Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about PHARMACOR EZETIMIBE. It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking PHARMACOR EZETIMIBE against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may need to read it again
What PHARMACOR EZETIMIBE is used for
PHARMACOR EZETIMIBE helps to lower cholesterol levels. It is used in people whose cholesterol levels are too high and when diet alone cannot lower these levels adequately.
PHARMACOR EZETIMIBE may be taken alone or with other cholesterol-lowering medicines known as HMG-CoA reductase inhibitors (or statins), in addition to diet.
In people who have high levels of plant sterols in their blood (which doctors call sitosterolaemia), PHARMACOR EZETIMIBE helps to lower these levels.
Cholesterol is one of several fatty substances found in the bloodstream. Your total cholesterol is made up mainly of LDL and HDL cholesterol.
LDL cholesterol is often called 'bad' cholesterol because it can build up on the walls of your arteries forming plaque. Eventually this plaque build- up can lead to a narrowing of the arteries.
This narrowing can slow or block blood flow to vital organs such as the heart and brain. This blocking of blood flow can result in a heart attack or stroke.
HDL cholesterol is often called 'good' cholesterol because it helps keep the bad cholesterol from building up in the arteries and protects against heart disease.
Triglycerides are another form of fat in your blood that may increase your risk for heart disease.
How PHARMACOR EZETIMIBE Tablet works
PHARMACOR EZETIMIBE reduces elevated total- cholesterol, LDL (bad) cholesterol and triglycerides and increases HDL (good) cholesterol.
PHARMACOR EZETIMIBE works by decreasing the absorption of cholesterol in the small intestine. Statins lower cholesterol in a different way, by reducing the amount of cholesterol made in the liver.
PHARMACOR EZETIMIBE adds to the cholesterol- lowering effect of statins.
For patients with heart disease and a history of a heart attack or hospitalisation for unstable angina (chest pain), PHARMACOR EZETIMIBE combined with cholesterol-lowering medicines called statins reduces the risk of heart attack, stroke, surgery to increase heart blood flow, or hospitalization for chest pain.
Your doctor may have prescribed PHARMACOR EZETIMIBE for another reason. Ask your doctor if you have any questions about why PHARMACOR EZETIMIBE has been prescribed for you.
PHARMACOR EZETIMIBE is not addictive.
Use in Children and Adolescents
PHARMACOR EZETIMIBE is used in children and adolescents (10 to 17 years of age) to treat familial hypercholesterolaemia, a type of high cholesterol that is hereditary (i.e. passed on through families).
PHARMACOR EZETIMIBE is not recommended in children under 10 years of age as there have been very few studies of its effects in these children.
Your doctor will assess whether if PHARMACOR EZETIMIBE is suitable for your child. Depending on the pubertal development of your child, PHARMACOR EZETIMIBE may not be suitable for him or her.
Before you take PHARMACOR EZETIMIBE
When you must not take it
Do not take PHARMACOR EZETIMIBE if:
- you have an allergy to PHARMACOR EZETIMIBE or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include skin rash, itchiness, shortness of breath, swelling of the face, lips, mouth, tongue or throat.
- the packaging is torn or shows signs of tampering
- the expiry date on the pack has passed.
If you take this medicine after the expiry date has passed, it may not work.
Do not take PHARMACOR EZETIMIBE together with a statin if:
- you have active liver disease
- you are pregnant or breast feeding.
Do not take PHARMACOR EZETIMIBE together with fenofibrate if:
- you have gall bladder disease.
If you are not sure whether you should start taking PHARMACOR EZETIMIBE, talk to your doctor.
Before you start to take it
Tell your doctor if:
- you are pregnant or intend to become pregnant
If there is a need to consider using PHARMACOR EZETIMIBE during pregnancy, your doctor will discuss the risks and benefits of taking it.
- you are breast-feeding
It is not known if PHARMACOR EZETIMIBE passes into breast milk.
- you have, or have had, any medical conditions, including liver disease or liver problems
If you are prescribed PHARMACOR EZETIMIBE with a statin, your doctor will do a blood test to make sure you have no problems with your liver.
- you have any allergies to any other medicines or any other substances, such as foods, preservatives or dyes.
If you have not told your doctor about any of the above, tell them before you take any PHARMACOR EZETIMIBE.
Taking other medicines
Tell your doctor if you are taking any other medicines, including medicines that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines should not be taken with PHARMACOR EZETIMIBE, including:
- Certain fibrate medicines used to lower cholesterol levels, for example, gemfibrozil. However, the fibrate medicine fenofibrate can be taken with PHARMACOR EZETIMIBE.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking PHARMACOR EZETIMIBE.
Some medicines and PHARMACOR EZETIMIBE may interfere with each other, including:
- Bile acid sequestrants, such as cholestyramine, used to lower cholesterol levels.
- Cyclosporin, used to suppress the immune system.
- Warfarin or fluindione, used to prevent blood clots.
These medicines may be affected by PHARMACOR EZETIMIBE, they may affect how well it works, or may increase the risk of side effects with PHARMACOR EZETIMIBE. You may need different amounts of your medicine, or you may need to take different medicines or take your medicines at different times.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking PHARMACOR EZETIMIBE.
How to take PHARMACOR EZETIMIBE
How much to take
Take PHARMACOR EZETIMIBE only when prescribed by your doctor.
The recommended dose is 10mg taken once a day, at any time of the day.
Swallow PHARMACOR EZETIMIBE with a glass of water.
Follow all directions given to you by your doctor and pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
When to take it
PHARMACOR EZETIMIBE may be taken at any time of the day.
It does not matter if you take PHARMACOR EZETIMIBE with or without food.
However, take it about the same time each day. Taking PHARMACOR EZETIMIBE at the same time each day will have the best effect. It will also help you remember when to take the dose.
