antilipemic drugs (broadhead) Flashcards
HMG-Co Reductase inhibitors
statins
prototype name for statins
simvastatin (Zocor), atorvastatin (Lipitor)
action of statins
reduce ldl and vldl, increase HDL recommended to reduce mortality in clients with type 2 diabetes
indications of statins
support the treatment of coronary heart disease, antilipemics
side effect of statins
myopathy
adverse reactions of statins
rhabdomylosis causing kidney damage, liver toxicity
contraindications of statins
pregnency category X, current liver disease, renal failure, MS, myopathy, children
special considerations of statins
monitor myopathy, measure CPK id musclle pain occures, monitor LFTs, take in the evening
prototype name for fibrates
gemfibrozil (Lopid)
action of gemfibrozil
decrease vldl and increase hdl
indications of gembibrozil
reduces high levels of plasma TG, reduces ldl cholesterol (less effective than statins)
side effects of gemfibrozil
nausea, vomiting, diarrhea, gallstones, myopathy
adverse effects of gemfibrozil
liver toxicity
contraindications of gemfibrozil
gallbladder disease, liver dysfunction, severe renal impairment
special considerations of gemfibrozil
monitor for GI symptoms, monitor for myopathy, measure CPK if myopathy occurs, monitor LFTs