drugs for dyslipidaemias Flashcards
What is the musculoskeletal toxicity of fibrates?
myopathy
What is the MOA of gemfibrozil (fibrates)?
Activation of PPAR-alpha; thereby yielding increased lipoprotein lipase expression
What type of antihyperlidemic is clofibrate?
fibrate
What type of antihyperlipidemic yields the greatest decrease in triglycerides?
fibrates
_____________is a musculoskeletal adverse effect of fibrates that has an increased risk of occuring when given with statins.
myositis
_____________ is an adverse effect of fibrates that is characterized by increased liver function tests (LFTs).
Hepatotoxicity
___________________ are a biliary adverse effect of fibrates, especially when given concurrently with bile acid resins.
Cholesterol gallstones
What is the common suffix for HMG-CoA reductase inhbitors?
-statin
What is the MOA of Lovastatin (statins)?
Competitive inhibition of HMG-CoA Reductase
What is the pregnancy category of Lovastatin?
X
What type of antihyperlipidemics are lovastatin, pravastatin, atorvastatin and simvastatin?
HMG-CoA Reductase Inhibitor
What type of antihyperlipidemic is Cholestyramine?
Bile acid resin/ bile acid sequestrants
What is the MOA of chloestyramine?
inhibit bile acid reabsorption at terminal ileum, thereby the liver has to use cholesterol to make more
Mechanism of action of statin
inhibition of HMG CoA reductase enzyme
Mechanism of action of fibrates
Activation of nuclear transcription receptor PPAR-alpha
Mechanism of action of ezetimibe
Inhibition of intestinal absorption of cholesterol and phytosterols
MOA of cholestyramine
Inhibition of bile acid reabsorption
MOA of niacin
Inhibition of hormone-sensitive lipase enzyme in adipose tissue
A drug which is useful for low HDL states but limits due to adverse effects
niacin
What is the role of PCSK-9 in our body?
enhancing lysosomal degradation of LDL receptor
I am taking statin and fibrate together, which adverse effect is most likely to encounter?
rhabdomyolysis
which is the drug of choice for a high LDL?
atorvastatin
Which is the best drug for hypertriglyceridaemia?
clofibrate
Which is the best recommendable drug for low HDL?
niacin