Priority A — Guideline Endorsed Add-on

Ezetimibe: When Statins Aren't Enough

Who it's for: People whose LDL isn't at goal on a statin, post-ACS patients, or those needing additional LDL lowering.

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What the evidence says

IMPROVE-IT demonstrated that adding ezetimibe to statin therapy after acute coronary syndrome further lowered LDL and improved cardiovascular outcomes.

Works by blocking cholesterol absorption in the gut — a different mechanism than statins.

The total events analysis showed ezetimibe + statin prevented more MIs and strokes.

⚠ Safety & contraindications

— Generally well-tolerated.

— Liver function: Discuss with clinician when combining with a statin.

— Not a first-line standalone therapy — positioned as an add-on.

Frequently asked questions

Is ezetimibe a statin?

No. Ezetimibe blocks cholesterol absorption in the gut, while statins reduce production in the liver.

Can I take ezetimibe without a statin?

Yes, but it's most commonly used as an add-on. Your clinician will determine the right approach.

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Medical Disclaimer: Educational only. Not medical advice. Talk to a licensed clinician before starting or changing any medication or supplement. Dietary supplements are not reviewed or approved for effectiveness by the FDA before they are sold.