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Ezetimibe 10 mg Tablets for High Cholesterol
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Ezetimibe is a cholesterol-lowering medicine used with diet. It can be taken alone or with a statin to help reduce LDL cholesterol. This page explains how the treatment works, who it suits, and how to use it, with US delivery from Canada and options if you pay without insurance.
What Ezetimibe Is and How It Works
Ezetimibe reduces the absorption of cholesterol in the small intestine by blocking the Niemann-Pick C1-Like 1 (NPC1L1) transporter. Lower absorption leads to less cholesterol delivered to the liver, which can help reduce LDL cholesterol in the blood. It may be used alone or combined with a statin when additional LDL lowering is needed. The active ingredient is the same as in Zetia®.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
As a selective inhibitor of cholesterol uptake, this medicine works differently from statins. It targets dietary and biliary cholesterol rather than production in the liver. The treatment can be paired with diet and exercise for a comprehensive plan. One daily dose is typical, and it may be taken with or without food for convenience.
Many people use this therapy when statins alone are not enough or are not tolerated. Clinicians may also consider it for rare conditions involving plant sterols. Decisions about combinations and monitoring follow the official label and your prescriber’s guidance.
Who It’s For
This medicine is used to help lower LDL cholesterol in adults, and in some adolescents as directed by a clinician, when added to diet. It can be used alone for primary hypercholesterolemia, or with a statin when more LDL reduction is required. It may also be used for certain inherited lipid disorders under specialist care.
People with active liver disease or unexplained persistent liver enzyme elevations should avoid use with a statin. Discuss pregnancy or breastfeeding with your prescriber; lipid-lowering therapy may be paused during pregnancy. Share all medicines and supplements you take before starting therapy. Learn more about related conditions in our resources for High Cholesterol, Familial Hypercholesterolemia, and Cardiovascular.
Dosage and Usage
The usual schedule is one tablet once daily. It can be taken with or without food at the same time each day. If a prescriber adds a statin, both are typically taken once daily. When used with bile acid sequestrants, timing may need separation. The label advises taking this medicine either at least two hours before or four hours after cholestyramine or similar agents.
Take tablets whole with a glass of water. Do not crush unless your prescriber confirms it is appropriate. If you also take fenofibrate or a statin, your clinician will set the plan and monitor labs as needed. Always follow the official prescribing information and your prescriber’s instructions. For reference, many patients are prescribed an ezetimibe 10 mg tablet once daily.
Strengths and Forms
Film-coated tablets are commonly available in 10 mg strength. Packaging and manufacturer may vary by availability.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is almost time for your next dose, skip the missed dose. Do not double up to catch up. Keeping a simple routine, such as pairing with a daily habit, can help maintain consistent use.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excess heat and moisture. Keep them in the original packaging with the label intact. Always keep out of reach of children and pets. When traveling, carry your medicine in hand luggage with a copy of your prescription. Follow local regulations for personal medications, and do not transfer tablets to unlabelled containers. If crossing time zones, continue one daily dose at a similar time.
For extended trips, bring enough supply plus a small buffer in case of delays. Do not store in a car where temperatures may swing. If your clinician adjusts therapy or adds another agent, carry an updated medication list while traveling. This helps avoid confusion at security or with emergency care.
Benefits
This medicine can help lower LDL cholesterol when used with diet. It works through a different pathway than statins, so combining them may provide additional LDL reduction. Once-daily dosing supports adherence. It can be taken with or without food, making daily routines simpler. For individuals who do not tolerate higher statin doses, adding this therapy may be considered to help meet goals set by a prescriber.
In certain inherited lipid conditions, clinicians may use this class to reduce sterol absorption. The treatment is generally well tolerated. Regular follow-up helps guide whether adjustments or additions are needed.
Some patients search for information using terms like Zetia ezetimibe 10 mg when comparing options and background.
Side Effects and Safety
- Common: headache, diarrhea, abdominal pain, fatigue
- With a statin: possible elevations in liver enzymes
- With fibrates: risk of gallstones may increase
- Other reported: muscle pain, joint pain, cough, rash
Serious effects are uncommon but can include liver problems, allergic reactions, or muscle-related effects, especially when combined with a statin. Seek urgent care for signs of severe muscle pain with weakness, dark urine, yellowing of the skin or eyes, or swelling of the face or throat. Your prescriber may monitor liver enzymes when the medicine is used with a statin. Report any unexplained muscle symptoms promptly.
Drug Interactions and Cautions
Tell your clinician about all medicines, vitamins, and herbal products. Bile acid sequestrants such as cholestyramine can reduce absorption; separate dosing as described on the label. Cyclosporine can increase levels of this medicine; closer monitoring may be needed. Combining with statins can elevate the risk of liver enzyme increases or rare muscle problems. Fibrates may raise the risk of gallstones when used with this therapy.
Warfarin or other anticoagulants may require closer INR monitoring when starting or changing therapy. Always review the full prescribing information and consult your healthcare professional before adding or stopping any medicine. Explore related information in our Mixed Dyslipidemia guide and this article, The Skinny On High Cholesterol.
