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Multiple Choice

Which of the following is NOT an indicated use of lomitapide?

Lomitapide works by inhibiting microsomal triglyceride transfer protein, which blocks the assembly and secretion of apoB-containing lipoproteins in the liver and intestine. This lowers the production of VLDL and LDL, reducing LDL-C and total cholesterol, and it is used as adjunct therapy in homozygous familial hypercholesterolemia to achieve lower LDL-C. Increasing HDL-C is not achieved by this mechanism, so this is not an indicated use. The other options reflect reductions in LDL-C or total cholesterol and the HoFH indication.

Lomitapide works by inhibiting microsomal triglyceride transfer protein, which blocks the assembly and secretion of apoB-containing lipoproteins in the liver and intestine. This lowers the production of VLDL and LDL, reducing LDL-C and total cholesterol, and it is used as adjunct therapy in homozygous familial hypercholesterolemia to achieve lower LDL-C. Increasing HDL-C is not achieved by this mechanism, so this is not an indicated use. The other options reflect reductions in LDL-C or total cholesterol and the HoFH indication.