Antihyperlipidemic Drugs Flashcards

1
Q
  • lower serum levels of cholesterol
    and various lipids
  • these drugs provide effective
    treatment for hyperlipidemia
    (increased lipid level in the blood).
A

ANTIHYPERLIPIDEMIC
DRUGS

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2
Q

ANTIHYPERLIPIDEMIC DRUGS is also called as?

A

lipid-lowering agents

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3
Q

the most common cause of death among adults (higher in people with hyperlipidemia)

A

coronary artery disease (CAD)

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4
Q

fatty streaks develop into plaques and
injure the lining of blood vessels is called as?

A

(atheromas)

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5
Q

give 3 steroid hormones from

A

glucocorticoid, mineralocorticoid, adrenocorticoid

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6
Q

important source of energy that can be stored all throughout the body

A

Triglycerides

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7
Q

what is the carrier/ protein capsule that carries fats to transport throughout the body?

A

Lipoproteins

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8
Q

3 Types of Lipids

A

cholesterol, tryglycerides, and phospholipids

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9
Q

important in the synthesis of bile acids, steroid hormones, and maintain the integrity of cell membrane

A

Cholesterol

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10
Q

Four Types of Lipoproteins

A
  1. Chylomicrons
  2. Very Low-Density Lipoproteins (VLDL)
  3. Low-Density Lipoproteins (LDL)
    4.High-Density Lipoproteins (HDL)
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11
Q

what type of lipoprotein is considered as good cholesterol?

A

High-Density Lipoproteins (HDL)

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12
Q

what type of lipoprotein is considered as bad cholesterol?

A

Low-Density Lipoproteins (LDL)

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13
Q

Types of Lipoproteins

produced in the GIT from
dietary lipids and deliver energy-rich
triglycerides to the cells throughout the body

A

Chylomicrons

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14
Q

Types of Lipoproteins

produced in the liver and deliver energy-rich
triglycerides to the cells throughout the body

A

Very Low-Density Lipoproteins (VLDL)

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15
Q

Types of Lipoproteins

came from transformed VLDL which deliver this
cholesterol TO THE CELLS (for cell membrane
and steroid hormone synthesis) and half are
taken by the LIVER for bile acid production

A

Low-Density Lipoproteins (LDL)

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16
Q

important in the absorption of
fats (by acting like a dishwashing detergent
that breaks up the grease and fats in the
dishwashing water; bile acids do much the
same thing) and fat-soluble vitamins

A

bile acids

17
Q

Types of Lipoproteins

  • transport excess cholesterol FROM
    CELLS back to the liver
A

High-Density Lipoproteins (HDL)

18
Q

ANTIHYPERLIPIDEMIC Drug

  • blocks the completion of cholesterol synthesis in the body / statins
  • PREGNANCY CATEGORY X
  • can be used as prophylaxis for first myocardial infarction attack for patients with multiple risk factors for CAD.
  • Older adults are more susceptible to drug toxicity because of underlying conditions that would interfere with metabolism and excretion of drug
A

HMG-CoA Reductase Inhibitors or
“STATINS”

19
Q

ANTIHYPERLIPIDEMIC Drug

  • exert their effect in the INTESTINE by binding into bile acids which contain a high level of cholesterol.
  • used as the treatment for primary
    hypercholesterolemia (high cholesterol and high LDL) as an adjunct to diet and exercise.
  • drug of choice for pregnant women in lowering cholesterol and lipid levels.
A

Bile Acid Sequestrants

20
Q

ANTIHYPERLIPIDEMIC Drug

  • block the absorption of dietary cholesterol
  • one of the new class of drugs approved
    (2003) to lower serum cholesterol levels

-Adjunct to diet and exercise as a monotherapy or in combination with HMG-CoA inhibitors or bile acid sequestrants.

A

Cholesterol Absorption Inhibitors

21
Q

ANTIHYPERLIPIDEMIC Drug

  • It inhibits the release of free fatty acids
    from adipose tissue, increases the rate of
    triglyceride removal from plasma, and
    generally reduces LDL and triglyceride
    levels and increases HDL levels.
  • It inhibits hormone-sensitive lipase that
    converts triglycerides to free fatty acids
A

Nicotinic Acid (Vitamin B3 – Niacin)

22
Q

Bile Acid Sequestrants drug used to treat pruritus associated with partial biliary obstruction.

A

Cholestyramine

23
Q

cole or chole

A

Bile Acid Sequestrants drug

24
Q
  • drug that increases serum levels of uric acid and may predispose patients to the development of gout
  • often combined with bile acid
    sequestrants for increased effect.
A

Nicotinic Acid (Vitamin B3 – Niacin)

25
Q

when is the proper time to give Nicotinic Acid (Vitamin B3 – Niacin)?

A

at bed time bc synthesis of lipids usually happens at midnight

26
Q

ANTIHYPERLIPIDEMIC Drug

  • stimulate the breakdown of lipoproteins
    from the tissues to fatty acids and their
    removal from the plasma.

-They lead to a decrease in lipoprotein
and triglyceride synthesis and secretion.

-absorbed from the GI tract and are metabolized in the liver
and excreted in urine.

A

Fibrates

27
Q

clue for fibrates drugs?

A

fib at he middle

28
Q

Cholesterol Absorption
Inhibitors only drug is?

A

Ezetimibe

29
Q

fat soluble vits

A

A D E K