Repatha Is Approved For Use In Children
Praluent is not FDA approved for use in people under the age of 18 years old. Repatha, however, is FDA approved to treat high LDL-cholesterol levels in children aged 10 years and older. Repatha is only recommended to children in combination with a proper diet and other cholesterol-lowering medications.
|Main differences between Praluent and Repatha|
|Adults and children aged 10 years and older|
Evolocumab Doesn’t Worsen Glycemia Or Up Diabetes Risk: Fourier
LISBON, PORTUGAL In patients with atherosclerotic cardiovascular disease and blood lipid levels that were inadequately controlled with a statin, the proprotein convertase subtilisin kexin type 9 inhibitor evolocumab did not worsen diabetes or increase the odds of developing diabetes within 2 years, in a prespecified analysis of the FOURIER study.
Compared with placebo, evolocumab reduced the risk of the primary composite outcome of cardiovascular death, myocardial infarction , stroke, hospital admission for unstable angina, or coronary revascularization during follow-up by 17% in the patients with diabetes and by 13% in patients without diabetes, according to these latest data, reported at the European Association for the Study of Diabetes 2017 Annual Meeting last week.
“What we’ve shown here is that evolocumab results in additional cardiovascular benefit is a good treatment option in patients with diabetes who can’t achieve target,” second author Lawrence A Leiter, MD, University of Toronto, Ontario, told Medscape Medical News.
Importantly, “as typically used, as an add-on to statin, evolocumab was not associated with an increased risk for diabetes.”
The new analysis, with lead author Marc S Sabatine, MD, Harvard Medical School, Boston, Massachusetts, was simultaneously published in Lancet Diabetes and Endocrinology.
But cost and access remain issues, they stress.
Does Evolocumab Increase Risk of Diabetes?
Cost and Access Remain Issues
Does Repatha Cause Liver
Keep in mind that other drugs your doctor may prescribe along with Repatha to lower your cholesterol may have liver-related side effects.
For example, statin drugs such as Lipitor and Crestor may cause certain liver problems. If you take these drugs together with Repatha, theres a risk you may have liver-related side effects from the statin. But these side effects are not caused by Repatha.
Talk with your doctor or pharmacist if you have concerns about what side effects to expect from Repatha.
Learn more about some of the side effects Repatha may cause.
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Are There Any Side Effects Specific To Repatha Sureclick Injections
No, the side effects of Repatha SureClick injections should be the same as those for the prefilled syringes and the Pushtronex device.
One of the more common side effects of Repatha SureClick injections and other forms of Repatha is injection site reactions. The most common kinds of reactions reported in Repathas studies were discoloration, pain, and bruising at the injection site. These kinds of reactions are usually not serious.
To reduce your risk of an injection site reaction, try to inject Repatha in a different location each time you use it. You can inject Repatha into your belly, thigh, or upper arm. But avoid injecting the medication in areas where your skin is irritated, bruised, tender, or discolored.
Allowing your Repatha to come to room temperature before injecting it can help reduce pain during injection.
It is important to note that needle caps on Repatha SureClick injections are made using latex. This could cause an allergic reaction if you have a latex allergy. Be sure to tell your doctor if you have a latex or rubber allergy so they can prescribe a safe form of Repatha for you.
Talk with your doctor or pharmacist to learn more about ways to reduce your risk of side effects with Repatha.
Questions About Repathas Dosage
Here are some common questions related to Repathas dosage.
- What if I miss a dose of Repatha? If you miss a dose of Repatha, take it as soon as possible as long as its within 7 days of the missed dose. If its more than 7 days since your missed dose and you usually take a dose every 2 weeks, skip the missed dose. Then continue on with your normal schedule. If its more than 7 days since your missed dose and you take a dose once every month, inject the dose as soon as you remember. Then begin a new dosing schedule each month from the date that you inject. If you missed your dose and you dont know when to take your next dose, talk with your doctor or pharmacist. Theyll be able to recommend the best time for you to take your next dose.
- Will I need to use Repatha long term? How long should I take Repatha? Repatha is usually prescribed as a long-term treatment. If this medication is working for you, youll likely take it long term. Your doctor may recommend that you stop taking Repatha if it no longer works or if you have serious side effects from it.
- How long does Repatha take to work? Repatha will begin working as soon as you take your first dose. In studies, the drug lowered certain cholesterol levels in some people within 4 to 12 weeks. Keep in mind, you may not notice any difference in the way that you feel after starting Repatha. But its still important to continue taking the drug, even if you dont feel its effect.
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Will Repatha Cause Liver Or Kidney Problems Does It Lead To Increased Liver Enzyme Levels
Keep in mind, other medications used for cholesterol treatment may cause liver or kidney problems. This includes statin drugs. But Repatha isnt a statin.
