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Cholestyramine

Cholestyramine 60 Packet

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What is Cholestyramine?

Cholestyramine is a medication used to lower cholesterol levels in the body. It helps prevent health issues like heart attacks and strokes by binding bile acids in the intestines and removing them from the body.

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What is Cholestyramine ?

Cholestyramine is a medication used to lower cholesterol levels in the body. It helps prevent health issues like heart attacks and strokes by binding bile acids in the intestines and removing them from the body.

Source: MedlinePlus, U.S. National Library of Medicine

  • Rash or hives
  • Wheezing or trouble breathing.
  • Unusual bleeding such as nosebleeds or bleeding gums
  • Severe stomach pain
  • Make sure your doctor knows if you are pregnant or breastfeeding, or if you have thyroid problems, diabetes, gallbladder disease, stomach problems, heart disease, kidney disease, or liver disease.
  • Questran Light® contains aspartame (Nutrasweet®). If you have phenylketonuria you should avoid using this product.
  • Before you stop using this medicine, talk with your doctor.
  • This medicine is used with diet, exercise, and weight loss in overweight patients to control high cholesterol levels. To lower and keep your cholesterol normal, all of these are important.
What is cholestyramine used for?
Cholestyramine is FDA-approved to lower high LDL ("bad") cholesterol in primary high cholesterol, used together with a healthy diet, and to relieve itching caused by partial blockage of the bile ducts. It is a bile acid sequestrant that binds bile acids in the gut. Your doctor can tell you why it was prescribed for you.
How long does it take for cholestyramine to work?
For cholesterol, cholestyramine works gradually, and it usually takes several weeks of regular use before your LDL cholesterol drops meaningfully, with your doctor rechecking levels to gauge the effect. When it is used to relieve itching from partial biliary obstruction, some people notice improvement sooner. Keep taking it as directed even if you do not feel a difference right away.
What are the most common side effects of cholestyramine?
The most common side effect is constipation, which can sometimes be severe. Other common effects include bloating, gas, abdominal pain, and nausea. With long-term or high-dose use, it can lower absorption of fat-soluble vitamins (A, D, E, K) and folic acid. Contact your healthcare provider if side effects are bothersome or persistent.
Can cholestyramine be used for diarrhea and bile acid malabsorption?
Cholestyramine's FDA-approved uses are lowering LDL cholesterol and relieving itching from partial biliary obstruction. Some clinicians also use it off-label for diarrhea related to bile acid malabsorption, but that is a decision only your own prescriber can make based on your situation. Do not start it for this purpose on your own; talk with your doctor.
What medications should not be taken with cholestyramine?
Cholestyramine can bind many oral drugs and reduce their absorption, including thyroid hormone, warfarin, digoxin, thiazide diuretics, and some antibiotics. To avoid this, most guidance is to take your other medications at least 1 hour before or 4 to 6 hours after cholestyramine. Give your pharmacist a full list of your medicines so they can help you time doses safely.
How much does Cholestyramine cost without insurance?
The price of Cholestyramine without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Cholestyramine?
Common side effects of Cholestyramine may include: Rash or hives, Wheezing or trouble breathing., Unusual bleeding such as nosebleeds or bleeding gums, Severe stomach pain. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Cholestyramine?
Generic versions may be available for Cholestyramine. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Cholestyramine on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Cholestyramine?
The cheapest pharmacy for Cholestyramine depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Cholestyramine near you.

Cholestyramine Coupons & Prices

Cholestyramine 60 Packet

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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

Looking for a cholestyramine coupon? Cholestyramine is a low-cost generic bile acid sequestrant used to lower high LDL ("bad") cholesterol and to relieve itching from partial biliary obstruction. Because it is generic, cash prices are usually modest, but they can vary widely from one pharmacy to the next, so comparing before you fill matters. Rx.com checks prices across more than 60,000 U.S. pharmacies so you can find today's lowest cash price. Enter your ZIP above to see the current price near you and a free coupon you can show at the counter.

What is cholestyramine and how does it work?

Cholestyramine (also sold as the resin form, and formerly under the brand names Prevalite and Questran) is a bile acid sequestrant, a type of bile acid-binding resin. It works inside your intestine rather than in your bloodstream: the powder binds to bile acids and carries them out of the body in the stool. To replace them, your liver pulls cholesterol out of your blood to make more bile acids, which lowers your LDL cholesterol over time.

Cholestyramine is FDA-approved as an add-on to diet to lower elevated LDL cholesterol in primary high cholesterol, and to relieve itching (pruritus) caused by partial blockage of the bile ducts. It is a powder that must be mixed with water or another fluid before you take it. This is not medical advice; talk with your doctor or pharmacist about whether cholestyramine is right for you.

Cholestyramine cost and how to save without insurance

Cholestyramine is available as an FDA-approved generic, so it is generally one of the more affordable cholesterol medicines even if you pay cash. The brand versions (Questran, Questran Light) have largely been discontinued in the U.S., and generic cholestyramine is what most pharmacies stock. There is no manufacturer savings card for this generic.

Even for an inexpensive generic, the cash price can differ a lot between pharmacies in the same town, which is exactly why comparing pays off. Rx.com compares cash prices at more than 60,000 pharmacies and gives you a free discount coupon that often beats the standard shelf price. Enter your ZIP above to see today's price near you. The Rx.com coupon is a cash-price discount you can use whether or not you have insurance.

Alternatives and related cholesterol medicines

Cholestyramine belongs to the same drug class as two other bile acid sequestrants, colestipol and colesevelam (brand Welchol). These work in a similar way but differ in dosing form and tolerability. Another non-statin option that works in the gut is ezetimibe, which blocks cholesterol absorption.

For many people, statins such as atorvastatin or rosuvastatin are first-line for lowering LDL cholesterol, and are sometimes combined with a bile acid sequestrant. Which medicine fits you depends on your cholesterol level, other conditions, and how well you tolerate each option, so this is a conversation for your prescriber. You can compare cash prices for any of these on Rx.com by entering your ZIP.

Safety and important precautions

Cholestyramine has no boxed warning. Its most common side effect is constipation, which can be severe, along with bloating, gas, abdominal pain, and nausea. With long-term or high-dose use it can reduce absorption of fat-soluble vitamins (A, D, E, and K) and folic acid, which may lead to deficiency and, rarely, a tendency to bleed. It should not be used by anyone with complete biliary obstruction. Formulations that contain aspartame (such as "light" versions) should be used with caution by people with phenylketonuria (PKU).

Always mix the powder with fluid and never swallow it dry, to avoid irritating or blocking the esophagus. Cholestyramine can bind many oral medications and reduce how well they are absorbed, including thyroid hormone, warfarin, digoxin, thiazide water pills, and some antibiotics. A common rule is to take other medicines at least 1 hour before or 4 to 6 hours after cholestyramine. This is general information, not medical advice; check with your doctor or pharmacist about your specific medicines and timing.

Sources & accuracy

This Cholestyramine information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Cholestyramine on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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