What to Expect Over Time
With consistent use and dietary changes, many people see qualitative improvements in their lipid panel over time. Your clinician may check cholesterol periodically to assess response. If additional lowering is needed, they may adjust your plan or add another therapy. Sticking to a daily routine and not missing doses helps your prescriber interpret results clearly. Continue lifestyle measures, including diet and physical activity, alongside treatment.
Compare With Alternatives
When more LDL reduction is needed, prescribers often consider a statin such as Rosuvastatin Calcium. If statins are not tolerated or goals remain unmet, a PCSK9 inhibitor like Repatha may be considered for certain patients. Each option has specific indications, administration, and monitoring requirements. Your clinician will tailor therapy based on your history and targets.
Pricing and Access
Canadian pharmacy options can offer competitive access. Check current ezetimibe 10 mg price by adding the product to your cart and following the steps to view available manufacturers. This item Ships from Canada to US with prescription review before dispensing. Compare generic options and discuss any specific manufacturer needs with your prescriber.
Looking for coupons? See our current offers on the Promotions page. You can complete secure checkout online and track your order status from your account.
Availability and Substitutions
Availability can vary by manufacturer. If stock is limited, your prescriber may recommend a suitable alternative or a different manufacturer of the same medicine. We cannot promise restock dates, but our team can help coordinate options with your clinician as appropriate.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults needing additional LDL lowering beyond diet. It can be considered when statin doses cannot be increased or are not tolerated. It is not for everyone, including those with certain liver issues when combined with a statin. Multi-month supplies can reduce refill interruptions and may lower per-fill fees. Set reminders for refills so you do not run out between visits. If you pay cash, compare the ezetimibe 10 mg cash price to see potential savings. Some patients also manage costs by syncing refills across medicines.
Review our heart-health topics, including World Heart Day 2025, for broader prevention insights and links to tools you can discuss with your care team.
Questions to Ask Your Clinician
- Should I use this medicine alone, or together with a statin?
- How will we monitor my liver enzymes and muscle symptoms?
- Do I need to separate doses if I also take a bile acid sequestrant?
- What diet changes pair best with this therapy?
- Could fibrates or other agents be added, and what are the risks?
- How often should my cholesterol be checked?
Authoritative Sources
- Zetia (ezetimibe) Prescribing Information – DailyMed
- Ezetimibe – Health Canada Drug Product Database
- Manufacturer PI – Zetia
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How is ezetimibe different from a statin?
Ezetimibe works in the intestine to reduce cholesterol absorption, while statins act in the liver to reduce cholesterol production. Because they target different steps, clinicians may combine them for additional LDL reduction. Some people who cannot raise their statin dose may use ezetimibe instead of increasing the statin. Your prescriber will consider your lipid profile, other medicines, and overall risk before deciding on a plan.
Can I take ezetimibe with cholestyramine or other bile acid sequestrants?
Yes, but spacing matters. Bile acid sequestrants can bind many medicines in the gut, lowering absorption. Label guidance advises taking ezetimibe at least two hours before or four hours after cholestyramine or similar agents. Your prescriber can confirm a schedule that fits your routine. If you take multiple medicines in the morning, a simple pillbox and timing plan can help avoid missed or closely spaced doses.
Do I need blood tests while on ezetimibe?
Your clinician may check your lipid panel to see how well the therapy supports your goals. If you take ezetimibe with a statin, they may also monitor liver enzymes, especially after starting or changing doses. Report any unexplained muscle pain or weakness promptly. Keep all scheduled lab appointments, and bring an updated medication list to visits so your prescriber can review possible interactions and adjust your plan if needed.
Should I take ezetimibe with food?
You can take ezetimibe with or without food. Consistency helps. Pick a time that fits your routine and stick with it daily. If a prescriber adds a statin or fenofibrate, follow their instructions on timing and monitoring. When a bile acid sequestrant is also used, separate the doses as directed to reduce binding in the gut. If you have stomach upset, taking with a small meal or snack may be more comfortable.
What side effects should I watch for?
Common effects include headache, diarrhea, abdominal discomfort, or fatigue. When taken with a statin, liver enzyme elevations can occur, and muscle symptoms should be reported promptly. With fibrates, gallstone risk may increase. Serious reactions are uncommon but can include liver problems or allergic responses. Seek urgent care for severe muscle pain with weakness, yellowing skin or eyes, or swelling of the face or throat.
Is ezetimibe safe during pregnancy or breastfeeding?
Lipid-lowering therapy is often paused during pregnancy. If you are planning a pregnancy, are pregnant, or breastfeeding, speak with your prescriber about risks and alternatives. When combined with statins, use is generally avoided in pregnancy. Decisions depend on your health status and risk. Never start or stop medicines without professional guidance. Your clinician will help you weigh benefits and risks for your situation.
What if I can’t tolerate higher statin doses?
Some people experience side effects with higher statin doses. Your clinician may consider adding ezetimibe to a lower statin dose to support LDL reduction without increasing statin exposure. Other options, such as PCSK9 inhibitors, might be considered for certain patients with high cardiovascular risk. The best choice depends on your history, targets, and response to prior therapies.

