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Icosapent Ethyl

Generic Name
Icosapent Ethyl
Brand Names
Vascepa, Vazkepa
Drug Type
Small Molecule
Chemical Formula
C22H34O2
CAS Number
86227-47-6
Unique Ingredient Identifier
6GC8A4PAYH
Background

Icosapent ethyl or ethyl eicosapentaenoic acid is a synthetic derivative of the omega-3 fatty acid eicosapentaenoic acid (EPA). It is used as an adjunct therapy for severe hypertriglyceridemia (TG levels > 500 mg/dL) and to reduce the risk of cardiovascular events in certain patients with elevated triglycerides. FDA approved on July 26, 2012.

Indication

作为最大耐受他汀类药物治疗的辅助手段,以降低甘油三酯(TG)水平升高(≥150mg/dL)、已确定的心血管疾病或糖尿病以及2个或更多心血管疾病风险因素的成年患者需要住院治疗的心肌梗死、中风、冠状动脉血运重建和不稳定心绞痛的风险。

Associated Conditions
Hospitalizations, Severe Hypertriglyceridemias

Omega-3 Supplementation and Cardiovascular Health: Mixed Results and Nuanced Benefits

• Clinical trials show mixed results regarding the benefits of omega-3 supplements in preventing major cardiovascular events, with some studies suggesting potential harm. • A subgroup analysis of the VITAL trial indicated a 19% reduction in major CVD events among those with higher omega-3 levels, particularly in reducing heart attacks. • The REDUCE-IT trial demonstrated a 25% reduction in major CVD events using icosapent ethyl in high-risk patients already on statins, leading to FDA approval for this specific use. • Experts recommend a heart-healthy diet rich in fish as the primary source of omega-3s, advising caution and medical supervision for high-dose supplementation.
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