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class="site-info"> <div class="site-info-inner"> <div class="site-info-text"> 2020 {{ keyword }} </div> </div> </div> </div> </div> </body> </html>";s:4:"text";s:9676:"Several studies have determined the potential use of PCSK9 inhibitors in the treatment of hyperlipoproteinemia (commonly called hypercholesterolemia). PCSK9 inhibitors What are PCSK9 inhibitors? Recheck LDL 4 - 8 weeks after starting therapy and after dose changes. To administer the 300 mg dose, give two 150 mg injections consecutively at two different injection sites, If needed, Praluent may be kept at room temperature up to 77°F (25°C) for a maximum of 30 days in original carton to protect from light, Infuses drug subcutaneously over 5 minutes, If a dose is missed, administer within 7 days from the missed dose and resume the original schedule, If an every-2-week dose is not administered within 7 days, wait until the next dose on the original schedule, If a once-monthly dose is not administered within 7 days, administer the dose and start a new schedule based on this date, Dose is given by subcutaneous injection in the abdomen, thigh, or upper arm. If the missed dose is not administered within 7 days, wait until the next dose on the original schedule. Alirocumab is every 2 weeks at … Proprotein convertase subtilisin/kexin type 9 (PCSK9) is an enzyme that binds to low-density lipoprotein receptors (LDL receptors), which stops LDL being removed from the blood, leading to an increase in blood levels of LDL. H�� � �����9�%�y�|��,�,�����ǩ0\e8$/�7���C��Í��܌�l� Sg`N�Ҍ@tHk00��L�``��� Choose a different … h�b```����� ��ea��p``P ��=���������~���=W�v�$��l��Uw�,3)�����R��i�;�D�\�ߗ-&��.W=�}��۞�V7U�Mz�u���Ϯ]�QY��y�����^s)�z��ֳ�2X;:$:::8::%:��5�P�qH�,bfZ �J�|��N��ɫ (alirocumab) The recommended starting dose of Praluent is 75 mg once every 2 weeks administered subcutaneously, since the majority of patients achieve sufficient LDL-C reduction with this dosage. 0 947 0 obj <>stream Furthermore, loss-of-function mutations in the PCSK9 gene result in lower levels of LDL and protection against cardiovascular disease. Inject subcutaneously into thigh, abdomen, or upper arm. endstream endobj startxref For patients receiving 300 mg every 4 weeks, check LDL just prior to the next scheduled dose since LDL levels can vary widely on this dosing regimen. d��`d0b`^iQ�$` ��d� An alternative starting dosage for patients who prefer less frequent dosing is 300 mg … To administer the 420 mg dose, give 3 injections consecutively within 30 minutes or use the on-body infuser. h�bbd``b`�$W �U@�D�X���@�u��D|����q��� ��$B�wH�2��� �4A��������R��8$���7�0 �`� Available as 140-mg/mL prefilled syringe or autoinjector; also available as 420-mg/3.5-mL on-body infusor. The pharmacodynamic effects of evolocumab on PCSK9 are rapid, with maximum suppression within 4 h. At steady state, peak reduction of LDL-C occurs approximately 1 week after a subcutaneous dose of 140 mg every 2 weeks (Q2W) and 2 weeks after a subcutaneous dose 420 mg once monthly (QM), and returns towards baseline over the dosing interval. %%EOF Choose a different injection site with each injection. And the differences [between the two PCSK9 inhibitors] are: do you dose the drug every 2 weeks vs every 4 weeks? endstream endobj 888 0 obj <. Allow syringe to warm to room temperature for 30 - 40 minutes before injecting. 908 0 obj <>/Filter/FlateDecode/ID[<1EFE11A7354B5549970A86242FF35CA8><55FF3CEAE3C97149B9A3E25916292B4D>]/Index[887 61]/Info 886 0 R/Length 99/Prev 240873/Root 888 0 R/Size 948/Type/XRef/W[1 2 1]>>stream If the missed dose is not administered within 7 days, administer the dose, starting a new schedule based on this date. Dose is given by subcutaneous injection in the abdomen, thigh, or upper arm To administer the 420 mg dose, give 3 injections consecutively within 30 minutes or use the on-body infuser. Prior to use, allow to warm to room temperature for at least 30 minutes for the autoinjector or syringe and for at least 45 minutes for the on-body infusor, In some patients receiving once monthly dosing, LDL may vary considerably during the dosing interval, May be kept at room temperature for a maximum of 30 days, Do not expose to temperatures above 25°C (77°F), CrCl ≥ 30 ml/min: no dose adjustment necessary, No dose adjustment necessary in renal impairment, Mild-moderate (Child-Pugh A and B): no dose adjustment necessary, Severe (Child-Pugh C): has not been studied, No significant drug interactions are known, PCSK9 inhibitors are proteins, and they are metabolized through proteolytic pathways to smaller peptides and individual amino acids, PCSK9 inhibitors do not undergo liver metabolism, Pricing based on one month of therapy at standard dosing in an adult, Pricing based on information from GoodRX.com®, Pricing may vary by region and availability. 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