Your doctor may ask you to take PHARMACOR EZETIMIBE with other cholesterol- lowering medicines, such as statins, to help you better control your cholesterol.
If you are taking a statin, PHARMACOR EZETIMIBE can be taken at the same time as the statin.
If you are ta
king a bile acid
sequestrant, such as cholestyramine, take your PHARMACOR EZETIMIBE either at least two hours before or four hours after taking the bile acid sequestrant.
How long to take it
PHARMACOR EZETIMIBE helps lower your cholesterol. It does not cure your condition.
Therefore, you must continue to take it as directed by your doctor if you expect to lower your cholesterol and keep it down.
You may have to take cholesterol lowering medicine for the rest of your life. If you stop taking PHARMACOR EZETIMIBE, your cholesterol levels may rise again.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking your tablet(s) as you would normally.
If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
Do not take a double dose to make up for the dose that you missed.
If you have trouble remembering to take your tablets, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26), or go to accident and emergency at your nearest hospital, if you think that you or anyone else may have taken too much PHARMACOR EZETIMIBE. Do this even if there are no signs of discomfort or poisoning.
While you are using PHARMACOR EZETIMIBE
Things you must do
If you become pregnant while taking PHARMACOR EZETIMIBE, tell your doctor.
Have your blood fats checked when your doctor says, to make sure PHARMACOR EZETIMIBE is working. Even if you are taking medicines to treat high cholesterol, it is important to have your cholesterol measured regularly. You should also know your cholesterol levels and goals.
If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking PHARMACOR EZETIMIBE.
If you are prescribed PHARMACOR EZETIMIBE with a statin, your doctor will do blood tests to check that there are no problems with your liver.
Things you must not do
Do not give PHARMACOR EZETIMIBE to anyone else, even if they have the same condition as you.
Things to be careful of
Be careful driving or operating machinery until you know how PHARMACOR EZETIMIBE affects you. There have been side effects reported with PHARMACOR EZETIMIBE that may affect your ability to drive or operate machinery. Individual responses to PHARMACOR EZETIMIBE may vary.
High cholesterol can be treated in two main ways:
Lifestyle Changes –
this includes a cholesterol-lowering diet, increasing physical activity, and weight management. Ask your doctor for advice before increasing physical activity.
Cholesterol-lowering medicines are used together with lifestyle changes to help lower cholesterol.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking PHARMACOR EZETIMIBE.
PHARMACOR EZETIMIBE helps most people with high cholesterol, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor immediately or go to accident and emergency at your nearest hospital if you notice any of the following:
- swelling of the face, lips, mouth, throat or tongue which may cause difficulty in swallowing or breathing
These may be serious side effects. If you have them, you may have had a serious allergic reaction to PHARMACOR EZETIMIBE. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Tell your doctor immediately if you notice any of the following:
- skin rash and hives
- raised red rash, sometimes with target-shaped lesions
- darkcoloured urine
- lightcoloured bowel motions
- yellowing of the skin and eyes
- joint pain
- bleeding or bruising more easily than normal
- steady abdominal pain with nausea and vomiting
These may be serious side effects. You may need urgent medical attention. Serious side effects are rare.
Tell your doctor immediately if you notice the following:
- unexplained muscle aches, tenderness or weakness, not caused by exercise
This may be a serious side effect. This is because on rare occasions, muscle problems can be serious, including muscle breakdown resulting in kidney damage. You may need urgent medical attention.
Serious side effects are rare.
Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects.
Additionally, the following side effects have been reported with use of PHARMACOR EZETIMIBE:
- wind or excessive gas in the stomach or bowel
- decreased appetite
- dry mouth
- abdominal pain
- inflammation of the pancreas
- tingling or numbness of the hands or feet
- inflammation of the gallbladder
- elevations in some laboratory blood test of liver or muscle function
- unusual tiredness or weakness
- muscle spasms
- neck pain
- chest pain
- pain in arms and legs
- back pain
- hot flush
- high blood pressure
- swelling, especially in the hands and feet
In adolescent patients (10 to 17 years of age) there have been no studies longer than one year of the effect of taking PHARMACOR EZETIMIBE in combination with simvastatin on bone development, growth, social and emotional development, or fertility
Do not be alarmed by these lists of possible side effects. You may not experience any of them.
After using PHARMACOR EZETIMIBE
Keep your tablets in the blister pack or bottle pack until it is time to take them. If you take the tablets out of the blister pack or bottle pack they may not keep well.
Store below 25°C. Store in dry place.
Do not store it or any other medicine in the bathroom or near a sink.
Do not leave it in the car or on window sills. Heat and dampness can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and- a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking PHARMACOR EZETIMIBE or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
What it looks like
PHARMACOR EZETIMIBE comes as a White to off white capsule shaped, flat faced, beveled edge tablets, debossed with 'A25' on one side and plain on other side.
PHARMACOR EZETIMIBE tablets are packed in PVC/ACLAR-Alu Blister Pack and HDPE bottle with PP child resistant closure.
Pack size*:10 tablets or 30 tablets in blister pack
30 tablets or 90 tablets in bottle pack
*Not all pack size may be marketed.
10 mg ezetimibe per tablet
- Lactose monohydrate
- Croscarmellose sodium
- Sodium Lauryl Sulfate
- Microcrystalline cellulose
- Magnesium stearate
PHARMACOR EZETIMIBE is supplied in Australia by:
PHARMACOR PTY. LTD CHATSWOOD, NS
Australian Register Number:
PHARMACOR EZETIMIBE 10 mg- AUST R 276974
PHARMACOR EZETIMIBE 10 mg- AUST R 276975
This leaflet was prepared in 02/2018.
Published by MIMS April 2019