Can Zetia (ezetimibe) be used to treat a 65-year-old patient with hypercholesterolemia, statin intolerance, and high non-HDL cholesterol levels, given that Repatha (evolocumab) is not covered?

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Last updated: January 19, 2026View editorial policy

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Ezetimibe for Statin-Intolerant Hypercholesterolemia

Yes, you should absolutely prescribe Zetia (ezetimibe) 10 mg daily for this 65-year-old patient with statin intolerance—it is the guideline-recommended first-line non-statin therapy for LDL-C lowering. 1

Why Ezetimibe is the Right Choice

Ezetimibe is specifically recommended by the American College of Cardiology as first-line therapy for statin-intolerant patients due to its demonstrated safety, tolerability, and convenience. 1 The 2018 ACC/AHA guidelines explicitly state that in patients with LDL-C ≥100 mg/dL who cannot tolerate statins, ezetimibe therapy is reasonable. 2

Your patient's lipid profile shows:

  • LDL-C 145 mg/dL (elevated, requiring treatment)
  • Non-HDL-C 161 mg/dL (high-risk marker)
  • Triglycerides 78 mg/dL (normal, no contraindication to any therapy)
  • HDL-C 66 mg/dL (protective)

Expected Outcomes with Ezetimibe

  • LDL-C reduction of 15-20% when used as monotherapy 1, 3
  • This would lower her LDL-C from 145 mg/dL to approximately 116-123 mg/dL
  • Non-HDL-C will also decrease by similar magnitude 4
  • Ezetimibe is well-tolerated with minimal side effects, particularly no muscle-related adverse effects like statins 3

FDA-Approved Indications Match This Patient

The FDA label confirms ezetimibe is indicated "alone (when additional cholesterol lowering treatments are not possible), to lower elevated low-density lipoprotein cholesterol (LDL-C) or bad cholesterol in adults with primary hyperlipidemia." 5 Your patient's statin intolerance (sharp foot pain) qualifies as a situation where "additional cholesterol lowering treatments are not possible."

Practical Prescribing Details

  • Dose: Ezetimibe 10 mg once daily 5
  • Timing: Can be taken with or without food, at any time of day 5
  • No dose adjustment needed for her age (65 years) or normal renal function 5
  • Recheck lipid panel in 4-12 weeks to assess response 2, 1

What Happens If Ezetimibe Alone is Insufficient

If her LDL-C remains elevated after 8-12 weeks on ezetimibe:

  1. Add bempedoic acid 180 mg daily as the next step, which provides an additional 15-25% LDL-C reduction 6
  2. Consider PCSK9 inhibitor (like Repatha) if she has very high cardiovascular risk and LDL-C remains ≥70 mg/dL despite ezetimibe + bempedoic acid 6
  3. Bile acid sequestrants (colesevelam) are a third-line option since her triglycerides are <300 mg/dL, but they are less preferred due to tolerability issues 2, 1

Addressing the Insurance Issue with Repatha

While Repatha (evolocumab) would provide superior LDL-C lowering (~50-60% reduction), guidelines explicitly recommend trying ezetimibe first before escalating to PCSK9 inhibitors due to cost-effectiveness considerations. 1, 6 Insurance companies typically require documentation of inadequate response to ezetimibe (and often bempedoic acid) before approving PCSK9 inhibitors.

Risk Stratification Context

With a calcium score of 17% (assuming this means 17th percentile or Agatston score of 17), she has mild coronary atherosclerosis, placing her at moderate-to-high cardiovascular risk. 2 The American Diabetes Association guidelines suggest that for patients with 10-year ASCVD risk ≥20%, it may be reasonable to add ezetimibe to maximally tolerated statin therapy—in her case, since she cannot tolerate statins at all, ezetimibe monotherapy is the appropriate starting point. 2

Common Pitfalls to Avoid

  • Do not skip ezetimibe and go straight to PCSK9 inhibitors—this violates guideline recommendations and will likely result in insurance denial 1
  • Do not use bile acid sequestrants as first-line—they have more GI side effects and are less convenient than ezetimibe 1
  • Do not forget to continue lifestyle modifications—the dietary changes you've already discussed (avoiding saturated/trans fats, increasing omega-3s) remain essential 1
  • Do not use ezetimibe with statins if she truly cannot tolerate any statin—the FDA label warns against combining with statins if the patient has been told not to take them 5

Monitoring Plan

  • Lipid panel at 8-12 weeks after starting ezetimibe 1
  • Monitor liver enzymes at baseline and if symptoms develop (though ezetimibe rarely causes hepatotoxicity) 5
  • Annual lipid monitoring once at goal 6
  • Continue emphasizing adherence to Mediterranean-style diet and regular exercise 1

References

Guideline

Cholesterol-Lowering Medication Recommendations for Older Adults with Statin Allergy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Ezetimibe: cholesterol lowering and beyond.

Expert review of cardiovascular therapy, 2008

Guideline

Management of Statin-Intolerant Patients: Next Medication Options

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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