision and impaired vision (may affect up to 1 in 1,000 users)<\/li><li>rash that may occur on the skin or sores in the mouth (drug-related lichenoid rash) (may affect up to 1 in 10,000 users)<\/li><li>hypersensitivity reaction&nbsp;which includes any of the following: allergic reactions including swelling of the face, lips, tongue and \/ or throat, which may cause breathing or swallowing difficulties and require immediate treatment, joint pain or&nbsp;inflammation&nbsp;,&nbsp;inflammation&nbsp;of blood vessels, bruising of unknown cause, skin rash and swelling,&nbsp;hives&nbsp;, sensitivity of the skin to sunlight, fever,&nbsp;redness&nbsp;, shortness of breath and general malaise, lupus-like picture (including rash, joint problems and effects on&nbsp;white blood cells&nbsp;),<\/li><li>pain, soreness, weakness or cramps in the muscles, breakdown of muscles, muscles, muscle strain (may occur in up to 1 in 10,000 users),tendon problems, sometimes aggravated by tendon rupture,<\/li><li>gynecomastia&nbsp;(breast augmentation in men) (may affect up to 1 in 10,000 people)<\/li><li>decreased appetite,<\/li><li>hot flashes, high&nbsp;blood pressure&nbsp;,<\/li><li>pain,<\/li><li>erectile dysfunction,<\/li><li>Depression,<\/li><li>changes in certain liver function values \u200b\u200bin the blood.<\/li><\/ul>\n\n\n\n<p>Additional possible&nbsp;side effects&nbsp;that have been reported with certain statins:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>sleep disorders including nightmares,<\/li><li>impaired sexual ability,<\/li><li>diabetes&nbsp;.&nbsp;This is more likely if you have high blood sugar and high blood fat levels, are overweight and have high&nbsp;blood pressure&nbsp;.&nbsp;Your doctor will check you while you are taking this medicine,<\/li><li>muscle pain, tenderness or weakness that is persistent and may not go away after stopping treatment with Ezetimibe \/ Simvastatin Glenmark (no known frequency).<\/li><\/ul>\n\n\n\n<p><strong>Contact a doctor immediately if you experience unexplained muscle aches, soreness or weakness.&nbsp;The reason for this is that in rare cases, muscle problems can be serious and involve the breakdown of muscles with kidney damage as a result and deaths have occurred in very rare cases.<\/strong><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Ezetimibe \/ Simvastatin Glenmark<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton, jar or blister after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Blister: Store in the original package.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Jar: Close the jar tightly.&nbsp;Store in the outer carton.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are ezetimibe and&nbsp;simvastatin&nbsp;.&nbsp;One tablet contains 10 mg ezetimibe and 10 mg, 20 mg, 40 mg or 80 mg&nbsp;simvastatin&nbsp;.<\/li><li>The other ingredients are&nbsp;lactose monohydrate&nbsp;, microcrystalline cellulose (E460), hypromellose, croscarmellose sodium (E468), propyl gallate (E310), butylhydroxyanisole (E320), citric acid monohydrate (E330), sodium lauryl sulfate (magnesium stearate), magnesium stearate.<\/li><\/ul>\n\n\n\n<p>See also section 2 \u201cWhat you need to know before taking Ezetimibe \/ Simvastatin Glenmark\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p><strong>10 mg \/ 10 mg:<\/strong><\/p>\n\n\n\n<p>White to off-white capsule-shaped uncoated tablet marked with \u201cG\u201d on one side and \u201c321\u201d on the other side, approximately 8.5 mm long and 4.25 mm wide.<br><\/p>\n\n\n\n<p><strong>10 mg \/ 20 mg:<\/strong><\/p>\n\n\n\n<p>White to off-white capsule-shaped uncoated tablet marked with \u201cG\u201d on one side and \u201c322\u201d on the other side, approximately 10.7 mm long and 5.3 mm wide.<br><\/p>\n\n\n\n<p><strong>10 mg \/ 40 mg:<\/strong><\/p>\n\n\n\n<p>White to off-white capsule-shaped uncoated tablet marked with \u201cG\u201d on one side and \u201c323\u201d on the other side, approximately 14.0 mm long and 6.0 mm wide.<br><\/p>\n\n\n\n<p><strong>10 mg \/ 80 mg:<\/strong><\/p>\n\n\n\n<p>White to off-white capsule-shaped uncoated tablet marked with \u201cG\u201d on one side and \u201c324\u201d on the other side, approximately 17.5 mm long and 7.5 mm wide.<br><\/p>\n\n\n\n<p><em>Pack sizes<\/em><\/p>\n\n\n\n<p>10 mg \/ 10 mg, 10 mg \/ 20 mg, 10 mg \/ 40 mg, and 10 mg \/ 80 mg tablets in PVC-Aluminum-OPA \/ Aluminum blisters: 7, 10, 14, 28, 30, 30 x 1, 49, 50, 50 x 1, 56, 84, 90, 98, multiple pack 98 (2 x 49), 100, 100&#215;1, 196, 300, 300 x 1 and 392 tablets and HDPE can with 90 tablets (10 mg \/ 80 mg), 100 tablets (10 mg \/ 10 mg 10 mg \/ 20 mg, and 10 mg \/ 40 mg).&nbsp;The tablets in HDPE jars contain desiccant against moisture.&nbsp;The desiccant should not be swallowed.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong>&nbsp;<\/p>\n\n\n\n<p>Glenmark Arzneimittel GmbH<\/p>\n\n\n\n<p>Industriestr.&nbsp;31, 82194 Gr\u00f6benzell,<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Glenmark Pharmaceuticals Europe Limited<\/p>\n\n\n\n<p>Building 2, Croxley Green Business Park<\/p>\n\n\n\n<p>Croxley Green, Hertfordshire, WD18 8YA<\/p>\n\n\n\n<p>UK<br><\/p>\n\n\n\n<p>Glenmark Pharmaceuticals sro<\/p>\n\n\n\n<p>Fibichova 143<\/p>\n\n\n\n<p>56617 Vysoke Myto<\/p>\n\n\n\n<p>Czech Republic<br><\/p>\n\n\n\n<p>Pharmadox Healthcare Ltd.&nbsp;<br>KW20A Kordin Industrial Park&nbsp;<br>Paola PLA3000&nbsp;<br>Malta<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p> 10 mg \/ 10 mg, 10 mg \/ 20 mg, 10 mg \/ 40 mg, 10 mg \/ 80 mg tablets<br \/>\nezetimibe and simvastatin<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2205,2200],"tags":[3241,3242,3243,3240,2212,3244,3246,3247,3245,2210],"class_list":["post-8592","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-ezetimibe-and-simvastatin","tag-ezetimibe-and-simvastatin-dose","tag-ezetimibe-and-simvastatin-side-effects","tag-ezetimibe-and-simvastatin-uses","tag-medicine","tag-simvastatin-glenmark","tag-simvastatin-glenmark-dose","tag-simvastatin-glenmark-side-effects","tag-simvastatin-glenmark-uses","tag-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=8592"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8592\/revisions"}],"predecessor-version":[{"id":9854,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8592\/revisions\/9854"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}