Evolocumab (PCSK9i)

Cardiology

Cardiology · PCSK9 monoclonal antibody

Evolocumab (PCSK9i)

Dose

140 mg SC q2 weeks or 420 mg monthly.

Indications

  • Statin-intolerant or LDL not at target on statin+ezetimibe in high-risk CVD/FH

Use

Additional 50–60% LDL reduction on top of statin (FOURIER).

Monitoring

Injection-site reactions, lipid response.

Side effects

  • Injection-site reaction
  • Nasopharyngitis
  • Myalgia

Related in WardRound

Always confirm dose against your local formulary / BNF before prescribing.

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