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Cholesterol ManagementCholesterol Management

Cholesterol-lowering medicines work in different ways to reduce low-density lipoprotein cholesterol or triglycerides, and the choice between them depends on a person’s lipid results and overall cardiovascular risk.

Lipitor

Atorvastatin

5mg · 10mg · 20mg · 40mg

Utilised to manage lipid profiles to alleviate vascular plaque accumulation and support coronary health.

From$0.49/ tabletView

Crestor

Rosuvastatin

5mg · 10mg · 20mg

Utilised to manage lipid concentrations to alleviate arterial plaque risk and support hepatic cholesterol regulation.

From$1.05/ tabletView

Zocor

Simvastatin

5mg · 10mg · 20mg · 40mg

Intended to relieve elevated blood cholesterol to support cardiovascular health and target hepatic lipid production.

From$0.47/ tabletView

Ezetimibe Tablets

Ezetimibe

10mg

Indicated to address elevated blood cholesterol to relieve arterial plaque risk and support cardiovascular wellness.

From$1.62/ tabletView

Pravachol

Pravastatin

10mg · 20mg

Intended to relieve elevated blood cholesterol to support cardiovascular health and target hepatic lipid production.

From$1.17/ tabletView

Livalo

Pitavastatin

1mg · 4mg

Formulated to alleviate elevated blood cholesterol to support cardiovascular wellness and target hepatic lipid synthesis.

From$0.96/ tabletView

Tricor

Fenofibrate

160mg · 200mg

Utilised to manage serum lipid levels to alleviate atherosclerotic plaque risk and support hepatic lipid clearance.

From$1.57/ tabletView

Lopid

Gemfibrozil

300mg

Designed to support triglyceride reduction to manage cardiovascular disease risk and alleviate vascular lipid accumulation.

From$1.68/ tabletView

Questran

Colestyramine

5g

Formulated to alleviate bile acid buildup to support lower cholesterol and target localised pruritus relief.

From$6.98/ sachetView

Roszet

Rosuvastatin, Ezetimibe

40mg + 10mg

Designed to support dual lipid reduction to manage hypercholesterolaemia and target arterial plaque risk.

From$4.58/ tabletView

Urso

Ursodeoxycholic Acid

150mg · 300mg

Designed to support physiological bile circulation to manage biliary cholestasis and alleviate stone progression.

From$1.70/ tabletView

Actigall

Ursodeoxycholic Acid

150mg · 300mg

Intended to relieve gallstone accumulation to support gallbladder function and mitigate biliary obstruction.

From$1.86/ tabletView

Key points

  • NICE guidance covers cardiovascular risk assessment alongside statins and other lipid-lowering treatments.
  • NHS notes that statins work by reducing the amount of cholesterol made in the liver.
  • A lipid profile blood test is used to check how well treatment is working.

Statins: the main cholesterol-lowering medicines

Lipitor contains atorvastatin, Crestor contains rosuvastatin, Zocor contains simvastatin, Pravachol contains pravastatin and Livalo contains pitavastatin; NHS explains how statins work in Statins. Roszet combines rosuvastatin with ezetimibe in a single tablet, adding a second lipid-lowering mechanism.

Non-statin alternatives

Ezetimibe Tablets and Nexletol, containing bempedoic acid, are used where cholesterol needs a different or additional mechanism from a statin. Tricor and Lopid contain the fibrates fenofibrate and gemfibrozil, used mainly where triglycerides are raised. Questran comes as a sachet rather than a tablet and contains colestyramine, a bile-acid sequestrant. NICE sets out where these fit alongside statins in Recommendations | Cardiovascular disease: risk assessment and reduction, including lipid modification.

Urso and Actigall treat a liver condition, not raised cholesterol

Urso and Actigall both contain ursodeoxycholic acid, used for primary biliary cholangitis and for dissolving gallstones. Despite the similar-sounding chemistry, neither is used to lower blood cholesterol.

Further reading