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Colestid Flavored

Colestid Flavored is a formulation of colestipol, a bile acid sequestrant used to lower cholesterol levels in individuals with primary hyperlipidemia. This flavored version makes the granules more palatable for patients who may have difficulty with the taste of the unflavored powder. Colestid works by binding bile acids in the intestine, preventing their reabsorption, which lowers cholesterol levels, especially low-density lipoprotein (LDL) cholesterol. It is often prescribed in conjunction with dietary changes and other cholesterol-lowering therapies.

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Frequently Asked Questions

How long does it take for Colestid Flavored to lower cholesterol?
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You may start to see reductions in cholesterol levels within a few weeks of starting treatment. Full effects may take 4 to 6 weeks.

Can Colestid Flavored be taken with other cholesterol-lowering medications?
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Yes, Colestid can be combined with other cholesterol-lowering medications, such as statins, for better cholesterol management. However, the administration times should be separated to avoid absorption issues.

Can Colestid Flavored cause weight loss?
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Colestid is not indicated for weight loss, but some patients may experience mild changes in weight due to gastrointestinal effects. It is primarily used for cholesterol management.

Is Colestid Flavored safe during pregnancy?
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Colestid is not absorbed into the bloodstream and is generally considered safe during pregnancy. However, you should consult your healthcare provider before taking any medication during pregnancy.

What should I do if I miss a dose of Colestid?
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If you miss a dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for the missed one.

Comprehensive Drug Guide

How Does Colestid Flavored Work?

Colestipol works by binding to bile acids in the intestine, forming an insoluble complex that is excreted in the stool. Bile acids are synthesized from cholesterol, and their removal stimulates the liver to use more cholesterol to produce new bile acids, effectively lowering the amount of cholesterol circulating in the blood. This process primarily lowers LDL cholesterol, reducing the risk of cardiovascular disease.

Common Dosages

  • Granules for oral suspension: 5 grams per packet

Typical Dosing

  • For cholesterol management: The usual starting dose is 5 grams once or twice daily, mixed with a liquid or soft food. The dosage may be increased as needed to a maximum of 30 grams per day, depending on individual cholesterol levels and tolerance. The medication should be taken at the same time each day for best results.

Typical Dosing

FDA Approved Indications

Primary hyperlipidemia (high cholesterol levels) to reduce elevated LDL cholesterol when dietary therapy alone is not sufficient.

Who Shouldn't Take Colestid Flavored?

  • Known hypersensitivity to colestipol or any component of the formulation
  • Complete biliary obstruction
  • Severe constipation or bowel obstruction


Advice From The Pharmacist

  • Mix Colestid Flavored granules with water, juice, or soft foods like applesauce before taking it. Do not take the granules dry, as they may cause choking.
  • Take other medications at least 1 hour before or 4 hours after taking Colestid to prevent interference with their absorption.
  • Drink plenty of water throughout the day to prevent constipation, a common side effect of bile acid sequestrants.
  • Maintain a low-cholesterol diet and regular exercise routine to maximize the cholesterol-lowering effects of Colestid.


Side Effects of Colestid Flavored

Common Side Effects

  • Constipation
  • Abdominal pain or cramping
  • Gas or bloating
  • Nausea
  • Heartburn or indigestion


Uncommon/Severe Side Effects

  • Severe constipation or bowel obstruction
  • Malabsorption of fat-soluble vitamins (A, D, E, K)
  • Increased triglyceride levels


Risks and Warnings of Colestid Flavored

  • Constipation: Colestid can cause or worsen constipation. Drinking plenty of fluids, increasing dietary fiber, and using stool softeners if necessary may help manage this side effect.
  • Vitamin Deficiency: Long-term use of Colestid can interfere with the absorption of fat-soluble vitamins (A, D, E, K). Your healthcare provider may recommend vitamin supplements if necessary.
  • Drug Interactions: Colestid may reduce the absorption of certain medications, including warfarin, thyroid medications, and some diabetes drugs. Take other medications at least 1 hour before or 4 hours after Colestid to minimize interactions.

Interactions with Colestid Flavored

Common Drug Interactions

  • Fat-soluble vitamins (A, D, E, K): Colestid may interfere with the absorption of these vitamins. Supplementation may be necessary with long-term use.
  • Warfarin (Coumadin): Colestid can reduce the absorption and effectiveness of warfarin. Close monitoring of INR levels is recommended if taking both medications.
  • Levothyroxine (thyroid medication): Colestid can reduce the absorption of thyroid medications. Take thyroid medications at least 4 hours apart from Colestid.
  • Oral contraceptives: Colestid may reduce the effectiveness of oral contraceptives. Use an additional form of contraception if necessary.

Alternatives to Colestid Flavored

  • Cholestyramine (Questran): Another bile acid sequestrant that may have more gastrointestinal side effects but can be used for similar conditions.
  • Ezetimibe (Zetia): A cholesterol absorption inhibitor that works differently by blocking cholesterol absorption in the intestines.
  • Statins (Atorvastatin, Simvastatin): Commonly prescribed to lower LDL cholesterol and reduce the risk of cardiovascular disease.
  • Fenofibrate (Tricor): A lipid-lowering medication used primarily for patients with high triglycerides.