Counseling points dyslipidemia

Question 1

Statins

Answer 1

Simvastatin and Fluvastatin in evening
Lovastatin w/evening meal
others anytime of day
Cause muscle and liver damage
avoid grapefruit
avoid pregnancy

Question 2

Ezetimibe

Answer 2

muscle and liver damange

Question 3

PCSK9 inhibitors

Answer 3

Inj in thigh, abdomen, upper arm
can cause anaphylaxis
inj site reaction
refrigerate allow to warm to rm temp before inj
good for 30 days at rm temp

Question 4

Bile acid sequestrants

Answer 4

take at mealtime w/plenty of water
constipation
reduce ADEK absportion

Question 5

Fibrates

Answer 5

Fenoglide and Lipfen w/food
Lopid BID 30mg b4 breakfast and dinner
muscle and liver damage
Gallstones
Pancreatitis

Question 6

Niacin

Answer 6

Niaspan - take at bedtime after low fat snack
Others take with food
Cause hyperglycemia
liver damage
flushing (take asprin 60 min b4)
avoid alcohol, spicy foods, hot beverages

Question 7

Fish oil

Answer 7

Vascepa w/food