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6 Cards in this Set

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Statins
1st line dec LDL

Reduce CV events & mortality in 1* & 2* prevention.
Monitor LFT/AST
C/I: pregnancy
Nicotinic Acid
2nd line dec LDL
best for inc HDL

Reduce CV events in 2* prevention
Monitor Fasting Lipid Panel, LFT, (CK if sx / use with statin)
C/I: active liver dz, active peptic ulcer / bleeding
Bile Acid Sequestrant
"Colesevelam" - nonsystemic

Add-on to statin for dec LDL

Reduce CV events in 1* prevention
Monitor Fasting Lipid Panel
C/I: GI obstruction, TG >/= 500
TG (150-499) use w/ statin to minimize risk of inc TG
Cholesterol Absorption Inhibitor
"Ezetimibe 10mg"

Add-on to statin,

dec LDL ~18%, use alone if statin intolerance.
Monitor Fasting Lipid Panel, LFT (when used with statin)
Fibrates
"Gemfibrozil / Fenofibrate"

1st line TG >/= 500
Add-on Statin

Reduce CV events in 1* and 2* prevention.
Monitor Fasting Lipid Panel, LFTs, (CK if sx or w/ statin/niacin)

C/I: gallbladder dz, pre-existing, hepatic dysfn, severe renal impairment.
Omega 3 Fatty Acid
"Lovaza"

dec TG >/= 500
dec non-HDL

(doesn't dec LDL, may even inc it if TG>/= 500)

CV benefits
dec TG: 2-4g daily
dec CV risk: 1g daily

caution: DM, bleeding disorder