bempedoic acid/ezetimibe vs simvastatin

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Side-by-side comparison of bempedoic acid/ezetimibe and simvastatin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

moderate Known Drug Interaction

Clinically Important Drug Interactions with NEXLIZET Simvastatin Clinical Impact: Concomitant use of NEXLIZET with simvastatin causes an increase in simvastatin concentration and may increase the risk of simvastatin-related myopathy [see Clinical Pharmacology (12.3) ] . Intervention: Avoid concomitant use of NEXLIZET with simvastatin greater than 20 mg. Simvastatin: Avoid concomitant use of NEXLIZET with simvastatin greater than 20 mg.

Drug Class
bempedoic acid/ezetimibe ACL Inhibitor / Cholesterol Absorption Inhibitor
simvastatin HMG-CoA Reductase Inhibitor (Statin)
Type
bempedoic acid/ezetimibe Prescription
simvastatin Prescription
Summary
bempedoic acid/ezetimibe

Nexlizet is a combination medicine that helps lower cholesterol. It is used with diet and exercise to lower LDL-C (bad cholesterol) in adults.

simvastatin

No summary available.

What It Treats
bempedoic acid/ezetimibe

Nexlizet is used to lower LDL-C (bad cholesterol) in adults who have high cholesterol. This includes people with a genetic condition called heterozygous familial hypercholesterolemia (HeFH). One of the medicines in Nexlizet can also lower the risk of heart problems like heart attack and stroke in adults who are at high risk and cannot take statins.

simvastatin

Information not available.

How It Works
bempedoic acid/ezetimibe

Nexlizet contains two medicines that work in different ways to lower cholesterol. Bempedoic acid blocks an enzyme in your liver that makes cholesterol. Ezetimibe stops your body from absorbing cholesterol from food.

simvastatin

Information not available.

Common Side Effects
bempedoic acid/ezetimibe
  • Upper respiratory tract infection (like a cold)
  • Muscle spasms
  • High uric acid levels in the blood
  • Back pain
  • Stomach pain or discomfort
simvastatin
  • Headache
  • Upper respiratory tract infection
  • Muscle pain
  • Diarrhea
FAERS Reports
bempedoic acid/ezetimibe
  • Muscle pain 53
  • Joint pain 51
  • Pain in your arms or legs 40
  • Muscle spasms 32
  • Tiredness 30
simvastatin
  • Fatigue 13,574
  • Nausea 12,945
  • Dyspnoea 12,431
  • Diarrhoea 11,813
  • Dizziness 10,971
Serious Warnings
bempedoic acid/ezetimibe

This medicine can raise uric acid levels in your blood, which can cause gout. Tell your doctor if you have symptoms of high uric acid, like joint pain or swelling. Nexlizet can also increase your risk of tendon rupture. Stop taking Nexlizet and call your doctor right away if you have tendon pain, swelling, or difficulty moving.

simvastatin

No specific warnings noted.

Pregnancy
bempedoic acid/ezetimibe

This medicine may harm your unborn baby. Do not take Nexlizet if you are pregnant or planning to become pregnant. Talk to your doctor about other ways to lower your cholesterol during pregnancy.

simvastatin

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This bempedoic acid/ezetimibe vs simvastatin Comparison

bempedoic acid/ezetimibe is classified in the ACL Inhibitor / Cholesterol Absorption Inhibitor drug class, while simvastatin sits within the HMG-CoA Reductase Inhibitor (Statin) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, bempedoic acid/ezetimibe has 206 submissions while simvastatin has 61,734. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to taking these together can cause simvastatin levels to rise in your body, which may lead to muscle pain or weakness.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for bempedoic acid/ezetimibe or simvastatin.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.