Vytorin is manufactured by Merck/Schering-Plough Pharmaceuticals (MSP).
As mentioned, Vytorin is a combination of simvastatin and ezetimibe.
Simvastatin works by blocking a particular enzyme (HMG-CoA reductase) that controls the rate of cholesterol production in the body. This causes the liver to make less cholesterol and also increases the liver's ability to collect and get rid of
LDL cholesterol ("bad" cholesterol).
Ezetimibe is part of a class of drugs called cholesterol absorption inhibitors. As the name implies, it blocks the absorption of cholesterol from the intestines into the blood. By doing this, less cholesterol enters the body. The drug is unique in that it works just at the "brush border" of the small intestine. Because less cholesterol is delivered from the digestive tract to the liver (which depletes its stores of cholesterol), the liver reacts by taking cholesterol from the blood, which reduces
cholesterol levels.
Because of the effects of simvastatin and ezetimibe, Vytorin decreases the following forms of cholesterol and fats:
The medication also increases
HDL cholesterol ("good" cholesterol).