Written & medically reviewed by Dr. Sanjay Anbu, MBBS· Last reviewed
Bempedoic acid lowers cholesterol, useful for people who cannot tolerate statins. It belongs to the Cholesterol & antiplatelet (extra) group. These further lower cholesterol or prevent clots in high-risk people.
Reducing heart attack and stroke risk in high-risk people
Used alone, with a statin, or combined with ezetimibe
Common brand names
India: Bempedoic
Worldwide: Nexletol, Nilemdo
Common side effects
Raised uric acid and gout
Muscle spasms or pain in arms and legs
Mild anaemia
Raised liver tests
Before taking it — precautions
Tell your doctor if you have gout
Tell your doctor about past tendon problems
Not used in pregnancy or breastfeeding
When to see a doctor urgently
Sudden tendon pain, a snapping feeling or swelling at the heel or shoulder (stop and seek help)
Hot, painful, swollen joint (gout)
Yellow skin or eyes, or dark urine
Not a prescription — no dose shown. The right dose of bempedoic acid depends on age, weight, kidney/liver function and the condition, so MedDroid does not show a dose here. Always get your dose from a doctor or pharmacist and the leaflet inside the pack. General educational information only.
Frequently asked questions
Does it cause muscle pain like statins?
Muscle pain is less common, because it is activated mainly in the liver rather than in muscle.
Can I take it with a statin?
Yes, it can be added to a statin; your doctor checks which statin and how much.
Do I still need a healthy diet?
Yes. Diet, exercise and not smoking remain important alongside the medicine.
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.