CARDIO - Lipid lowering agents Flashcards
Statins
[Lovastatin, Pravastatin, simvastatin, atorvastatin, rosuvastatin]
Statin MOA
[Lovastatin, Pravastatin, simvastatin, atorvastatin, rosuvastatin]
Blocks HMG-CoA Redutase (can’t make mevalonate to make cholesterol)
Statin Lipid effects
Decrease LDL
Decrease TAG
Increase HDL
Statins AE
Hepatotoxicity
Myopathy (increase with fibrates and niacin)
Lipid lowering agent that decreases mortality in CAD patients
Statins
Fibrates:
Gemfibrozil, Clofibrate, bezafibrate, fenofibrate
Fibrates MOA
Activates PPAR-a (HDL synthesis)
Upregulates LPL
Fibrates lipid effects
Decrease LDL
Decrease TAG
Increase HDL
Fibrates toxicity
Myopathy (increase with statins)
Gallstones
Niacin MOA
Decrease FA release (by inhibiting HSL)
Decrease VLDL synthesis
Decrease HDL clearance
Niacin lipid effects
Decrease LDL
Decrease TAG
Increase HDL
Niacin toxicity
Flushing and pruritis (stop with NSAIDs)
Hyperglycemia (acanthosis)
Hyperuricemia (gout)
Hepatotoxicity
Bile acid resins:
cholestyramine, cholestipol, cholesevelam
Bile acid resin MOA
Bind bile in intestines, prevent absorption in ileum
Bile acid resin lipid effects
Decrease LDL
Increase TAG
Increase HDL