In some cases, your doctor may recommend that you take Repatha together with a statin to treat your cholesterol. In this case, they may monitor your kidney and liver function.
If you have concerns about possible liver or kidney problems with Repatha, talk with your doctor.
When Is Your Blood Sugar Too Low
pre and submit breakfast, lunch, dinner, and bedtime In specific, observe any relations who have had diabetes, heart attacks or strokes Write down any signs you re experiencing, together with any which will seem unrelated.
A registered dietitian can help you create a meal Blood Sugar Level plan that matches your health targets, food preferences and lifestyle This will likely embody carbohydrate counting, particularly in case you have kind 1 diabetes or use insulin as a part of your remedy The higher your blood sugar ranges, the more hemoglobin you ll have with sugar connected If your blood sugar is always excessive, you have hyperglycemia, which may happen in people who don t have an excellent deal with on their diabetes If your blood sugar is beneath normal, it s known as hypoglycemia, and this can occur in diabetics in the event that they accidentally use too much of their medicine.
This is a blood check that determines your average blood sugar stage for the past two to 3 months It measures how a lot blood sugar is hooked up to hemoglobin, which is a protein in your pink blood cells that carries oxygen An A1C level of 65 or higher on two separate tests indicates that you have got diabetes Below 57 signals that you don t have these health issues.
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Triglycerides And Cholesterol Content On Trl And Their Remnants
The significant improvement in the lipid profile of individuals with T2DM with or without AD treated with evolocumab could be explained by the increase in the LDL receptor expression in the liver, which recognizes both ApoB100 on LDL and ApoE on VLDL and IDL. A recent study performed in individuals with T2D showed a significant increase in the fractional catabolic rate for smaller VLDL-apoB100 and -triglyceride and a 54% increase in the overall FCR of IDL with 12 weeks of treatment with evolocumab. Of note, ApoE is also a ligand for low-density lipoprotein receptor-related protein 1 . Since in vitro studies have shown the ability of PCSK9 to also modulate the expression in the liver of VLDL receptor, LRP1, and ApoE receptor, we cannot completely rule out an effect of PCSK9 inhibition on these metabolic pathways for the observed reduction of VLDL-C and IDL-C.
What Are The Most Common Side Effects With Repatha
Most people tolerate Repatha well. Side effects that caused people to stop treatment occurred in 2.2% of Repatha-treated patients and 1% of placebo-treated patients. Myalgia was the most common side effect that led people to stop treatment .
The most common side effects of Repatha include:
- symptoms of the common cold, like a runny nose or sore throat
- flu or flu-like symptoms
- high blood sugar levels
- redness, pain, or bruising at the injection site
To see a detailed list of Repatha side effects visit here. Be sure to tell your doctor about all of the medications you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
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Pregnancy And Breastfeeding While Using Repatha
Heres some information about pregnancy, breastfeeding, and Repatha.
Pregnancy. Its not known whether Repatha is safe to use while pregnant. The drug hasnt been studied in pregnant people.
Breastfeeding. Its not known whether its safe to breastfeed while using Repatha. Its not known whether the drug passes into human breast milk or how it could affect a breastfed child.
Talking with your doctor. If youre pregnant or thinking about becoming pregnant, talk with your doctor before using Repatha. You should also talk with them if youre breastfeeding or considering it. Your doctor can review the right treatments for you, as well as healthy ways to feed your child.
Does Repatha Cause Hair Loss
No, hair loss wasnt a side effect reported by people who used Repatha in clinical studies.
There have been a few very rare reports of hair loss in people taking a statin drug. But havent found a link between taking a statin and hair loss. Its possible that your doctor will prescribe a statin for you to use in combination with Repatha.
If you have more questions or concerns about hair loss, talk with your doctor or pharmacist.
Learn more about some of the side effects that Repatha may cause.
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Mild And Serious Side Effects
Mild and serious side effects of Repatha are listed below. These lists do not include all of Repathas possible side effects.
Mild side effects
Most times, mild side effects of a drug go away within a few days or a couple of weeks. Talk with your doctor or pharmacist if any side effects become severe or dont go away.
* This is not a complete list of Repathas mild side effects. To learn about other mild side effects of this drug, ask your doctor or pharmacist. Or you can view the drugs prescribing information. For more information about this side effect, see Repathas side effects explained below.
Serious side effects
Serious side effects from Repatha arent common, but they are possible. If you have serious side effects, call your doctor right away. However, if youre having a medical emergency or your symptoms feel life threatening, call 911 or a local emergency number.
Serious side effects, which are described in Repathas side effects explained below, can include:
If you have symptoms of high blood sugar or diabetes while taking Repatha, talk with your doctor. They may order certain tests to check your average blood sugar levels over time. And theyll recommend what to do if you have high blood sugar or diabetes.
