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Appendix B NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Proposed Health Technology Appraisal Mipomersen for the prevention of cardiovascular events due to homozygous and severe heterozygous
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Gather all the necessary information and documents needed to fill out the form, such as medical history, patient details, and prescription information.
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Who needs mipomersen for form prevention?

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Mipomersen is typically prescribed for individuals who have Heterozygous Familial Hypercholesterolemia (HeFH) or Homozygous Familial Hypercholesterolemia (HoFH). These are genetic disorders characterized by high levels of LDL cholesterol.
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Patients with HeFH may benefit from mipomersen for form prevention if they have not responded adequately to other cholesterol-lowering medications.
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Individuals with HoFH, which is a more severe form of Familial Hypercholesterolemia, may also require mipomersen as part of their comprehensive treatment plan to reduce LDL cholesterol levels.
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Mipomersen is a medication used to help prevent forms of cardiovascular disease.
Healthcare providers and patients may be required to file mipomersen for form prevention based on their specific circumstances.
Mipomersen for form prevention can be filled out by following the instructions provided by the healthcare provider or pharmacist.
The purpose of mipomersen for form prevention is to help reduce the risk of cardiovascular events.
Information such as patient details, dosage instructions, and any reported side effects may need to be reported on mipomersen for form prevention.
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