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Simvastatin combinations are pharmaceutical products that contain simvastatin together with one or more other active ingredients—most commonly ezetimibe or nicotinic acid. These combinations are used to treat high cholesterol and triglyceride levels in the blood and may help prevent certain types of heart problems in patients at high risk. Simvastatin is an HMG-CoA reductase inhibitor (statin) that works by blocking an enzyme needed for cholesterol synthesis in the liver. Ezetimibe is a cholesterol absorption inhibitor that reduces intestinal absorption of dietary and biliary cholesterol. Nicotinic acid (niacin) lowers LDL cholesterol and triglycerides while raising HDL cholesterol through multiple mechanisms. These fixed-dose combinations are indicated for primary hypercholesterolemia (including heterozygous familial hypercholesterolemia), homozygous familial hypercholesterolemia, mixed dyslipidemia, and prevention of cardiovascular events in appropriate populations[1][6].
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