Dyslipidemia lab Flashcards
Atorvastatin brand
Lipitor
rosuvastatin brand
crestor
simvastatin brand
zocor
pravastatin brand
pravachol
lovastatin brand
altoprev
mevacor
pitavastatin brand
livalo
fluvastatin brand
lescol
statin MOA
HMG-CoA reductase inhibitors that up-regulate LDL receptors and reduce cholesterol
statin AE
serious muscle toxicity (myopathy, rhabdomyolysis)
hepatotoxicity
increased incidence of T2DM
statin CI
acute liver disease
unexplained/persistent elevations of serum transaminases
pregnancy
breastfeeding
simvastatin drug-interactions (CI)
itraconazole
ketoconazole
posaconazole
erythromycin
clarithromycin
telithromycin
HIV protease inhibitors
nefazodone
gemfibrozil
cyclosporine
danazol
simvastatin dosage considerations
- dont exceed 10mg simvastatin daily with verapamil or diltiazem
- dont exceed 20mg simvastatin daily with amiodarone, amlodipine, or ranolazine
what are the 4 statin monitoring parameters?
FLP
LFTs
CK
Hepatic function
how should FLP be monitored in statins?
at baseline
4-12 weeks after initiation
then every 3-12 months
how should LFTs be monitored in statins?
baseline and repeat as clinically needed
discontinue treatment if LFTs exceed 3x ULN
how should CK be monitored in statins?
consider in patients at risk or those experiencing muscle symptoms
how should hepatic function be monitored in statins?
consider assessing in patients with signs of hepatotoxicity
ezetimibe brand
zetia
zetia MOA
cholesterol absorption inhibitor that inhibits NPC1L1