Monograph Details

Cardiovascular System > Hyperlipoproteinemias
WELCHOL
Manufacturer
Daiichi-Sankyo
Legal Classification
Rx
Pharmacological Class
Bile acid sequestrant.
Generic Name
Colesevelam HCl 625mg; tabs.
Indications
Adjunct to diet and exercise to reduce elevated LDL-C in primary hypercholesterolemia (Type IIa), alone or with a statin, when response to nondrug therapy is inadequate.
Children
Not recommended.
Adults
Take with a meal and liquid. 3 tabs twice daily or 6 tabs once daily. With a statin: may be dosed at same time or dosed apart.
Contraindications
Bowel obstruction. Serum TG>500mg/dL. History of hypertriglyceridemia-induced pancreatitis.
Precautions
TG levels >300mg/dL. Susceptibility to Vit. A, D, E, or K deficiencies. GI motility disorders (eg, dysphagia). Pregnancy (Cat.B). Nursing mothers.
Interactions
Monitor drugs with a narrow therapeutic index, glyburide, levothyroxine, oral contraceptives containing ethinyl estradiol and norethindrone, phenytoin, warfarin; give at least 4 hours prior to colesevelam.
Adverse Reactions
Constipation, dyspepsia, abdominal pain, nausea.
How Supplied
Tabs—180
Additional Resources
Related Prescribing Note