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Mevacor (LOVASTATIN)
Mevacor works by inhibiting the enzyme HMG-CoA reductase, which plays a key role in cholesterol production in the liver.
Mevacor (Lovastatin) is a small molecule HMG-CoA Reductase Inhibitor developed by Merck, targeting the enzyme 3-hydroxy-3-methylglutaryl-coenzyme A reductase. It was FDA approved in 1987 for various indications related to high cholesterol and cardiovascular disease. As an off-patent medication, Mevacor is available from multiple generic manufacturers. Key safety considerations include potential liver damage and muscle pain. Mevacor is used to treat conditions such as hypercholesterolemia, hyperlipidemia, and familial hypercholesterolemia.
At a glance
| Generic name | LOVASTATIN |
|---|---|
| Sponsor | Merck & Co. |
| Drug class | HMG-CoA Reductase Inhibitor |
| Target | 3-hydroxy-3-methylglutaryl-coenzyme A reductase |
| Modality | Small molecule |
| Therapeutic area | Metabolic |
| Phase | FDA-approved |
| First approval | 1987 |
Mechanism of action
Lovastatin is lactone that is readily hydrolyzed in vivo to the corresponding -hydroxyacid, strong inhibitor of HMG-CoA reductase, the enzyme that catalyzes the conversion of HMG-CoA to mevalonate. The conversion of HMG-CoA to mevalonate is an early step in the biosynthetic pathway for cholesterol.
Approved indications
- Arteriosclerotic vascular disease
- Familial hypercholesterolemia - heterozygous
- Hypercholesterolemia
- Hyperlipidemia
- Hypertriglyceridemia
- Hypoalphalipoproteinemia
- Mixed hyperlipidemia
- Myocardial Infarction Prevention
- Myocardial Reinfarction Prevention
- Primary Prevention of Coronary Heart Disease
- Slow Progression of Coronary Artery Disease
Common side effects
- Myopathy
- Rhabdomyolysis
- Pancreatitis
- Hepatitis
- Fulminant hepatic necrosis
- Hepatoma
- Cirrhosis
- Non-fatal hepatic failure
- Muscle cramps
- Myalgia
- Arthralgias
- Dyspnea
Drug interactions
- danazol
- dronedarone
- nefazodone
- nelfinavir
- nicotinic acid
- posaconazole
- ritonavir
- saquinavir
- telithromycin
- ticagrelor
- troleandomycin
- verapamil
Key clinical trials
- Simvastatin in Preventing Liver Cancer in Patients With Liver Cirrhosis (PHASE2)
- Adebrelimab Combined With Gemcitabine, Cisplatin, and Simvastatin for Advanced Biliary Tract Cancer (PHASE1,PHASE2)
- Intensive Cholesterol-Lowering and CD8+ T Cells in Prostate Cancer (PHASE2)
- Clinical Evaluation of Simcyp-Guided Simvastatin Dosing in Patients With Liver Cirrhosis (PHASE4)
- KF2022#4-trial: Effects of a Beta Blocker and NSAID on CYP Mediated Drug Metabolism (NA)
- T-reg Function Changes: a Novel Immune Regulatory Effect Underlying Benefit of Statin Use on Lethal Prostate Cancer (PHASE2)
- Simvastatin Treatment to Improve Patient-reported Outcomes in Patients With Chronic Pancreatitis (EARLY_PHASE1)
- Evaluation Of The Efficacy Of Subgingival Application Of Lovastatin Gel As An Adjunct To Non-Surgical Treatment Of Periodontitis In Generally Healthy Smokers And Non-Smokers Patients in Central Europe. (NA)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |