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Updated: Dec 24, 2025

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
[Ezetimibe-rosuvastatin fixed-dose combination (Myrosor®)]
1Service de Diabétologie, Nutrition et Maladies métaboliques, CHU Liège, Belgique.
Insights
New guidelines recommend strict LDL cholesterol targets for high-risk patients. Combining rosuvastatin and ezetimibe offers an effective and well-tolerated treatment option to achieve these goals.
Area of Science:
- Cardiology
- Pharmacology
- Metabolic Diseases
Background:
- International guidelines increasingly emphasize stringent low-density lipoprotein (LDL) cholesterol targets, particularly for individuals with very high or high cardiovascular risk.
- Achieving these targets often necessitates potent lipid-lowering therapies.
- When maximal statin doses are insufficient or not tolerated, combination therapy is recommended.
Purpose of the Study:
- To describe the characteristics of a fixed-dose combination of rosuvastatin and ezetimibe.
- To highlight the efficacy and tolerability of this combination therapy for LDL cholesterol management.
Main Methods:
- The article reviews the pharmacological properties of rosuvastatin, a potent statin, and ezetimibe, a cholesterol absorption inhibitor.
- It discusses the rationale for combining these agents.
- The focus is on a specific fixed-dose combination product available in Belgium.
Main Results:
- Combining rosuvastatin and ezetimibe allows for reduced statin dosage while maintaining high efficacy in lowering LDL cholesterol.
- This combination demonstrates a favorable tolerance profile.
- The fixed-dose formulation simplifies treatment regimens.
Conclusions:
- The fixed-dose combination of rosuvastatin and ezetimibe provides an effective and well-tolerated therapeutic option for patients requiring intensive LDL cholesterol reduction.
- This approach supports adherence to strict lipid targets in high-risk cardiovascular populations.
Abstract:
LDL cholesterol targets are increasingly strict in recent international guidelines, especially in patients at very high or high cardiovascular risk. To reach these targets, it is recommended to use a potent statin, with a titration up to the maximal tolerated dose and, if not sufficient, to combine ezetimibe, a medication that blocks the intestinal absorption of cholesterol. This association allows reduce the dose of statin, while keeping an excellent cholesterol-lowering efficacy and favouring a good tolerance profile. This article describes the characteristics of a fixed-dose combination of rosuvastatin, the most potent statin, and ezetimibe, commercialized in Belgium under the trade name Myrosor®.
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