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4 Cards in this Set

  • Front
  • Back
STATINS IN
CLINICAL
USE IN 2009:
STRUCTURE
LOVASTATIN PRAVASTATIN
PRODRUGS;
ACTIVE DRUGS
SIMVASTATIN FLUVASTATIN
ATORVASTATIN ROSUVASTATIN
MECHANISM OF ACTION
OF THE STATINS
1) INHIBITION OF CHOLESTEROL
BIOSYNTHESIS
2)REDUCED INTRACELLULAR
CHOLESTEROL
3) INCREASED LDL RECEPTOR ACTIVITY
ENHANCING LDL CLEARANCE
BILE ACID SEQUESTRANTS:
ANION EXCHANGE RESINS
CHOLESTYRAMINE
COLESEVELAM
COLESTIPOL
adf
EZETIMIBE:
INHIBITOR OF INTESTINAL
CHOLESTEROL ABSORPTION

MECHANISMS OF ACTION OF
LDL LOWERING DRUGS:
EZETIMIBE
1) INHIBITION OF CHOLESTEROL ABSORPTION
FROM SMALL INTESTINE
2) REDUCED HEPATIC INTRACELLULAR
CHOLESTEROL
3) INCREASED LDL RECEPTOR ACTIVITY
ENHANCING LDL CLEARANCE
NICOTINIC ACID:
MECHANISM OF ACTION
PRIMARY EFFECTS
BINDING TO G-PROTEIN COUPLED RECEPTOR
- REDUCED cAMP LEVELS
-REDUCED HORMONE SENSITIVE LIPASE
-REDUCED LIPOLYSIS IN ADIPOCYTES
-REDUCED HEPATIC SECRETION OF VLDL
REDUCED TRIGLYCERIDE SYNTHESIS VIA
INHIBITED ACTIVITY OF DIGLYCEROL ACYL
TRANSFERASE-2