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Lomitapide

Generic Name: Lomitapide (loe MI ta pide)
Brand Name: Juxtapid

  • This medicine may cause liver problems in some patients. Blood tests will be needed to watch for any liver problems. Talk with the doctor.
  • You may only get lomitapide through a special program. Talk with your doctor.

Uses of Lomitapide:

  • It is used to lower cholesterol.

What do I need to tell my doctor BEFORE I take Lomitapide?

  • If you have an allergy to lomitapide or any other part of this medicine.
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have liver disease or raised liver enzymes.
  • If you have a rare hereditary problem of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.
  • If you cannot swallow this product whole.
  • If you take any drugs (prescription or OTC, natural products, vitamins) that must not be taken with lomitapide, like certain drugs that are used for HIV, infections, or depression. There are many drugs that must not be taken with this medicine. Your doctor or pharmacist can tell you if you are taking a drug that must not be taken with lomitapide.
  • If you are pregnant or may be pregnant. Do not take this medicine if you are pregnant.
  • If you are breast-feeding or plan to breast-feed.

This is not a list of all drugs or health problems that interact with lomitapide.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Lomitapide?

  • Tell all of your health care providers that you take lomitapide. This includes your doctors, nurses, pharmacists, and dentists.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.
  • If you are taking warfarin, talk with your doctor. You may need to have your blood work checked more closely while you are taking it with this medicine.
  • Follow the diet and workout plan that your doctor told you about.
  • Avoid grapefruit and grapefruit juice.
  • Avoid drinking alcohol while taking lomitapide.
  • Do not take colesevelam, colestipol, or cholestyramine within 4 hours of this medicine.
  • If loose stools (diarrhea) or throwing up happens, other drugs taken by mouth may not get into your body as well. If this happens and you take birth control pills, you will need to use some other kind of birth control also like a condom. Call your doctor if you have loose stools (diarrhea) or throwing up.
  • You may need to take certain diet products like vitamin E and fatty acids while taking lomitapide. Be sure to follow what your doctor has told you.
  • If you are 65 or older, use this medicine with care. You could have more side effects.
  • This medicine may cause harm to the unborn baby if you take it while you are pregnant.
  • Use birth control that you can trust to prevent pregnancy while taking lomitapide.
  • A pregnancy test will be done to show that you are NOT pregnant before starting this medicine. If you get pregnant while taking lomitapide, call your doctor right away.

How is this medicine (Lomitapide) best taken?

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Take at least 2 hours after the evening meal.
  • Do not take with food. It may cause an upset stomach.
  • Take with a full glass of water.
  • Swallow whole. Do not chew, break, open, or melt.

What do I do if I miss a dose?

  • Skip the missed dose and go back to your normal time.
  • Do not take 2 doses at the same time or extra doses.
  • If the drug is stopped for more than 1 week, talk with the doctor.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
  • Chest pain.
  • A heartbeat that does not feel normal.
  • Any unexplained bruising or bleeding.
  • Flu-like signs.
  • Sometimes, very bad diarrhea has led to the need to go to the hospital. Call your doctor right away if you have very bad diarrhea or diarrhea that will not go away. Call your doctor right away if you have signs of dehydration like very bad dizziness or passing out, not able to pass urine or change in how much urine is passed, or feeling very tired.

What are some other side effects of Lomitapide?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Stomach cramps.
  • Feeling tired or weak.
  • Gas.
  • Hard stools (constipation).
  • Heartburn.
  • Weight loss.
  • Back pain.
  • Nose and throat irritation.
  • Headache.
  • Dizziness.
  • It is common to have diarrhea, upset stomach, throwing up, and stomach pain with lomitapide. A low-fat diet may help lower the chance of having these side effects. Call your doctor if you any of these side effects is very bad, bothers you, or does not go away.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Lomitapide?

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Consumer Information Use and Disclaimer

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this medicine is refilled. If you have any questions about lomitapide, please talk with the doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about lomitapide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using lomitapide.

Review Date: September 6, 2017

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