Antilipemic Drugs Flashcards

1
Q

LDLs

A

store cholesterol in the blood

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2
Q

HDLs

A

recycle cholesterol (so they’re good)

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3
Q

LDL levels

A

good: <100mg/dL
moderate: <200mg/dL
high: <300mg/dL (risk for coronary heart disease)

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4
Q

Triglycerides

A

stored energy, too much can lead to diabetes

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5
Q

Triglyceride levels

A

Mild: 150-199mg/dL
Moderate: 200-499mg/dL
Severe: >500mg/dL

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6
Q

HMG-CoA reductase inhibitors indications

A
  • Atherosclerotic cardiovascular disease (CVD)
  • LDL >190
  • some diabetes patients
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7
Q

Rhabdomyolysis

A
  • muscle protein breakdown
  • may lead to acute renal failure and death
  • pt report muscle soreness or changes in urine color
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7
Q

HMG-CoA reductase inhibitor AKA

A

statins or HMGs

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7
Q

Statins AE

A
  • GI disturbances
  • Rash
  • HA
  • Myopathy leading to rhabdomyolysis*
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8
Q

Intensity levels of statins

A

High: lower LDL by 50%
Moderate: lower by 30-49%
Low: lower by <30%

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9
Q

Bile acid sequestrants precautions

A
  • take other drugs 1h before or 4-6h after
  • high doses decrease the absorption of vitamins A, D, E, and K ( fat-soluble vitamins)
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10
Q

B vitamin niacin (vitamin B3, nicotinic acid)

A
  • requires a higher dose to decrease LDL
  • cause flushing (start with a low dose to avoid this)
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11
Q

Fibric acid derivatives

A

misc antilipemic

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12
Q

Cholesterol absorption inhibitor

A

misc antilipemic

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13
Q

Garlic, flax, omega-3 fatty acids

A

misc antilipemic

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14
Q

Atorvastatin (Lipitor)

A
  • common cholesterol-lowering drugs
  • lowers LDLs, triglycerides
  • raises HDLs
15
Q

When should statins be taken? Why?

A
  • with evening meals or bedtime
  • natural diurnal rhythm of cholesterol production