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inclisiran

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Brand names: Leqvio

PCSK9 siRNA Rx

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

What it does

Leqvio is used to lower LDL-C (bad cholesterol) in adults who have high cholesterol.

Common side effects

Injection site reaction (pain, redness, or rash), Joint pain, Bronchitis

Key warnings

You should not take Leqvio if you have had a serious allergic reaction to inclisiran or any of its ingredients.

How It Works

Leqvio contains inclisiran, which is a small interfering RNA (siRNA). It targets a substance in the liver called PCSK9. By targeting PCSK9, Leqvio helps your body remove more LDL-C from your blood.

How to Take It

Leqvio is given as a shot under the skin (subcutaneous injection) by a healthcare provider. You will get a 284 mg shot to start. Then, you will get another shot after 3 months. After that, you will get a shot every 6 months.

Pregnancy & Breastfeeding

Stop taking Leqvio when you know you are pregnant. Lowering cholesterol may not be helpful during pregnancy and Leqvio could potentially harm the baby.

Missed Dose

If you miss a planned dose by less than 3 months, get the shot as soon as possible and continue with your original schedule. If you miss a planned dose by more than 3 months, restart the dosing schedule with a shot now, another in 3 months, and then every 6 months.

Storage

Store Leqvio at room temperature, between 68°F and 77°F.

Side Effects (from patient reports)

Based on 4,456 FDA adverse event reports.

Joint pain
740
Muscle pain
584
Pain at the injection site
509
Increased LDL cholesterol
447
Pain in an arm or leg
442
Pain
370
Tiredness
363
The medicine is not working
356
Diarrhea
326
Shortness of breath
319

FDA Adverse Event Report Analysis

Detailed analysis of 6,989 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2018–2025.

Total Reports

6,989

Death-Related Reports

190

Hospitalization Reports

651

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 3,298 (57%)
Male 2,479 (43%)

Age Distribution

0–17 8
18–44 113
45–64 819
65–74 1,305
75+ 832

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 ARTHRALGIA 740
2 MYALGIA 584
3 INJECTION SITE PAIN 509
4 LOW DENSITY LIPOPROTEIN INCREASED 447
5 PAIN IN EXTREMITY 442
6 PAIN 370
7 FATIGUE 363
8 DRUG INEFFECTIVE 356
9 DIARRHOEA 326
10 DYSPNOEA 319
11 HEADACHE 259
12 RASH 241
13 MUSCLE SPASMS 221
14 PRODUCT STORAGE ERROR 210
15 DIZZINESS 202

Reactions in Death Reports

DEATH 114
MYOCARDIAL INFARCTION 15
DYSPNOEA 11
ACUTE MYOCARDIAL INFARCTION 7
SEPSIS 6
CARDIAC ARREST 5
PNEUMONIA 5
ASTHENIA 4
CEREBROVASCULAR ACCIDENT 4
FATIGUE 4

Reactions in Hospitalization Reports

DYSPNOEA 56
CHEST PAIN 41
PAIN IN EXTREMITY 39
PNEUMONIA 34
FATIGUE 33
DIARRHOEA 32
DIZZINESS 32
PAIN 28
CEREBROVASCULAR ACCIDENT 27
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE 27

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take Leqvio if you have had a serious allergic reaction to inclisiran or any of its ingredients. Serious allergic reactions can include swelling of the face, lips, tongue, or throat (angioedema).

Common Questions

How quickly will Leqvio lower my cholesterol?
Leqvio can start lowering your LDL-C levels as early as 30 days after the first dose.
Can I inject Leqvio myself?
No, Leqvio should only be administered by a healthcare professional.
Where on my body will the injection be given?
The injection will be given under the skin of your abdomen, upper arm, or thigh.
What should the medicine look like?
Leqvio should be a clear and colorless to pale yellow solution.
What if I see particles in the medicine?
Do not use Leqvio if you see any particles or discoloration.
Will I need to continue my diet and exercise plan while taking Leqvio?
Yes, Leqvio is meant to be used along with a healthy diet and exercise.
How often will I need to get Leqvio injections?
You will get a shot to start, another after 3 months, and then every 6 months.
What if I have a skin condition at the injection site?
Do not inject Leqvio into areas where you have active skin disease or injury, such as sunburns, rashes, or infections.
Can I take Leqvio if I am breastfeeding?
There is not enough information to determine if Leqvio passes into breast milk. Talk to your doctor.
Will my doctor check my cholesterol levels while I'm on this medication?
Your doctor will check your LDL-C levels when needed.
What are the common side effects of inclisiran?
The most commonly reported side effects of inclisiran include Injection site reaction (pain, redness, or rash), Joint pain, Bronchitis. Based on 4,456 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is inclisiran?
inclisiran belongs to the PCSK9 siRNA drug class. It requires a prescription (Rx). Leqvio is used to lower LDL-C (bad cholesterol) in adults who have high cholesterol.
Is inclisiran safe during pregnancy?
Stop taking Leqvio when you know you are pregnant. Lowering cholesterol may not be helpful during pregnancy and Leqvio could potentially harm the baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for inclisiran

The FDA label for inclisiran (sold under brand names such as Leqvio) classifies it as a prescription-only medication in the PCSK9 siRNA class. Leqvio is used to lower LDL-C (bad cholesterol) in adults who have high cholesterol. Official labeling lists 3 commonly reported side effects, including Injection site reaction (pain, redness, or rash), Joint pain, Bronchitis.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 4,456 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: July 31, 2025

All federal data sources used on this page