Used to lower LDL cholesterol in patients with hypercholesterolemia, especially those with atherosclerotic cardiovascular disease or heterozygous familial hypercholesterolemia. Often prescribed alongside statins or as an alternative when statins are not tolerated. Works by inhibiting ATP citrate lyase, a key enzyme in cholesterol biosynthesis, primarily in the liver. Helps reduce the risk of major adverse cardiovascular events by improving lipid profiles. Available in oral tablet form, sometimes combined with ezetimibe for enhanced lipid-lowering effects.