{
  "schema_version": 1,
  "kind": "condition",
  "id": "dyslipidemia",
  "name": "Dyslipidemia",
  "category": "chronic",
  "sources": "ESC/EAS Dyslipidaemias 2019 · Egyptian National Drug Formulary - Cardiovascular 2024 (fenofibrate monograph) · Atorvastatin 20 mg film-coated tablets SmPC section 4.2 Posology and method of administration (eMC product 13673) · Rosuvastatin 10 mg film coated tablets SmPC section 4.2 Posology and method of administration (eMC product 14430)",
  "review_status": "reviewed",
  "verified_against": "ESC/EAS Dyslipidaemias 2019 · Egyptian National Drug Formulary - Cardiovascular 2024 (fenofibrate monograph) · Atorvastatin 20 mg film-coated tablets SmPC section 4.2 Posology and method of administration (eMC product 13673) · Rosuvastatin 10 mg film coated tablets SmPC section 4.2 Posology and method of administration (eMC product 14430)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 644,
      "generic": "Atorvastatin",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 20.0,
      "adult_dose": "10-20 mg once daily (any time of day), titrate up to 80 mg daily",
      "adult_duration": "long-term",
      "dose_source": "Atorvastatin 20 mg film-coated tablets SmPC section 4.2 Posology and method of administration (eMC product 13673)",
      "rationale": "HMG-CoA reductase inhibitor (statin) that lowers LDL cholesterol by blocking hepatic cholesterol synthesis, used to reduce cardiovascular risk in dyslipidemia.",
      "cautions": [
        "CONTRAINDICATED in pregnancy and breastfeeding.",
        "Monitor LFTs before starting and at 12 months.",
        "Muscle pain requires creatine kinase check.",
        "Caution in heavy alcohol use or hepatic disease."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Specialist referral for pediatric familial hypercholesterolemia",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "ANTICHOL 20 MG 10 F.C. TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JEDCO INT. CO. FOR PHARMACEUTICALS",
          "price_egp": 14.4,
          "pack_count": 10,
          "unit_price": 1.44,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LIRIMAR 20 MG 10 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RIVA PHARMA S.A.E.",
          "price_egp": 15.0,
          "pack_count": 10,
          "unit_price": 1.5,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LIPOVAST 20MG 7 F.C.TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MISR",
          "price_egp": 11.5,
          "pack_count": 7,
          "unit_price": 1.64,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "SIGMALIP 20 MG 10 F.C.TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SIGMA",
          "price_egp": 24.0,
          "pack_count": 10,
          "unit_price": 2.4,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LIPOSEDRA 20 MG 30 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DELTA PHARMA > SUECAL PHARMA",
          "price_egp": 111.0,
          "pack_count": 30,
          "unit_price": 3.7,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ATOR 20 MG 10 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EIPICO",
          "price_egp": 79.0,
          "pack_count": 10,
          "unit_price": 7.9,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ATCOLIPOX 20 MG 30 CHEW. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ATCO PHARMA",
          "price_egp": 72.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HIPOLIXAVAST 20 MG 30 CHEW. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EGPI",
          "price_egp": 127.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "dyslipidemia"
    },
    {
      "id": 645,
      "generic": "Rosuvastatin",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 10.0,
      "adult_dose": "5-10 mg once daily, titrate to 20-40 mg daily",
      "adult_duration": "long-term",
      "dose_source": "Rosuvastatin 10 mg film coated tablets SmPC section 4.2 Posology and method of administration (eMC product 14430)",
      "rationale": "Alternative HMG-CoA reductase inhibitor (statin) for LDL cholesterol lowering in dyslipidemia, chosen instead of atorvastatin based on individual tolerability, drug interactions, or the intensity of LDL lowering needed.",
      "cautions": [
        "CONTRAINDICATED in pregnancy and breastfeeding.",
        "The 40 mg dose is contraindicated in severe renal impairment.",
        "Monitor LFTs and muscle symptoms.",
        "Caution in renal impairment."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Specialist referral in pediatric dyslipidemia",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "ROSUMOP 10MG 14 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MINA PHARM > SANDOZ",
          "price_egp": 25.5,
          "pack_count": 14,
          "unit_price": 1.82,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VINAPOTEX 10 MG 14 F.C TABS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "RAMEDA EGYPT > AL ANSAR MARKETING COMPANY",
          "price_egp": 36.0,
          "pack_count": 14,
          "unit_price": 2.57,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NAPLEMA 10 MG 30 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "NAPCO",
          "price_egp": 77.25,
          "pack_count": 30,
