HMG-CoA reductase inhibitor; synthetic analog of lovastatin, q.v. Prepn: A. K. Willard et al., EP 33538; W. F. Hoffman et al., US 4444784 (1981, 1984 both to Merck & Co.); W. F. Hoffman et al., J. Med. Chem. 29, 849 (1986). Comprehensive description: D. K. Ellison et al., Anal. Profiles Drug Subs. Excip. 22, 359-388 (1993). HPLC/MS determn in plasma and pharmacokinetics: B. Barrett et al., J. Pharm. Biomed. Anal. 41, 517 (2006). Effect on survival in CHD: Scandinavian Simvastatin Survival Study Group, Lancet 344, 1383 (1994). Clinical trial in primary hypercholesterolemia: L. Ose et al., Clin. Cardiol. 23, 39 (2000); in mixed hyperlipidemia: E. Stein et al., Am. J. Cardiol. 86, 406 (2000). Review of development and clinical experience: J. G. Robinson, Expert Opin. Pharmacother. 8, 2159-2172 (2007); of therapeutic potential in multiple sclerosis: O. Neuhaus, H.-P. Hartung, Expert Rev. Neurother. 7, 547-556 (2007).
Antilipemic.
Antilipemic; HMG CoA Reductase Inhibitors; HMG CoA Reductase Inhibitor