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Cholesterol Management
Buy cholesterol medicines here, from everyday statins such as atorvastatin, simvastatin and rosuvastatin to ezetimibe, bempedoic acid, fenofibrate for triglycerides and Questran sachets.
Atorvastatin
10/20/40/80mg
Atorvastatin tablets in 10mg, 20mg, 40mg and 80mg, a statin used to lower LDL cholesterol and to cut the risk of heart attack and stroke, with the full strength range on one listing.
Bempedoic acid
180mg
Bempedoic acid 180mg tablets, taken once a day to lower LDL cholesterol and cut the risk of heart attack and stroke, sold in packs of 30 to 180.
Fenofibrate
160/200mg
Fenofibrate 160mg and 200mg tablets, taken once daily to bring down high triglycerides and treat mixed dyslipidaemia when diet changes alone have not been enough, in packs of 30 to 360.
Your blood test says LDL is too high, or triglycerides are. Which tablet fits depends on which fat is the problem, so this category is laid out by how each medicine works. Statins take up most of the shelf. The others act in the gut, in the liver by a second route, or on triglycerides.
Statins slow the liver's own cholesterol production, which pulls down LDL ("bad") cholesterol in the blood and, over the years, the chance of a heart attack or stroke. Atorvastatin is listed twice, as plain Atorvastatin in 10mg, 20mg, 40mg and 80mg tablets and as generic Lipitor up to 40mg. Simvastatin and generic Zocor both run from 5mg to 40mg, and simvastatin is the statin that is usually taken in the evening. Rosuvastatin is here as generic Crestor in 5mg, 10mg and 20mg. Livalo is pitavastatin, a newer statin, in 1mg, 2mg and 4mg tablets.
Ezetimibe goes after cholesterol from food and bile before the gut can absorb it. The Ezetimibe 10mg tablet can be taken alone or on top of a statin, and Roszet puts 10mg of rosuvastatin and 10mg of ezetimibe in one tablet, so a person does not have to keep track of two. Bempedoic acid 180mg, sold as Bempedoic Acid and Nexletol, uses the same liver pathway as the statins but is switched on only in the liver, not in muscle. It can raise uric acid, and gout flare-ups are a known effect.
When the blood test shows high triglycerides (a different blood fat from cholesterol) or both fats raised together, fenofibrate is the medicine in this category built for it. It comes as Fenofibrate 160mg and 200mg tablets.
Questran is the odd one out. It is cholestyramine, a powder in 4g sachets that is stirred into water or another drink, never swallowed dry. It binds bile acids in the gut, which makes the liver draw cholesterol out of the blood to produce more of them. Questran is also used for itching caused by a partly blocked bile duct. Constipation and bloating are its usual complaints, and other tablets are best taken well apart from it, an hour before or four to six hours after.
Nearly all of these are one tablet a day, with or without food. Pick a time that suits you and keep to it. You will not feel high cholesterol, so there is nothing to tell you it is working until the next blood test. On a statin, muscle pain you cannot explain, dark urine or yellow skin or eyes needs prompt attention. Grapefruit juice is the one food to watch with atorvastatin and simvastatin, because a lot of it raises their levels. Keep the packs dry and out of the heat.
You can buy atorvastatin and generic Lipitor tablets in 10mg to 80mg strengths. Rosuvastatin is listed as generic Crestor 5mg to 20mg, simvastatin and generic Zocor in 5mg to 40mg, and ezetimibe 10mg tablets. Fenofibrate tablets are 160mg and 200mg, bempedoic acid and generic Nexletol are 180mg, and cholestyramine comes as 4g sachets.
Yes, atorvastatin and generic Lipitor are both listed as tablets in 10mg to 80mg strengths. Rosuvastatin is listed as generic Crestor in 5mg, 10mg and 20mg tablets. Simvastatin and generic Zocor come in 5mg to 40mg tablets.
Orders arrive in plain, unbranded packaging. Tracked courier takes 5–9 business days; standard airmail takes 14–21 business days and is untracked. See delivery and ordering details.
Statins mainly lower LDL cholesterol by slowing its production in the liver. Fenofibrate is a fibrate, which mainly lowers triglycerides, the other blood fat. That is why the two sit side by side here: one targets cholesterol, the other triglycerides.
Yes. Ezetimibe works on its own, because it blocks cholesterol absorption in the gut rather than its production in the liver. It is also often added to a statin, and the Roszet tablet combines the two in a single pill.
Stir the powder from one 4g sachet into water, juice or another drink, or mix it into soft food, and then take it. It is never taken dry. Take other medicines an hour before it or four to six hours after, because it can hold them back in the gut.
Atorvastatin and rosuvastatin stay active long enough to be taken morning or night, as long as it is the same time daily. Simvastatin is the one usually taken in the evening, when the liver makes most of its cholesterol.