          "unit_price": 2.58,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ROSUVALING 10 MG 28 TABLETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UTOPIA PHARMA",
          "price_egp": 100.0,
          "pack_count": 28,
          "unit_price": 3.57,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NEXIROZOVA 10 MG 28 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ZETA PHARMA",
          "price_egp": 116.0,
          "pack_count": 28,
          "unit_price": 4.14,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "JUSTECHOL 10 MG 14 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AUG PHARMA",
          "price_egp": 74.0,
          "pack_count": 14,
          "unit_price": 5.29,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CRESTOR 10 MG 28 F.C.TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "IPR PHARMACEUTICALS INCORPORATED > ASTRA ZENECA",
          "price_egp": 368.0,
          "pack_count": 28,
          "unit_price": 13.14,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "EPIROVASTIN 10 MG 14 SCORED F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EIPICO",
          "price_egp": 56.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "dyslipidemia"
    },
    {
      "id": 646,
      "generic": "Ezetimibe",
      "line": 2,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 10.0,
      "adult_dose": "10 mg once daily, monotherapy or add-on to statin",
      "adult_duration": "long-term",
      "dose_source": "ESC/EAS Dyslipidaemias 2019",
      "rationale": "Cholesterol absorption inhibitor that blocks intestinal uptake of dietary and biliary cholesterol; used as monotherapy or added to a statin when further LDL lowering is needed beyond what the statin achieves alone.",
      "cautions": [
        "Monitor LFTs when combined with a statin.",
        "Caution in moderate to severe hepatic impairment.",
        "GI disturbance and fatigue have been reported."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Specialist referral in children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "LOWTIMIB 10 MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 11.5,
          "pack_count": 10,
          "unit_price": 1.15,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CHOLSTOP 10MG 30 TAB",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MUP",
          "price_egp": 41.0,
          "pack_count": 30,
          "unit_price": 1.37,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "EZETIMIBE 10MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "BORG",
          "price_egp": 14.4,
          "pack_count": 10,
          "unit_price": 1.44,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "LIPIDNORM 10 MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "OCTOBER PHARMA",
          "price_egp": 14.4,
          "pack_count": 10,
          "unit_price": 1.44,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZETAMIBE 10 MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ADWIA",
          "price_egp": 34.8,
          "pack_count": 10,
          "unit_price": 3.48,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ZETLIP 10MG 10 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "BIORIGINAL INTERNATIONAL GROUP PHARMA EGYPT",
          "price_egp": 35.0,
          "pack_count": 10,
          "unit_price": 3.5,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CHOLETIMB 10 MG 14 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MARCYRL PHARMACEUTICAL INDUSTRIES (MPI)",
          "price_egp": 65.0,
          "pack_count": 14,
          "unit_price": 4.64,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "EZETROL 10MG 7 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MERCK SHARP & DOHME > GLOBAL NAPI PHARMACEUTICALS",
          "price_egp": 90.0,
          "pack_count": 7,
          "unit_price": 12.86,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "dyslipidemia"
    },
    {
      "id": 647,
      "generic": "Fenofibrate",
      "line": 3,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 160.0,
      "adult_dose": "160 mg once daily with meals for severe hypertriglyceridemia",
      "adult_duration": "long-term",
      "dose_source": "Egyptian National Drug Formulary - Cardiovascular 2024 (fenofibrate monograph)",
      "rationale": "Fibrate that activates PPAR-alpha to lower triglycerides, used for severe hypertriglyceridemia that is not adequately addressed by a statin, since statins primarily target LDL rather than triglycerides.",
      "cautions": [
        "Monitor renal function and LFTs.",
        "Fenofibrate dosing depends on the formulation - the formulary gives 200 mg for the capsule and directs you to the product leaflet. The 160 mg here is the tablet strength.",
        "There is a risk of cholelithiasis and gallbladder disease.",
        "There is an increased risk of myopathy when combined with statins."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Not recommended in children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "LIPANTHYL SUPRA 160MG 30 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MINA PHARM > ABBOTT LABORATORIES",
          "price_egp": 141.0,
          "pack_count": 30,
          "unit_price": 4.7,
          "strength_mg": 160.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "dyslipidemia"
    }
  ]
}