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26 Cards in this Set
- Front
- Back
Statins--Targets
|
↓ LDL**
↓ P (stroke) (↓ TG & ↑ HDL) |
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Statins--MOA
|
HMG CoA reductase Inhibition
|
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Statins--C/I
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Liver dx (thus, screen for liver E)
|
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Statins--AE
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Myopathy
|
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Statins--DDI
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● Fibric acids
● HMG-CoA Reductase Inhibitors ● Alcohol ● Barbiturates OK w/ BA sequestrants, Nicotinic Acid, or Selective CHL Absorption Inhibitors (e.g. Zetia) |
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BA Sequestrants--examples
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● Cholestyramine
● Cholestipol ● Colesevalam |
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BA Sequestrants--Targets
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↓ LDL (moderately)**
(↓ TG (barely) & ↑ HDL (barely)) |
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BA Sequestrants--C/I
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HYPER-TG-emia (>400)
|
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BA Sequestrants--AE
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● GI problems
● ↓ Drug Absorption |
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BA Sequestrants--DDI
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● Niacin
● Ezetimibe ● Fluvastatin ● Fibric Acid OK w/ Statins |
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Nicotinic Acid--Targets
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↓ TG **
↑ HDL ** (↓ LDL) |
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Nicotinic Acid--MOA
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Alters lipoprotein synthesis
|
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Nicotinic Acid--C/I
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● Severe gout
● Severe liver dx |
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Nicotinic Acid--AE
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● Flushing
● HYPERglycemia ● Gout ● Hepatotoxicity |
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Nicotinic Acid--DDI
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● BA sequestrants
● Ethanol ● Warfarin ● Vasodilators OK w/ statins, fibric acid & selective CHL absorption inhibitors (e.g. Zetia) |
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Selective CHL Absorption Inhibitors--Targets
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↓ LDL
|
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Selective CHL Absorption Inhibitors--MOA
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↓ CHL absorption across intestinal border
|
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Selective CHL Absorption Inhibitors--C/I
|
● elderly
● hepatic dx |
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Selective CHL Absorption Inhibitors--AE
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●yellowing of the skin or eyes
●dark yellow or brown urine ●muscle pain, tenderness, cramps, or weakness ●unusual tiredness or weakness |
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Selective CHL Absorption Inhibitors--DDI
|
● Fibric Acids
● BA Sequestrants ● Warfarin OK w/ Nicotinic Acid & Statins |
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Fibric Acid--Targets
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↓ TG **
↑ HDL ** [↓LDL(5-20%)in PT's w/o hyperglycemia] |
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Fibric Acid--MOA
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PPAR agonist ↑ LPL activity
|
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Fibric Acid--C/I
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● Severe hepatic
● Renal insufficiency |
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Fibric Acid--AE
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●dyspepsia
●GI distress ●Gallstones ●Myopathy |
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Fibric Acid--DDI
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● Ezetimibe
● BA Sequestrants ● HMG Co-A Reductase inhibitors OK w/ Nicotinic Acid |
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Fibric Acid--DDI
|
● Ezetimibe
● BA Sequestrants ● HMG Co-A Reductase inhibitors OK w/ Nicotinic Acid |