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44 Cards in this Set

  • Front
  • Back
reduce LDL levels
lovastatin, pravastatin, simvastatin, atorvastatin, fluvastatin, rosuvastatin, cholestyramine, colestipol, olesevelam, ezetimibe
decrease VLDL, increase L Lipase activity, decrease tryglycerides)
fenofibrate, gemfibrozil
decrease VLDL, LDL, and LP a, increase HDL (decrease TG and CE)
niacin, nicotinic acid, vit B3
use in hypercholerstolemia, hyperlipoprotenemia, and ischemic stroke prophyaxis or when reduction of LDL needed
lovastatin, pravastatin, simvastatin, atorvastatin, fluvastatin, rosuvastatin
used for hypercholesterolemia and hyperlipoprotenemia
cholestyramine, colestipol, colesevelam, ezetimibe
used in hypertryclyceridemia, combined hyperlipoprotemiia, adjunctive therapy for hypercholesteroemia
fenofibrate, gemfibrozil, niacin, nicotinic acid, vit B3
MOA of statins
inhibits hmg-coa, reduces synthesis of liver cholesterol, upregulation of ldl receptors in liver
MOA of cholestyramine, colestipol, colesevelam
anion exchange resin binds bile acids, prevents bile acid and cholesterol reabsorption
MOA of ezetimibe
inhibits NPC1L1 cholesterol transport in gut, prevents absorption of cholesterol
MOA of fibrates
ligand for nuclear transcription receptor, peroxisome proliferator activated receptor alpha
MOA of niacin, nicotinic acid, vit B3
Dec FFA to liver
what are the cyp 3a4 lipid lowering agents
lovastatin, simvastatin, atorvastatin
what lipid lowering agents cross placenta
fenofibrate, gemfibrozil
Tox of statins
liver, elevated aminotransferase, muscle elevated creatine kinase, myopathy, rhabdomylosis, neuropathry, hypersensitivity
Tox of cholestyramine, colestipol, colesevelam
constipation, bloating, GI distress, malabsorption of vitamins, elevated aminotransferase and serum triglycerides, hypercholerimc acidosis in children and liver failure
tox of ezetimibe
reversible impaired hepatic fx, myositis
tox of fibrates
rash gi upset, ED, myositis, potentiates, oral anticoagulant effects, increased serum aminotransferase, increased gallstones
tox of niacin
warm flushes (red with NSAID) skin rashes, gi upset, elevated liver transferase hepatotox, carb intolerance, hyperuricemia, arrhythmias
contraindications of statins
chronic or active liver disease
contraindications of sterol absorption inhibitors
dysbetalipoproteinemia or TG>400
contraindications of fibrates
kidney, liver or biliary disease
contraindication of niacin
acanthosis, nigricans, diabetes, peptic disease, gi ulcer, chronic liver disease, gout
reduce LDL levels
lovastatin, pravastatin, simvastatin, atorvastatin, fluvastatin, rosuvastatin, cholestyramine, colestipol, olesevelam, ezetimibe
decrease VLDL, increase L Lipase activity, decrease tryglycerides)
fenofibrate, gemfibrozil
decrease VLDL, LDL, and LP a, increase HDL (decrease TG and CE)
niacin, nicotinic acid, vit B3
use in hypercholerstolemia, hyperlipoprotenemia, and ischemic stroke prophyaxis or when reduction of LDL needed
lovastatin, pravastatin, simvastatin, atorvastatin, fluvastatin, rosuvastatin
used for hypercholesterolemia and hyperlipoprotenemia
cholestyramine, colestipol, colesevelam, ezetimibe
used in hypertryclyceridemia, combined hyperlipoprotemiia, adjunctive therapy for hypercholesteroemia
fenofibrate, gemfibrozil, niacin, nicotinic acid, vit B3
MOA of statins
inhibits hmg-coa, reduces synthesis of liver cholesterol, upregulation of ldl receptors in liver
MOA of cholestyramine, colestipol, colesevelam
anion exchange resin binds bile acids, prevents bile acid and cholesterol reabsorption
MOA of ezetimibe
inhibits NPC1L1 cholesterol transport in gut, prevents absorption of cholesterol
MOA of fibrates
ligand for nuclear transcription receptor, peroxisome proliferator activated receptor alpha
MOA of niacin, nicotinic acid, vit B3
Dec FFA to liver
what are the cyp 3a4 lipid lowering agents
lovastatin, simvastatin, atorvastatin
what lipid lowering agents cross placenta
fenofibrate, gemfibrozil
Tox of statins
liver, elevated aminotransferase, muscle elevated creatine kinase, myopathy, rhabdomylosis, neuropathry, hypersensitivity
Tox of cholestyramine, colestipol, colesevelam
constipation, bloating, GI distress, malabsorption of vitamins, elevated aminotransferase and serum triglycerides, hypercholerimc acidosis in children and liver failure
tox of ezetimibe
reversible impaired hepatic fx, myositis
tox of fibrates
rash gi upset, ED, myositis, potentiates, oral anticoagulant effects, increased serum aminotransferase, increased gallstones
tox of niacin
warm flushes (red with NSAID) skin rashes, gi upset, elevated liver transferase hepatotox, carb intolerance, hyperuricemia, arrhythmias
contraindications of statins
chronic or active liver disease
contraindications of sterol absorption inhibitors
dysbetalipoproteinemia or TG>400
contraindications of fibrates
kidney, liver or biliary disease
contraindication of niacin
acanthosis, nigricans, diabetes, peptic disease, gi ulcer, chronic liver disease, gout