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Cholybar

Cholestyramine (Questran®, Questran Light®, Cholybar®) is a bile acid sequestrant, which binds bile in the gastrointestinal tract to prevent its reabsorption. It increases removal of bile acids from body by forming insoluble complexes in intestine, which are then excreted in feces. As body loses bile acids, it converts cholesterol from blood to bile acid, thus lowering serum cholesterol. more...

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It is primarily used to treat hypercholesterolemia, but can also used to treat the pruritus, or itching, that often occurs during liver failure due to the liver's inability to eliminate bile.

Available forms

Cholestyramine is available as powder form, in 4 gram packets. In the United States, it can be purchased either as a generic medicine, or as Questran® or Questran Light® (Bristol-Myers Squibb).

Dosage

4 to 8 grams once or twice daily, maximum dose 24 grams a day.

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New 'candy bar' helpful in lowering of cholesterol - Cholybar, a new drug delivery system for cholestyramine - Pharmacy
From Drug Store News, 1/9/89

New `candy bar' helpful in lowering of cholesterol

MORRIS PLAINS, N.J. -- Patients may now be able to lower their cholesterol by eating a raspberry or caramel flavored medicated "candy bar."

Cholybar, a new prescription drug product from the Warner-Lambert Company, represents a new drug delivery system for the cholestyramine, a drug that has been indicated in the lowering of cholesterol and has also been demonstrated to reduce the incidence of heart attack and other forms of coronary heart disease.

Previously, the drug was available only in powdered form, making it difficult for patients to take. In that form, the drug must be measured and mixed with liquids before ingestion. The gritty texture and poor taste of the drug made it even less appealing to patients.

The new form allows patients to take the 3/4 ounce bar anywhere. Each bar contains 50 to 60 calories, about 8 grams of fructose, low sodium and no fat. The average retail price is expected to be about 90 cents a bar, which is comparable to the cost of individual packets of cholestyramine powder.

Dr. Marshall Becker, professor of behavior and health education at the University of Michigan School of Medicine, said that the availability of cholestyramine in a palatable form should increase patient compliance.

The most important concern of physicians, according to Dr. Becker, was that only 50 percent of patients on any given therapy follow prescription instructions carefully enough for the drugs to work properly.

"Within a half hour after patients leave the doctor's office, they forget 75 percent of what the doctor told them," said Dr. Becker. "Erroneous health beliefs also contribute to poor compliance when patients refuse to follow a physician's instructions. Finally, the characteristics of the therapy itself has an effect on compliance. Is the medication easy to take? Is it convenient? Is it portable?"

Researchers at Warner-Lambert are exploring the possibility of making other drugs available in candy or food forms.

COPYRIGHT 1989 Reproduced with permission of the copyright holder. Further reproduction or distribution is prohibited without permission.
COPYRIGHT 2004 Gale Group

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