Indications
Icosapent Ethyl capsule (Vescap is one brand) is taken together with the maximum dose of a statin that the patient can tolerate. Used this way, it lowers the risk of myocardial infarction, stroke, coronary revascularization, and unstable angina that needs hospital admission. It is meant for adults with raised triglyceride (TG) levels (≥150 mg/dL) who have either established cardiovascular disease, or diabetes mellitus plus 2 or more additional risk factors for cardiovascular disease. Icosapent Ethyl is also used alongside diet to bring down TG levels in adults with severe hypertriglyceridemia (≥500 mg/dL). Limitations of use: the effect of Icosapent Ethyl on the risk of pancreatitis in patients with severe hypertriglyceridemia has not been determined.
⚠️ Always consult a registered physician before taking any medicine.
Pharmacology
Icosapent Ethyl is an ethyl ester of the omega-3 fatty acid eicosapentaenoic acid (EPA). EPA reduces the synthesis and/or secretion of hepatic very low-density lipoprotein triglycerides (VLDL-TG), and it also improves the clearance of TG from circulating VLDL particles. The possible mechanisms of action include increased p-oxidation, inhibition of acyl-CoA:1,2-diacylglycerol acyltransferase (DGAT), decreased lipogenesis in the liver, and increased plasma lipoprotein lipase activity.
Pregnancy & Breastfeeding
Icosapent Ethyl should be used in pregnancy only when the possible benefit to the mother is greater than the possible risk to the fetus. Omega-3 fatty acids, including EPA, have been found in human milk. Because the nursing infant could be affected, the mother and doctor need to decide whether to stop nursing or stop the medicine, and the decision should take into account how much the mother needs the medicine.
⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Dosage Reference
⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.
Side Effects & Interactions
Side Effects
No side-effect data recorded yet.