Friday, December 18, 2020 2:01:02 PM
https://www.vascepahcp.com/guidelines/#:~:text=American%20Diabetes%20Association%20(ADA)%20Standards,%2D499%20mg%2FdL).
American Heart Association (AHA) Science Advisory:
Released an advisory statement identifying icosapent ethyl as the first non–LDL-focused lipid therapy to demonstrate CV benefit. IPE was further recommended to be considered first-line therapy for patients with T2DM and CAD whose triglycerides remain elevated (>135 mg/dL) despite maximally tolerated statin and lifestyle changes.1
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American Diabetes Association (ADA) Standards of Medical Care in Diabetes for 2019:
ADA gives icosapent ethyl level “A” recommendation for patients with diabetes and ASCVD or other CV risk factors on a statin with controlled LDL-C and elevated TG (135-499 mg/dL).2
"It should be noted that data are lacking with other omega-3 fatty acids and results of the REDUCE-IT® trial should not be extrapolated to other products"
Combination therapy (statin/fibrate) has not been shown to improve atherosclerotic cardiovascular disease outcomes and is generally not recommended
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American Association of Clinical Endocrinologists (AACE) Consensus Statement:
Recommends to add icosapent ethyl 4 g/day if high ASCVD risk on maximally tolerated statins and TG 135-499 mg/dL.3
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National Lipid Association (NLA) Scientific Statement:
Class I, Level B-R (STRONG) recommendation for the CV risk-lowering effects of icosapent ethyl for high-risk and very-high-risk patients with TG 135-499 mg/dL on statin therapy.4
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European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) Guidelines:
Recommend that icosapent ethyl, 2g twice a day, should be considered for patients with CV disease who have TG levels 135 mg/dL to 499 mg/dL despite statin treatment, which places them at high risk of CV events, such as heart attack, stroke, or death.5
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Leading medical societies emphasize that clinical results with IPE should not be generalized
to any other product
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