๐ฉบ Repatha Evolocumab (140 mg/mL) Injection
๐น Introduction
Repatha (Evolocumab 140 mg/mL Injection) is a prescription biologic medicine used to lower โbad cholesterolโ (LDL-C) and reduce the risk of serious cardiovascular events such as heart attack and stroke.
It belongs to a class of drugs called PCSK9 inhibitors, which help the body remove excess cholesterol from the blood more effectively.
๐ฌ Composition & Content
- Active Ingredient: Evolocumab (140 mg/mL)
- Drug Class: Monoclonal antibody (PCSK9 inhibitor)
-
Inactive Ingredients:
- Proline
- Acetic acid
- Polysorbate 80
- Sodium hydroxide
- Water for injection
๐ Evolocumab works by blocking the PCSK9 protein, increasing LDL receptor availability in the liver and enhancing cholesterol clearance.
โ๏ธ How It Works (Mechanism)
- PCSK9 normally destroys LDL receptors
- Evolocumab blocks PCSK9
-
More LDL receptors โ More cholesterol removed from blood
โ Result: Significant reduction in LDL cholesterol levels
๐ How to Use
- Administered as a subcutaneous injection (under the skin)
-
Injection sites:
- Abdomen
- Thigh
- Upper arm
-
Available forms:
- Prefilled syringe
- Autoinjector pen
โ Patients can self-inject after proper training.
๐ Dosage
Typical adult dosing:
-
140 mg every 2 weeks
OR - 420 mg once monthly
โ Dosage depends on:
- Cholesterol levels
- Cardiovascular risk
- Doctorโs recommendation
๐ฉน Uses & Treatments
Repatha is prescribed for:
โ Cholesterol Management
- Primary hyperlipidemia
- Familial hypercholesterolemia (HeFH / HoFH)
โ Cardiovascular Protection
-
Reduces risk of:
- Heart attack
- Stroke
- Coronary revascularization procedures
๐ Advantages
- Powerful LDL reduction (up to ~60%)
- Suitable for statin-intolerant patients
- Reduces major cardiovascular risks
- Long-acting (biweekly or monthly dosing)
- Minimal drug interactions
โ ๏ธ Side Effects (Common)
- Injection site reactions
- Flu-like symptoms
- Upper respiratory infections
- Back pain
Rare:
- Allergic reactions
- Slight increase in blood sugar
๐ก๏ธ Storage Conditions
- Store at 2ยฐC to 8ยฐC (refrigerated)
- Do not freeze or shake
- Can be kept at room temperature (up to 25ยฐC) for 30 days
- Protect from light
๐ Alternative Brands / Medicines (Same or Similar Composition)
โ ๏ธ Exact same molecule (Evolocumab):
- Currently, Repatha is the primary global brand (no widely available biosimilar yet)
โ Alternative PCSK9 Inhibitors (Similar Action)
- Praluent (Alirocumab)
- Leqvio (Inclisiran โ siRNA-based PCSK9 inhibitor)
โ Other Lipid-Lowering Options (India)
- Rosuvastatin tablets (various Indian brands)
- Atorvastatin
- Ezetimibe combinations
๐ฎ๐ณ Alternative Indian Brands / Availability
- Evolocumab is imported biologic, limited Indian brands
- Available via:
- Specialty pharmacies
- Oncology & cardiology distributors
- Exporters like GlobMedIndia
โ Conclusion
Repatha Evolocumab 140 mg Injection is a highly advanced and effective therapy for managing high cholesterol and preventing cardiovascular complications, especially in patients who do not respond to conventional treatments like statins. Its targeted mechanism, strong efficacy, and convenient dosing make it a preferred choice in modern cardiology.
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