Antilipemic Drugs Flashcards
LDLs
store cholesterol in the blood
HDLs
recycle cholesterol (so they’re good)
LDL levels
good: <100mg/dL
moderate: <200mg/dL
high: <300mg/dL (risk for coronary heart disease)
Triglycerides
stored energy, too much can lead to diabetes
Triglyceride levels
Mild: 150-199mg/dL
Moderate: 200-499mg/dL
Severe: >500mg/dL
HMG-CoA reductase inhibitors indications
- Atherosclerotic cardiovascular disease (CVD)
- LDL >190
- some diabetes patients
Rhabdomyolysis
- muscle protein breakdown
- may lead to acute renal failure and death
- pt report muscle soreness or changes in urine color
HMG-CoA reductase inhibitor AKA
statins or HMGs
Statins AE
- GI disturbances
- Rash
- HA
- Myopathy leading to rhabdomyolysis*
Intensity levels of statins
High: lower LDL by 50%
Moderate: lower by 30-49%
Low: lower by <30%
Bile acid sequestrants precautions
- take other drugs 1h before or 4-6h after
- high doses decrease the absorption of vitamins A, D, E, and K ( fat-soluble vitamins)
B vitamin niacin (vitamin B3, nicotinic acid)
- requires a higher dose to decrease LDL
- cause flushing (start with a low dose to avoid this)
Fibric acid derivatives
misc antilipemic
Cholesterol absorption inhibitor
misc antilipemic
Garlic, flax, omega-3 fatty acids
misc antilipemic