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