cholesterol and lipid drugs Flashcards
statin AE
muscle ache
abdominal discomfort
inc transmainases
muscle inflammation (myositis)
what do u add to statins if they aren’t achieving a sufficient response
ezetimbe
fibrate action
agonists of PPAR - alpha to enhance the action of LPL
fibrate AE
myositis
- unadvisable to give with statins as they cause this too
what happens if u combine fibrate with statin or alcohol
muscle toxicity and renal failure
bile acid sequestrant action
trap bile salts in intestine inc their excretion
more cholesterol converted to bile salts
inc HMG Co A reductase action
colestryamine and colestipol administration
powder with liquid
biel acid sequestrant AE
confined to gut - bloating, discomfort, diarrhoea and constipation
who is ezetimbe contraindicated in
breast feeding females
nicotinic acids action
inhibit VLPL synthesis and release