Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cholestyramine (Prevalite) and colestipol (Colestid) are both bile acid sequestrants used to lower cholesterol, but they have some differences. Cholestyramine is available only as a powder that you mix with a liquid, while colestipol comes in both tablet and granule forms. Cholestyramine can also treat itching caused by bile duct blockage, which colestipol does not. Both medications can cause constipation, but colestipol tablets are noted to be large and may be hard to swallow. Cholestyramine can lead to tooth discoloration and decay if not taken properly, a side effect not mentioned for colestipol. Additionally, both medications can interfere with the absorption of other medications and vitamins, so you need to space out their intake from other medications. Both are available in lower-cost, generic forms.
Cholestyramine
Colestipol (Colestid)
Cholestyramine
Colestipol (Colestid)
Summary of Questran vs. Colestid
Summary for Bile acid sequestrant
Prescription only
Cholestyramine is a bile acid sequestrant used to treat adults with high cholesterol and itching caused by bile duct problems. It comes as a powder in packets or a can that you mix with liquid to make an oral suspension before taking it. You take a dose by mouth 1 to 6 times a day, depending on your condition. The most common side effect is constipation.
Summary for Bile acid sequestrant
Prescription only
Colestipol, also known by its brand name Colestid, is a bile acid sequestrant that's used to treat high cholesterol in adults. It should be taken along with having a balanced diet and exercise routine to help lower cholesterol. The tablets and granules for suspension are taken either once per day or many times per day, depending on the dose. Side effects are generally limited to the stomach and can include constipation, bloating, and stomach pain. Colestipol (Colestid) has brand-name and generic versions.