Lomitapide reduces blood levels of "bad" cholesterol, such as low-density lipoprotein (LDL) or non-high-density liproprotein (non-HDL), as well as a protein that carries bad cholesterol in the blood.
Lomitapide is used together with a low-fat diet and other treatments to lower total cholesterol in people with homozygous familial hypercholesterolemia (an inherited type of high cholesterol).
It is not known whether lomitapide will lower your risk of heart disease.
Lomitapide is available only under a special program. You must be registered in the program and understand the risks and benefits of this medicine.
Lomitapide may also be used for purposes not listed in this medication guide.
uses
What is Lomitapide (Juxtapid) used for?
- Hyperlipidemia
- Homozygous Familial Hypercholesterolemia
warnings
What is the most important information I should know about Lomitapide (Juxtapid)?
You should not use lomitapide if you are allergic to it, or if:
- you have severe liver disease;
- you have abnormal liver function tests; or
- you are pregnant.
Many drugs can interact and cause dangerous effects. Some drugs should not be used together with lomitapide. Your doctor may change your treatment plan if you also use:
- aprepitant;
- conivaptan;
- crizotinib, imatinib;
- nefazodone;
- an antibiotic–ciprofloxacin, clarithromycin, erythromycin, telithromycin;
- antifungal medication–fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole;
- heart or blood pressure medicine–diltiazem, verapamil;
- hepatitis C medication–boceprevir or telaprevir; or
- HIV or AIDS medicine–atazanavir, darunavir when given with ritonavir, fosamprenavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, tipranavir.
Tell your doctor if you have ever had:
- liver problems, even if caused by taking certain medicines;
- kidney disease (or if you are on dialysis);
- bowel problems, or an intestinal disorder;
- hereditary galactose intolerance, severe lactase deficiency, or glucose galactose malabsorption; or
- if you drink large amounts of alcohol.
You may need to have a negative pregnancy test before starting this treatment.
Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Lomitapide could harm the unborn baby. Use effective birth control to prevent pregnancy while you are using this medicine.
If you become pregnant, your name may be listed on a pregnancy registry to track the effects of lomitapide on the baby.
Birth control pills may be less effective if you vomit or have diarrhea. Ask your doctor about the best way to prevent pregnancy while taking lomitapide.
You should not breastfeed while using lomitapide.
Lomitapide is not approved for use by anyone younger than 18 years old.
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Side Effects
What are the side effects of Lomitapide (Juxtapid)?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have signs of liver problems, such as:
- nausea, vomiting, upper stomach pain;
- loss of appetite;
- swelling around your midsection;
- flu-like symptoms, tiredness;
- dark urine, clay-colored stools; or
- jaundice (yellowing of the skin or eyes).
Common side effects may include:
- stomach cramps;
- nausea, vomiting;
- indigestion; or
- diarrhea.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Pregnancy & Breastfeeding
Can I take Lomitapide (Juxtapid) if I’m pregnant or breastfeeding?
You may need to have a negative pregnancy test before starting this treatment.
Do not use if you are pregnant. Stop using the medicine and tell your doctor right away if you become pregnant. Lomitapide could harm the unborn baby. Use effective birth control to prevent pregnancy while you are using this medicine.
If you become pregnant, your name may be listed on a pregnancy registry to track the effects of lomitapide on the baby.
Birth control pills may be less effective if you vomit or have diarrhea. Ask your doctor about the best way to prevent pregnancy while taking lomitapide.
You should not breastfeed while using lomitapide.
Interactions
What drugs and food should I avoid while taking Lomitapide (Juxtapid)?
Avoid eating foods high in fat or cholesterol, or lomitapide will not be as effective and may cause nausea, vomiting, and stomach pain.
Grapefruit may interact with lomitapide and lead to unwanted side effects. Avoid the use of grapefruit products.
Do not drink more than 1 alcoholic drink per day. Alcohol can increase your risk of liver damage while you are taking lomitapide.
Dosage Guidelines & Tips
How to take Lomitapide (Juxtapid)?
Use Lomitapide (Juxtapid) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Your doctor will perform blood tests to make sure lomitapide is safe for you to take.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Take lomitapide on an empty stomach, at least 2 hours after your evening meal.
Swallow the capsule whole and do not crush, chew, break, or dissolve it. Take this medicine with a full glass of water.
Your doctor may have you take vitamin E or essential fatty acid supplements while you are taking lomitapide. Take only the type and amount of vitamins or supplements your doctor has prescribed.
You will need frequent medical tests.
Lomitapide is only part of a treatment program that may also include exercise and weight control. Follow your doctor's instructions very closely.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
Overdose Signs
What happens if I overdose on Lomitapide (Juxtapid)?
(800) 222-1222
911
Images
A733, 5 mg
Color: orange
Shape: capsule
Imprint: A733, 5 mg
A733, 10 mg
Color: orange/white
Shape: capsule
Imprint: A733, 10 mg
A733, 30 mg
Color: orange/yellow
Shape: capsule
Imprint: A733, 30 mg