Dyslipidaemia Drugs Flashcards
What causes secondary dyslipidaemia?
type 2 diabetes, hypothyroidism, alcoholism, liver disease
What are the contraindications to ezetimibe?
breast feeding
What are statins used for?
first line to reduce LDL, also reduce total cholesterol and triglycerides, modestly increases HDL
What are the adverse effects of statins?
rare - incidence increased if combined with a fibrate, myositis - muscle inflammation and degeneration, rhabdomyolysis - destruction of striated muscle cells
What is the adverse effect of bile acid binding resins?
GI irritation
Give examples of bile acid binding resins
colestyramine, colestipol, colsevelam
How is ezetimibe administered?
orally
Give examples of lipid lowering drugs?
statins, fibrates
How are statins administered?
orally at night
What is the mechanism of action of fibrates?
agonists of nuclear receptors that enhance transcription of several genes
Give examples of fibrates
bezafibrate, gemfibrozil
What are the adverse effects of fibrates?
incidence greater than for statins, myositis - muscle tissue inflammation and degeneration, rhabdomyolysis - destruction of striated muscle cells, GI symptoms, pruritus - severe itching of the skin, rash
Give examples of statins
simvastatin, atorvastatin
What is the mechanism of action of bile acid binding resins?
more cholesterol converted to bile salts, decreased absorption of triglycerides
What causes primary dyslipidaemia?
diet and genetic factors