Efficacy of Combination Therapy of Rosuvastatin and Ezetimibe vs Rosuvastatin Monotherapy on Lipid Profile of Patients with Coronary Artery Disease

Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 12

Abstract

Introduction: Dyslipidaemia is one of the most important modifiable risk factor for the development of Coronary Artery Disease (CAD). Although, statins are established as first line lipid-lowering therapy, they may not be able to achieve treatment goals in significant number of patients. Combination therapy of statin with a non-statin drug like Ezetimibe is a therapeutic option. Aim: To compare the efficacy and safety of Rosuvastatin/ Ezetimibe combination therapy vs Rosuvastatin alone on the lipid profile of patients with CAD in Northern India. Materials and Methods: This randomized prospective study was conducted on 80 patients of CAD presenting to Department of Medicine, Government Medical College, Patiala, Punjab, India. The patients were randomly divided into age and sex matched two groups of 40 each. After baseline investigations and lifestyle modifications, Group I was started on rosuvastatin 10 mg once daily, while Group II was started on rosuvastatin 10 mg+ezetimibe 10 mg daily. The fasting serum lipid profile was repeated initially after 12 weeks and then after 24 weeks. The two groups were observed for side effects which were noted. Results: The combination therapy of rosuvastatin and ezetimibe resulted in significantly higher change in all lipid parameters (LDL-C, TC, TG, HDL-C) as compared to treatment with rosuvastatin alone. There was no difference in the adverse effects seen after treatment in the two groups. Conclusion: Our study showed that combination therapy of ezetimibe with rosuvastatin can be used as an effective and safe therapy in high risk patients of CAD, especially in patients in whom statin monotherapy is not able to achieve the target lipid levels.

Authors and Affiliations

Sandeep Joshi, Ruby Sharma, Harbir Kaur Rao, Udit Narang, Nitin Gupta

Keywords

Related Articles

Effect of Group Assertiveness-Based Sexual Counseling on Marital Satisfaction among Female University Students

ABSTRACT Introduction: Sexual assertiveness is one of the factor affecting sexual performance as well as the satisfaction and quality of marital relationship. Aim: To determine the effect of assertiveness-based sexual gr...

Effect of BMI, Body Fat Percentage and Fat Free Mass on Maximal Oxygen Consumption in Healthy Young Adults

Introduction: Maximal oxygen consumption (VO2max) is an important measure of cardiorespiratory capacity of an individual at a given degree of fitness and oxygen availability. Risk of cardiovascular diseases increases wit...

Role of Nuclear Morphometry as Objective Parameter to Evaluate Cytology Smears of Epithelial Breast Lesions

Introduction: Most of the breast lesions (both benign and malignant) present as palpable swelling in the organ and Fine Needle Aspiration Cytology (FNAC) is regarded as first-line of investigation along with other ancill...

Comparison of Plasma Levels of Renin, Vasopressin and Atrial Natriuretic Peptide in Hypertensive Amlodipine Induced Pedal Oedema, Non-Oedema and Cilnidipine Treated Patients

Introduction: Amlodipine is a third generation dihydropyridine group of calcium channel blocker and having an excellent antihypertensive profile. Pedal Oedema (PE) is the major drawback of amlodipine therapy and the inci...

Estimation of Chemical Composition of Renal Stones: An Observational Study from a Tertiary Care Centre of North East India

ABSTRACT Introduction: Qualitative analysis of renal stone provides valuable information on both their aetiology and origin which, can help in the treatment and prevention of recurrence of nephrolithiasis. Aim: To determ...

Download PDF file
  • EP ID EP367765
  • DOI 10.7860/JCDR/2017/30458.11004
  • Views 38
  • Downloads 0

How To Cite

Sandeep Joshi, Ruby Sharma, Harbir Kaur Rao, Udit Narang, Nitin Gupta (2017). Efficacy of Combination Therapy of Rosuvastatin and Ezetimibe vs Rosuvastatin Monotherapy on Lipid Profile of Patients with Coronary Artery Disease. Journal of Clinical and Diagnostic Research, 11(12), 28-31. https://europub.co.uk/articles/-A-367765