ead to increases in plasma concentrations of the atorvastatin component of LIPTRUZET. The extent of interaction and potentiation of effects depends on the variability of effect on cytochrome P450 3A4.
Ezetimibe
Table 5: Effect of Coadministered Drugs on Total Ezetimibe Coadministered Drug and Dosing Regimen Total Ezetimibe *
Change in AUC Change in Cmax
* Based on 10-mg dose of ezetimibe
† Post-renal transplant patients with mild impaired or normal renal function. In a different study, a renal transplant patient with severe renal impairment (creatinine clearance of 13.2 mL/min/1.73 m2) who was receiving multiple medications, including cyclosporine, demonstrated a 12-fold greater exposure to total ezetimibe compared to healthy subjects.
‡ See Drug Interactions (7)
§ Supralox® , 20 mL
Cyclosporine-stable dose required (75-150 mg BID)†, ‡ ↑240% ↑290%
Fenofibrate, 200 mg QD, 14 days ‡ ↑48% ↑64%
Gemfibrozil, 600 mg BID, 7 days ‡ ↑64% ↑91%
Cholestyramine, 4 g BID, 14 days ‡ ↓55% ↓4%
Aluminum & magnesium hydroxide combination antacid, single dose § ↓4% ↓30%
Cimetidine, 400 mg BID, 7 days ↑6% ↑22%
Glipizide, 10 mg, single dose ↑4% ↓8%
Statins
Lovastatin 20 mg QD, 7 days ↑9% ↑3%
Pravastatin 20 mg QD, 14 days ↑7% ↑23%
Atorvastatin 10 mg QD, 14 days ↓2% ↑12%
Rosuvastatin 10 mg QD, 14 days ↑13% ↑18%
Fluvastatin 20 mg QD, 14 days ↓19% ↑7%
Table 6: Effect of Ezetimibe Coadministration on Systemic Exposure to Other Drugs Coadministered Drug and its Dosage Regimen Ezetimibe Dosage Regimen Change in AUCof Coadministered Drug Change in Cmax of Coadministered Drug
* See Drug Interactions (7)
Warfarin, 25 mg single dose on Day 7 10 mg QD, 11 days ↓2% (R-warfarin)↓4% (S-warfarin) ↑3% (R-warfarin)↑1% (S-warfarin)
Digoxin, 0.5 mg single dose 10 mg QD, 8 days ↑2% ↓7%
Gemfibrozil, 600 mg BID, 7 days * 10 mg QD, 7 days ↓1% ↓11%
Ethinyl estradiol & Levonorgestrel, QD, 21 days 10 mg QD, Days 8-14 of 21 d oral contraceptive cycle Ethinyl estradiol0%Levonorgestrel0% Ethinyl estradiol↓9%Levonorgestrel↓5%
Glipizide, 10 mg on Days 1 and 9 10 mg QD, Days 2-9 ↓3% ↓5%
Fenofibrate, 200 mg QD, 14 days * 10 mg QD, 14 days ↑11% ↑7%
Cyclosporine, 100 mg single dose Day 7* 20 mg QD, 8 days ↑15% ↑10%
Statins
Lovastatin 20 mg QD, 7 days 10 mg QD, 7 days ↑19% ↑3%
Pravastatin 20 mg QD, 14 days 10 mg QD, 14 days ↓20% ↓24%
Atorvastatin 10 mg QD, 14 days 10 mg QD, 14 days ↓4% ↑7%
Rosuvastatin 10 mg QD, 14 days 10 mg QD, 14 days ↑19% ↑17%
Fluvastatin 20 mg QD, 14 days 10 mg QD, 14 days ↓39% ↓27%
Atorvastatin
Table 7: Effect of Coadministered Drugs on the Pharmacokinetics of Atorvastatin Coadministered Drug and Dosing Regimen Atorvastatin
Dose (mg) Change in AUC * Change in Cmax *
* Data given as x-fold change represent a simple ratio between coadministration and atorvastatin alone (i.e., 1-fold = no change). Data given as % change represent % difference relative to atorvastatin alone (i.e., 0% = no change).
† See Warnings and Precautions (5.1) and Drug Int