cholesterol Flashcards
HMG-CoA reductase inhibitors adverse effects
myopathy, hepatotoxicity
Bile acid sequestrants adverse effects
GI distress, decrease in vitamin absorption
Niacin adverse effects
flushing, hyperglycemia, hyperuricemia, hepatotoxicity,, upper GI distress
Fibrates adverse effects
dyspepsia, gallstones, myopathy
HMG-CoA reductase inhibitors contraindications
liver disease, pregnancy
Bile acid sequestrants contraindications
dysbetalipoproteinemia, TG>400
Niacin contraindications
liver disease, gout
Fibrates contraindications
renal and liver disease
Colesevelam, cchikestyramine and colestipol are which kids of med?
Bile acid sequestrants
Gemfibrozil (lopid) and Fenofibrare (Tricor) are which kinds of med?
Fibrate
Fibrates and warfarin interaction
increases risk for bleeding
can you combine bile acid sequestrants with a statin?
yes
can you combine fibrates with a statin?
no just fibricor
VLDL
deliver TG from liver to tissue and muscle
LDL
deliver cholesterol to nonhepatic tissues
apoliporoteins
increase structural stability of lipoproteins, activate enzymes that metabolize lipoproteins and allow cells to bind with and ingest lipoproteins
who would benefit from a statin? (4)
- patients with ASCVD
- patients with LDL >190
- 40-75 year old diabetics with LDL 70-189
- 40-75 year old no ASCVD or non diabetics with LDL 70-189 and a ASVD risk of 7.5%
metabolic syndrome
metabolic abnormalities associated with an increased risk for ASCVD and type 2 diabetes