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1 Indications And Usage Therapy With Lipid-Altering Agents Should Be Only One Component Of Multiple Risk Factor Intervention In Individuals At Significantly Increased Risk For Atherosclerotic Vascular Disease Due To Hypercholesterolemia. Drug Therapy Is Indicated As An Adjunct To Diet When The Response To A Diet Restricted In Saturated Fat And Cholesterol And Other Nonpharmacologic Measures Alone Has Been Inadequate. Vytorin, Which Contains A Cholesterol Absorption Inhibitor And An Hmg-Coa Reductase Inhibitor (Statin), Is Indicated As Adjunctive Therapy To Diet To: Reduce Elevated Total-C, Ldl-C, Apo B, Tg, And Non-Hdl-C, And To Increase Hdl-C In Patients With Primary (Heterozygous Familial And Non-Familial) Hyperlipidemia Or Mixed Hyperlipidemia. ( 1.1 ) Reduce Elevated Total-C And Ldl-C In Patients With Homozygous Familial Hypercholesterolemia (Hofh), As An Adjunct To Other Lipid-Lowering Treatments. ( 1.2 ) Limitations Of Use ( 1.3 ) No Incremental Benefit Of Vytorin On Cardiovascular Morbidity And Mortality Over And Above That Demonstrated For Simvastatin Has Been Established. Vytorin Has Not Been Studied In Fredrickson Type I, Iii, Iv, And V Dyslipidemias. 1.1 Primary Hyperlipidemia Vytorin ® Is Indicated For The Reduction Of Elevated Total Cholesterol (Total-C), Low-Density Lipoprotein Cholesterol (Ldl-C), Apolipoprotein B (Apo B), Triglycerides (Tg), And Non-High-Density Lipoprotein Cholesterol (Non-Hdl-C), And To Increase High-Density Lipoprotein Cholesterol (Hdl-C) In Patients With Primary (Heterozygous Familial And Non-Familial) Hyperlipidemia Or Mixed Hyperlipidemia. 1.2 Homozygous Familial Hypercholesterolemia (Hofh) Vytorin Is Indicated For The Reduction Of Elevated Total-C And Ldl-C In Patients With Homozygous Familial Hypercholesterolemia, As An Adjunct To Other Lipid-Lowering Treatments (E.g., Ldl Apheresis) Or If Such Treatments Are Unavailable. 1.3 Limitations Of Use No Incremental Benefit Of Vytorin On Cardiovascular Morbidity And Mortality Over And Above That Demonstrated For Simvastatin Has Been Established. Vytorin Has Not Been Studied In Fredrickson Type I, Iii, Iv, And V Dyslipidemias.
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