Drugs for Dyslipidemia Flashcards
2 drugs that lower TAG and VLDL, increase HDL
niacin, fibrates
Statins
lower LDL
Resins
lower LDL
Ezetimibe
lower LDL
Niacin
lower LDL
CYP450 inhibitors that increase effects of statins
Inhibitors Stop Cyber Kids from Eating GRApefruit QV isoniazid sulfonamides cimetidine ketoconazole erythromycin grapefruit juice ritonavir amiodarone quinidine valproic acid
3 drugs not to be given in px with high TAG
Cholestyramine
colestipol
colesevelan
(Bile acid binding resins)
drugs that cause flushing (4)
VANC Vancomycin adenosine niacin CCB
MOA of fibrates
upregulates lipoprotein lipase
Clinical use
Statin + Niacin
familial hypercholesterolemia
Clinical use
statin + ezetimibe
familial hypercholesterolemia
Clinical use
Niacin + resin
familial combined hypercholesterolemia
Clinical use
Statin + fibrate
familial combined hypercholesterolemia
Disadvantage
fibrate + resin
cholelithiasis
Disadvantage
statin + resin
impaired statin absorption
Disadvantage
statin + fibrate
increased myopathy and rhabdomyolysis
Drug class for high LDL
statin
then ezetimibe
Drug class for high VLDL
statin
then fibrate
Drug class for high TAG
fibrates
then niacin
Drug class for low HDL
Niacin
Drug class for high LDL and VLDL
Statin then ezetimibe or niacin
Drug class for high LDL, VLDL and low HDL
statin, niacin, ezetimibe
Type I
Primary hyperchylomicronemia
type IIA
Familial hypercholesterolemia
type IIB
familial comBined hypercholesterolemia
type III
familial dysbetalipoproteinemia
type IV
familial hyperTAG
type V
familial combined hyperTAG
deficiency in LPL or ApoC II
Type I Primary hyperchylomicronemia
Increased chylomicrons
inc TAG
Type I Primary hyperchylomicronemia
increased LDL
normal VLDL
type IIa familial hypercholesterolemia
defect in LDL receptors
type IIa familial hypercholesterolemia
increased LDL
increased VLDL
type IIb familial combined hypercholesterolemia
overproduction of VLDL
type IIb familial combined hypercholesterolemia
deficiency in ApoE
type III familial dysbEtalipoproteinemia
increased VLDL remnants
increased chylomicrons
type III familial dysbEtalipoproteinemia
decreased clearance of VLDL
Type IV familial TAG
type V familial combined TAG
inc TAG
increased VLDL
decreased/normal LDL
Type IV familial TAG
Increased TAG
increased chylomicrons
increase VLDL
dec/normal LDL
type V familial combined hyperTAG