Antihyperlipidemic drugs Flashcards
What is the MOA of atorvastatin
Inhibits HMG CoA reductase increasing LDL Receptors
Effects of atorvastatin on lipids
decrease LDL*, increase HDL
Side effects of atorvastatin
GI, hepatotoxicity, myopathy
Mechanism of Fenofibrate
Agonist at PPAR-alpha, increases LP lipase and catabolism of VLDL
Effects of fenofibrate on lipids
decrease VLDL, decrease TG*, increse HDL
Side effects of fenofibrate
GI, Myosistis (especially in combo with statins)
Best drug for patients with elevated triglycerides
fenofibrate
Mechanism of colesevelam
Bind bile acids
Effects of colesevelam on lipids
decrease LDL, increase HDL
Side effects of colesevelam
GI, mild steatorrhea
Mechanism of Niacin
inhibit TG lipolysis, decrease TG synthesis, increase LP lipase, decrease clearence of HDL, decrease VLDL production
Effect of niacin on lipids
decrease VLDL, decrease TG, decrease LDL, increase HDL
Side effects of niacin
flusing, itching, GI, peptic ulcer, hyperglycemia, hyperuricemia, severe hepatotoxicity
MOA of ezetimibe
decrease intestinal transport of cholesterol
Effects of ezetimibe on lipids
decrease LDL