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Inclisiran

Uses of Inclisiran

  • Inclisiran is primarily used to manage high levels of low-density lipoprotein cholesterol (LDL-C), often referred to as "bad cholesterol," in adults with primary hyperlipidemia, including those with heterozygous familial hypercholesterolemia (HeFH). It belongs to a class of medications known as small-interfering RNA (siRNA) therapeutics.

  • It is also utilised as an adjunct to diet and maximally tolerated statin therapy for adults suffering from Clinical Atherosclerotic Cardiovascular Disease (ASCVD), a group of conditions involving cholesterol plaque buildup in the arteries.

Side effects of Inclisiran

  • Pain at the injection site

  • Joint pain or stiffness

  • Urinary Tract Infection (UTI)

  • Diarrhoea

  • Shortness of breath

How Inclisiran works

  • Inclisiran belongs to a novel category of cholesterol-lowering medicines called small interfering RNA (siRNA) therapeutics.

  • It works by inhibiting the production of proprotein convertase subtilisin/kexin type 9 (PCSK9), a protein that regulates cholesterol levels. By reducing PCSK9 levels, Inclisiran increases the number of LDL receptors on liver cells, allowing for more removal of LDL cholesterol (bad cholesterol) from the bloodstream.

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Written By

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Dr Nikita LoboMedical Editor & Reviewer| 8 years

BDS, MDS

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 9 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Inclisiran is available as a subcutaneous injection.

  • The route of administration for this medication is through injection beneath the skin (subcutaneous).

Age and Dose Restrictions

  • Inclisiran is meant for use in adults only.

Contraindications

  • This medicine is contraindicated in patients with a known hypersensitivity to any of its components.

Other Medications to Avoid

  • This medicine may interact with anticoagulants (eg., Warfarin), statins (eg., Atorvastatin or Simvastatin), and certain immunosuppressants (eg., Cyclosporine).

Overdose and Missed Dose

  • An overdose of Inclisiran has not been reported to cause specific symptoms, but general symptoms may occur. It is crucial to adhere to prescribed dosages, and if an overdose is suspected, medical attention should be sought.

  • If a dose of Inclisiran is missed, it should be administered as soon as possible. If it is close to the time for the next scheduled dose, skip the missed dose and resume the regular dosing schedule. Do not double doses.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Adjusting the timing of medication might help manage some side effects effectively.

  • Drinking plenty of water can help alleviate minor side effects such as injection site reactions which may include pain or redness.

Use in Driving and Operating Machinery

  • Inclisiran does not generally affect the ability to drive or operate machinery.

Use in Pregnancy and Lactation

  • The safety of Inclisiran during pregnancy and breastfeeding has not been established. It is advised to consult a doctor before using this medicine during pregnancy and while breastfeeding.

Caution in Other Conditions

  • Caution should be exercised when administering Inclisiran to patients with liver conditions since it mainly acts upon the liver cells.

Special Dietary and Lifestyle Recommendations

  • Maintain a low-cholesterol diet rich in fruits, vegetables, whole grains, and lean proteins to help manage cholesterol levels.

  • Increase intake of omega-3 fatty acids found in fish like salmon and mackerel which can help lower blood triglyceride levels.

  • Consider adding plant sterols and stanols found in enriched foods like margarine, orange juice, or yoghurts that can help reduce LDL cholesterol by blocking its absorption from the digestive tract.

  • Smoking cessation is crucial as smoking lowers HDL (good) cholesterol levels and damages blood vessel walls making them more prone to accumulation of fatty deposits.

Frequently asked questions

No, Inclisiran is not a statin medication. It belongs to a new class of medicines known as small interfering RNA (siRNA) therapeutics, which work differently than statins.

Inclisiran is specifically designed to lower low-density lipoprotein cholesterol (LDL-C), often referred to as "bad cholesterol". It is not indicated for managing other types of cholesterol.

Inclisiran is typically administered as an injection every six months. Your healthcare provider will give you specific guidance based on your health needs, so following their recommendations is essential. If you have any questions or concerns, it’s best to discuss them with your doctor.

No, Inclisiran is not a steroid. It is a small interfering RNA (siRNA) therapy used to lower cholesterol levels by targeting and reducing the production of PCSK9, a protein that affects cholesterol regulation.

Currently, there is no evidence to suggest that Inclisiran affects fertility in humans. Most studies have focused on its efficacy in lowering cholesterol and its safety profile. However, if you have specific concerns about fertility or how any medication might affect you, it's always best to discuss them with your healthcare provider. They can provide personalized information based on your health history.

Inclisiran helps manage your cholesterol levels but does not cure the condition. You should continue taking the medicine as directed by your doctor, even if your cholesterol levels have improved.

Your doctor will prescribe the best time to take Inclisiran.

Terms & Conditions

List of Medicines for Inclisiran

Tilpazan Pre Filled Syringe 1.5ml
Tilpazan Pre Filled Syringe 1.5ml
Lupin Ltd
Pack of 1.5 UNITS
₹96000
MRP ₹120000
20% OFF
Crenzlo Injection 1.5ml
Crenzlo Injection 1.5ml
Novartis India Ltd
Pack of 1.5 ML
₹91005.48
MRP ₹120060
24.2% OFF

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