Other Side Effects Of Repatha
In most cases, Repathas side effects are considered to be mild and less threatening. But still, there is a small possibility of developing serious side effects after taking Repatha which can even be life-threatening. Side effects might vary from person to person. Side effects of this drug depend upon 3 major factors. They are :
- Present health condition
- Other medications you take
The list below explains all possible side effects that are mild and serious after taking Repatha. Always remember to inform your doctor if you develop any symptoms as soon as possible.
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Repatha For Decreasing Ldl Cholesterol In People With Primary Hyperlipidemia
For this purpose, Repatha can be used in adults with heterozygous familial hypercholesterolemia . Repatha can also be prescribed for children ages 10 years and older with HeFH.
For treating primary hyperlipidemia, Repatha is used along with a healthy diet, as recommended by your doctor. Repatha can be used with other medications to treat your condition or used alone.
LDL cholesterol is sometimes referred to as bad cholesterol. Repatha works to lower LDL cholesterol by helping your body get rid of LDL more effectively.
Effectiveness for decreasing LDL cholesterol in adults with primary hyperlipidemia
A clinical trial has shown Repatha is effective for decreasing LDL cholesterol levels in adults with primary hyperlipidemia.
The adults first took a statin drug for 4 weeks before the study began. Then in the study they were randomly assigned to take either 140 milligrams of Repatha every 2 weeks, 420 mg of Repatha once a month, or a placebo . Each person continued taking the statin they were randomly assigned to take before the study. The researchers wanted to see how the treatments compared at lowering LDL cholesterol.
After 12 weeks:
- people who received 140 mg of Repatha every 2 weeks with a statin had their LDL levels lowered by 63%
- people who received a placebo every 2 weeks had their LDL levels increased by 8%
In addition, after 12 weeks:
What Is Repatha Used For
If you have high cholesterol, your doctor may also recommend Repatha. Its used to reduce low-density lipoprotein cholesterol levels in people with certain types of high cholesterol. Your doctor will likely prescribe Repatha along with certain dietary changes or other cholesterol medications to treat this condition. Specifically, Repatha is used to treat:
- Primary hyperlipidemia in adults.
- Heterozygous familial hypercholesterolemia or homozygous familial hypercholesterolemia in adults and children ages 10 years and older .
Repatha works to decrease LDL cholesterol by attaching itself to a protein in your body, called PCSK9. Having high cholesterol increases your risk of heart attack, stroke, and other heart problems. Repatha helps lower your risk for these issues.
If you have more questions about how this drug works, see How does Repatha work? in the What are some commonly asked questions about Repatha? section above. Also, talk with your doctor or view this video offered by the drugs manufacturer.
Before you start taking Repatha, talk with your doctor about your treatment plan. Be sure to discuss:
- your overall health
- any other medical conditions you have
- any other medications you take
Your doctor will recommend if Repatha is a safe and effective treatment option for you.
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Taking Repatha With Other Drugs
For instance, in people with homozygous familial hypercholesterolemia, Repatha should be used together with other cholesterol medications.
Examples of statins or other medications that your doctor may prescribe with Repatha include:
Talk with your doctor about the treatment plan thats best for you. They can recommend if you should take Repatha alone or together with other drugs.
Questions for your doctor
You may have questions about Repatha and your treatment plan. Its important to discuss all your concerns with your doctor.
Here are a few tips that might help guide your discussion:
- Before your appointment, write down questions such as:
- How will Repatha affect my body, mood, or lifestyle?
Bring someone with you to your appointment if doing so will help you feel more comfortable. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you.
Remember, your doctor and other healthcare professionals are available to help you. And they want you to get the best care possible. So, dont be afraid to ask questions or offer feedback on your treatment.
Dont take more Repatha than your doctor prescribes. Using more than this can lead to serious side effects.
Alcohol Intake And Diabetes
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You probably additionally know about blood sugar in the context of diabetes Type 1 diabetes is Best medicine to safely lower blood sugar a condition in which persons are unable to make insulin, so they want to inject the hormone in order to keep their blood sugar levels stable People with Type 2 diabetes, which usually happens later in life, either don t secrete insulin or are immune to it People with diabetes are all too acquainted with their blood sugar levels, however the remainder of us may not even give it some thought much However, persistently high blood sugar levels can coexist with Type 2 diabetes and trigger critical health circumstances like kidney illness, nerve issues or stroke.
Following supply, the baby could expertise low blood glucose ranges, significantly if the mother s blood glucose ranges were raised before the start People with diabetes have high blood glucose levels caused by a problem with the hormone insulin Several lab exams are useful in the administration of persistent DM Home glucose testing can show developments of hyper and hypoglycemia.
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