Anti-lipidemic Flashcards
Safe Ranges for Lipids
Total Cholesterol (
Anti-lipidemics (5)
Resins Statins Niacin Fibrates Ezetimibe
Anion-exchange Resins (3)
Cholestyramine
Colestipol
Colesevelam
Resins - MoA
Sequester bile acids in the gut and block lipid emulsification
Resins - adverse effects
Bitter taste, nausea, constipation, incr. TG levels (irony)
Resins - drug interactions
binds polar drugs like warfarin, digoxin, thyroxine, and statins
Statins
-statin
Statins - MoA
blocks HMG-coA reductase and drops cholesterol levels
Statins- adverse effects
Hepatitis and myositis (rhabdo)
Rhabdomyolysis risks
Taking fibrates, nicotinic acid, HAART therapy
Nicotinic Acid (Niacin) - MoA
Decr. Hepatic VLDL synthesis by inhibiting adipose lipolysis
Incr. VLDL clearance by incr LPL activity
Nicotinic acid - happy side effect
boosts HDL by 30-50%
Nicotinic acid - adverse effects
Flushing (prostaglandin)
Skin dryness
GI intolerance
Incr Gout, diabetes, and ulcers
Fibrates - MoA
PPARa ligands
Incr ApoA and incr HDL
Incr LPL activity
Incr fatty acid uptake into muscle cells and hepatocytes
Drops VLDL and triglycerides
Fibrates - adverse effects
GI intolerance
Gall stones
Myopathy
Displace Warfarin