Ezuvas Dosage/Direction for Use

Posology: Rosuvastatin/ezetimibe is indicated in adult patients whose hypercholesterolaemia is adequately controlled with separately administered monocomponent preparations of the same doses as the recommended combination.
The patient should be on an appropriate lipid-lowering diet and should continue on this diet during treatment with rosuvastatin/ezetimibe tablets.
The recommended daily dose is one tablet of the given strength with or without food.
Rosuvastatin/ezetimibe is not suitable for initial therapy. Treatment initiation or dose adjustment if necessary should only be done with the monocomponents and after setting the appropriate doses the switch to the fixed dose combination of the appropriate strength is possible. Rosuvastatin/ezetimibe 5 mg/10 mg, 10 mg/10 mg and 20 mg/10 mg tablets are not suitable for the treatment of patients requiring 40 mg dose of rosuvastatin.
Rosuvastatin/ezetimibe should be taken either ≥2 hours before or ≥4 hours after administration of a bile acid sequestrant.
Paediatric population: The safety and efficacy of rosuvastatin/ezetimibe in children below the age of 18 years have not yet been established. Currently available data are described in Adverse Reactions, Pharmacology: Pharmacodynamics and Pharmacokinetics under Actions but no recommendation on a posology can be made.
Use in the elderly: A start dose of 5 mg rosuvastatin is recommended in patients >70 years (see Precautions). The combination is not suitable for initial therapy. Treatment initiation or dose adjustment if necessary should only be done with the monocomponents and after setting the appropriate doses the switch to the fixed dose combination of the appropriate strength is possible.
Dose in patients with renal insufficiency: No dose adjustment is necessary in patients with mild to moderate renal impairment.
The recommended start dose of rosuvastatin is 5 mg in patients with moderate renal impairment (creatinine clearance <60 ml/min). The fixed dose combination is not suitable for initial therapy. Monocomponent preparations should be used to start the treatment or to modify the dose.
The use of rosuvastatin in patients with severe renal impairment is contraindicated for all doses (see Contraindications and Pharmacology: Pharmacokinetics under Actions ).
Dose in patients with hepatic impairment: No dose adjustment is required in patients with mild hepatic insufficiency (Child Pugh score 5 to 6). Treatment with rosuvastatin/ezetimibe is not recommended in patients with moderate (Child Pugh score 7 to 9) or severe (Child Pugh score >9) liver dysfunction (see Precautions and Pharmacology: Pharmacokinetics under Actions). Rosuvastatin/ezetimibe is contraindicated in patients with active liver disease (see Contraindications).
Race: Increased systemic exposure of rosuvastatin has been seen in Asian subjects (see Precautions and Pharmacology: Pharmacokinetics under Actions). The recommended start dose of rosuvastatin is 5 mg for patients of Asian ancestry. The fixed dose combination is not suitable for initial therapy. Monocomponent preparations should be used to start the treatment or to modify the dose.
Genetic polymorphisms: Specific types of genetic polymorphisms are known that can lead to increased rosuvastatin exposure (see Pharmacology: Pharmacokinetics under Actions). For patients who are known to have such specific types of polymorphisms, a lower daily dose of rosuvastatin/ezetimibe is recommended.
Dose in patients with pre-disposing factors to myopathy: The recommended start dose is 5 mg of rosuvastatin in patients with predisposing factors to myopathy (see Precautions). The fixed dose combination is not suitable for initial therapy. Monocomponent preparations should be used to start the treatment or to modify the dose.
Concomitant therapy: Rosuvastatin is a substrate of various transporter proteins (e.g. OATP1B1 and BCRP). The risk of myopathy (including rhabdomyolysis) is increased when rosuvastatin/ezetimibe tablets are administered concomitantly with certain medicinal products that may increase the plasma concentration of rosuvastatin due to interactions with these transporter proteins (e.g. ciclosporin and certain protease inhibitors including combinations of ritonavir with atazanavir, lopinavir, and/or tipranavir (see Precautions and Interactions).
Whenever possible, alternative medications should be considered, and, if necessary, consider temporarily discontinuing rosuvastatin/ezetimibe tablets therapy. In situations where co-administration of these medicinal products with rosuvastatin/ezetimibe tablets is unavoidable, the benefit and the risk of concurrent treatment and rosuvastatin dosing adjustments should be carefully considered (see Interactions).
Method of administration: For oral use.
Rosuvastatin/ezetimibe tablets should be taken each day once at the same time of the day with or without food. The tablet should be swallowed whole with a drink of water.