UK Clinical Pharmacy Association


Issues for surgery

Potential increased absorption of dietary cholesterol if omitted.

Combination product containing simvastatin – increased risk of myocardial infarction if omitted.

Combination product containing simvastatin – risk of myopathy and rhabdomyolysis if continued.

See also Statins drug records.

Advice in the perioperative period

Elective and emergency surgery 

Continue, including the following combination product:

Inegy® (ezetimibe + simvastatin)

Post-operative advice

Restart post-operatively as soon as next dose is due.

Interactions with common anaesthetic agents


Interactions with other common medicines used in the perioperative period


Further information



Joint Formulary Committee. British National Formulary (online) London: BMJ Group and Pharmaceutical Press. [Accessed on 18th July 2019]

Summary of Product Characteristics – Ezetrol® (ezetimibe) 10mg Tablets. Merck Sharp and Dohme Limited. Accessed via 18/07/2019 [date of revision of the text February 2018]

Baxter K, Preston CL (eds), Stockley’s Drug Interactions (online) London: Pharmaceutical Press. [Accessed on 18th July 2019]

Ezetimibe. In: Brayfield A (Ed), Martindale: The Complete Drug Reference. London: The Royal Pharmaceutical Society of Great Britain. Electronic version. Truven Health Analytics, Greenwood Village, Colorado, USA. Available at: [Accessed 18th July 2019]