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Niacin + laropiprant + simvastatin is a fixed-dose combination drug developed for the treatment of primary hypercholesterolemia or mixed dyslipidemia. It combines three agents: extended-release niacin (a lipid-modifying agent that raises HDL cholesterol and lowers LDL cholesterol and triglycerides), laropiprant (a selective prostaglandin D2 receptor [DP1] antagonist used to reduce flushing caused by niacin), and simvastatin (an HMG-CoA reductase inhibitor, or statin, that lowers LDL cholesterol). The rationale for this combination is to provide comprehensive lipid management while improving tolerability of niacin therapy. The product was developed by Merck Sharp & Dohme Corp., but clinical development was discontinued before regulatory approval[2][4][5][8].
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