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Praluent® Injection for High Cholesterol
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This prescription injection helps lower LDL cholesterol in adults who need more than diet and statins. It supports long-term risk reduction for certain heart conditions. This page explains how it works, who it may suit, and how to order with US delivery from Canada. It also covers typical access for praluent without insurance.
What Praluent Is and How It Works
Praluent® is alirocumab, a PCSK9 inhibitor. It helps your liver remove more LDL cholesterol from the blood. It is used along with diet and, often, a statin. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
This medicine binds to PCSK9 proteins and helps keep LDL receptors available. More receptors mean more LDL is cleared. The treatment is given by subcutaneous injection with a prefilled pen.
Who It’s For
This therapy is for adults with atherosclerotic cardiovascular disease needing further LDL reduction. It is also for adults with familial hypercholesterolemia. Your prescriber may consider it when statins and diet are not enough.
People with a history of severe hypersensitivity to components should not use it. Discuss pregnancy and breastfeeding plans with your healthcare professional. Review your cardiovascular goals and background therapy. You can learn more about the condition at High Cholesterol and Familial Hypercholesterolemia categories.
Some patients use it with other lipid-lowering options. Your prescriber may evaluate add-on therapy such as Atorvastatin, Rosuvastatin, or Ezetimibe based on your goals.
Dosage and Usage
Follow the dosing schedule on your prescription. In general, this therapy is injected under the skin on a regular schedule, either every two weeks or once monthly. Your prescriber will choose a starting schedule and may adjust if more LDL reduction is needed.
Read the patient information and Instructions for Use before your first dose. Wash and dry your hands. Choose an injection site on the thigh, abdomen, or upper arm if a caregiver injects it. Rotate sites with each dose and avoid areas that are tender, bruised, or scarred. Allow time for the pen to reach room temperature as directed in the guide. Do not shake, do not freeze, and do not use if the solution is cloudy or discolored.
If you are unsure about timing or technique, contact your prescriber or pharmacist. Do not change your schedule without medical guidance.
Strengths and Forms
This treatment is supplied as single-use prefilled pens for subcutaneous injection. Commonly available concentrations include 75 mg/mL and 150 mg/mL. Availability may vary by market and lot. Your prescription will specify the presentation.
Missed Dose and Timing
If you miss a dose, check how much time has passed. When the label instructions allow a window, take it as soon as possible within that window and then resume your regular schedule. If you miss the window, skip the missed dose and take the next dose at the usual time. Do not take extra injections to make up for a missed dose. If you are unsure, consult the official patient leaflet or your healthcare professional.
Storage and Travel Basics
Keep pens in their original carton to protect from light. Store unopened pens in the refrigerator unless your label states otherwise. Do not freeze. When traveling, use an insulated bag with cold packs to keep within recommended temperatures, and keep pens away from direct contact with ice. Once a pen has been out of refrigeration for the allowable period listed in the patient leaflet, do not return it to the fridge. Keep out of reach of children and pets.
Carry your prescription or a travel letter if flying. Place pens and supplies in your carry-on. At your destination, store as directed. If you have questions about handling, speak with your pharmacist.
Pen Handling and Sharps Disposal
Use each prefilled pen one time only. Check the window and expiration date before use. After injecting, place the used pen in a FDA-cleared sharps container. If you do not have one, use a heavy-duty household container with a tight-fitting, puncture-resistant lid. Follow local or state rules for disposal. Keep containers away from children and pets. Never share your pen with anyone, even if the needle has been changed. Do not recap or reuse needles.
Benefits
PCSK9 inhibition can provide additional LDL lowering on top of diet and statins. The class works independently of statin pathways, so it may help when statins alone are not enough. Prefilled pens offer at-home dosing on a schedule aligned to your goals. This approach may support long-term lipid management when combined with lifestyle changes and other therapies as advised.
Side Effects and Safety
- Injection site reactions such as redness, itching, or swelling
- Upper respiratory symptoms including nasopharyngitis
- Flu-like symptoms or cough
- Muscle aches
Serious allergic reactions can occur, though they are uncommon. Stop the medicine and seek urgent care for symptoms like trouble breathing, widespread rash, or severe swelling. Report persistent or worsening effects to your prescriber. People on multiple lipid-lowering therapies should be monitored to ensure LDL does not fall too low.
Drug Interactions and Cautions
Few drug interactions are known for this class. Still, tell your prescriber about all medicines, supplements, and herbal products you take. Use caution when combining with other potent LDL-lowering treatments. Discuss plans for pregnancy or breastfeeding. People with a history of severe hypersensitivity to components should not use it. For broader heart health topics, see Cardiovascular resources and the article The Skinny On High Cholesterol.
What to Expect Over Time
Your clinician will monitor LDL levels and adjust therapy if needed. Some people see changes on routine labs after staying consistent with the schedule. Keep appointments and continue background therapies unless advised otherwise. If you experience side effects, discuss options to improve tolerability. Lifestyle steps such as diet, exercise, and smoking cessation remain important. Regular review supports long-term risk reduction.
Compare With Alternatives
Other options include PCSK9-targeted or siRNA-based therapies. Repatha is another PCSK9 inhibitor with a similar mechanism and prefilled devices. Leqvio uses small interfering RNA to reduce PCSK9 production and is given less frequently in a clinic. When comparing choices, discuss goals, dosing schedules, and alirocumab cost with your prescriber.
Pricing and Access
We list transparent options so you can compare praluent price across available packs. You can also review alirocumab price to understand typical cash-pay levels. Ordering is straightforward with a valid prescription, and your information is protected with encrypted checkout. We provide US shipping from Canada for eligible orders. Your prescriber can send us the script directly, or you can upload it during checkout.
If you use insurance, confirm coverage and prior authorization needs with your plan. For self-pay, many people coordinate fills around lab visits to streamline care. Check our site for current availability before you place an order.
Availability and Substitutions
Supply can vary by strength and pack size. If an item is unavailable, your prescriber may recommend a therapeutically appropriate alternative. Discuss device preference, dose schedule, and alirocumab injection price when considering substitutions. We cannot guarantee restock dates, but our team can help you review in-stock options on the site.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need significant LDL reduction beyond diet and statins. It may not be appropriate for people with a known allergy to ingredients. To help manage praluent cost, consider multi-month supplies when approved by your prescriber. Set refill reminders tied to your injection schedule. Keep a spare pen on hand when traveling. Ask your clinician about optimizing background therapy to meet LDL goals with the fewest products necessary.
Questions to Ask Your Clinician
- LDL targets: What is my goal and how will we track it?
- Schedule fit: Which dosing interval best suits my routine?
- Background therapy: Which statin or add-on should I keep?
- Side effects: What symptoms should I report right away?
- Travel: How should I pack pens for flights and road trips?
- Follow-up: When should I repeat labs and check in?
Authoritative Sources
Ready to proceed? Place your order at YouDrugstore for temperature-controlled handling when required and prompt, express, cold-chain shipping that Ships from Canada to US. Always use as directed by your prescriber. This content is educational and not a substitute for medical advice or the official label.
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How is this injection different from a statin?
Statins reduce cholesterol by slowing its production in the liver. This injection helps the liver clear LDL by blocking the PCSK9 pathway. Many people use both together when diet and statins alone are not enough. Your clinician will decide if you need add-on therapy based on your LDL goal, medical history, and tolerability. Always follow the plan on your prescription label.
How soon might cholesterol levels change after starting?
Your clinician will monitor LDL on routine labs. Some people see changes after staying consistent with their dosing schedule. Results vary, and timelines depend on your plan, adherence, and background therapy. Keep appointments, continue your diet and exercise program, and ask your prescriber when to recheck labs.
Can I inject it in the same spot each time?
Rotate injection sites. Use the thigh, abdomen, or upper arm if a caregiver injects it. Avoid areas that are tender, bruised, hardened, or scarred. Rotating sites helps reduce local reactions. Review the Instructions for Use that come with the pen before your first dose, and ask your pharmacist if you are unsure about technique.
What if I accidentally leave a pen out of the fridge?
Check the patient leaflet for the allowed time at room temperature. If the pen has been out longer than permitted, do not use it. Do not refreeze or return it to the refrigerator once it has been at room temperature beyond the limit. When in doubt, contact your pharmacist for guidance on proper handling and replacement.
Can I use it during pregnancy or while breastfeeding?
There is limited information about use during pregnancy and breastfeeding. Discuss your plans with your clinician before starting or continuing therapy. Your prescriber will weigh potential benefits and risks and may suggest alternative approaches. Do not start, stop, or change therapy without medical advice.
Do I need to stop my statin or ezetimibe when starting?
Many patients continue background lipid-lowering therapy. Your clinician will decide whether to keep or adjust other medicines based on goals and tolerability. Do not make changes on your own. Combining therapies may be appropriate for certain people who need additional LDL reduction. Follow your prescription label and scheduled follow-up plan.
How do I dispose of used pens safely?
Place used pens immediately in a FDA-cleared sharps container. If unavailable, a heavy-duty household container with a tight lid can work temporarily. Keep containers out of reach of children and pets. Follow local rules for disposal or community drop-off programs. Never share devices or reuse needles.

