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Drug intelligence / Profile preview
Omacor is a pharmaceutical-grade concentrate of omega-3 acid ethyl esters, primarily composed of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in a ratio of approximately 1:2, with added alpha-tocopherol as an antioxidant. Developed by Pronova BioPharma, it is indicated for the treatment of hypertriglyceridemia and has been extensively studied for secondary prevention of cardiovascular events following myocardial infarction. The drug exerts its therapeutic effects by reducing hepatic triglyceride synthesis through the inhibition of diacylglycerol O-acyltransferase (DGAT) and increasing fatty acid beta-oxidation via the activation of peroxisome proliferator-activated receptor alpha (PPAR-alpha). Additionally, it modulates inflammatory pathways and stabilizes myocardial membranes, potentially reducing the risk of arrhythmias. The Helse Stavanger HF study specifically evaluated the impact of high-dose Omacor on cardiac events, serum lipids, and markers of inflammation and coagulation when administered early after an acute myocardial infarction.
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