Dyslipidemia Quiz Drug Formulary Flashcards
Atorvastatin
Lipitor
Rosuvastatin
Crestor
Simvastatin
Zocor
Pravastatin
Pravachol
Lovastatin
Altoprev, Mevacor
Pitavastatin
Livalo
Fluvastatin
Lescol
Ezetimibe
Zetia
Evolocumab
Repatha
Alirocumab
Praluent
Cholestyramine
Questran
Colsevelem
Welchol
Colestipol
Colestid
Fenofibrate
Tricor
Gemfibrozil
Lopid
Omega-3 fatty acid
Lovaza
Icosapent ethyl
Vascepa
Niacin
Niacor
Ezetimibe (Zetia) drug class
Cholesterol absorption inhibitor
Evolocumab (Repatha) & Alirocumab (Praluent) drug class
PCSK-9 Inhibitors
Cholestyramine (Questran), Colsevelem (Welchol), Colestipol (Colestid) drug class
Bile acid sequestrants
Fenofibrate (Tricor) & Gemfibrozil (Lopid) drug class
Fibrates
Omega-3 fatty acid (Lovaza) & Icosapent ethyl (Vascepa) drug class
Omega-3 fatty acids
Niacin (Niacor) drug class
Other (antilipemic agent)
Statin side effects
headache, diarrhea, muscle pain, dark urine, sleep problems, dizziness
ezetimibe side effects
fatigue, diarrhea, GI upset
PCSK-9 Inhibitor side effects
flu like symptoms, muscle pain, injection site soreness,
Bile Acid Sequestrant side effects
constipation, stomach pain, heartburn, loss of appetite, indigestion
fibrate side effects
abdominal pain, nausea, back pain, skin rash, jaundice
omega-3 fatty acid side effects
diarrhea, abdominal pain, nausea, eructation (burping), bad taste (dysgeusia)
Niacin side effects
flushing, diarrhea, cough, fatigue, abdominal pain
statin contraindications
pregnancy, lactation, liver failure/cirrhosis
cholesterol absorption inhibitors (ezetimibe) contraindications
pregnancy, lactation, liver disease, elevated serum transaminase
PCSK-9 inhibitor contraindications
hypersensitivity, latex (repatha packaging)
Bile acid sequestrant contraindications
complete biliary obstruction, gastroparesis, at risk for bowel obstruction, renal impairment
fibrate contraindications
liver disease, biliary cirrhosis, kidney disease, gallbladder disease, pregnancy, breast feeding
Omega-3 fatty acid contraindications
diabetes, a fib, liver, thyroid, pancreatic disease
Niacin (Niacor) contraindications
hepatic disease, elevations in hepatic transaminases, active peptic ulcer, arterial hemorrhage, pregnancy and lactation
Statin monitoring parameters
check lipid panel at baseline, 6-8 weeks after stating, then every 4-6 months. Check LFTs at baseline, after 12 weeks, then annually
Ezetimibe monitoring parameters
liver function tests
PCSK-9 inhibitors monitoring parameters
LDL levels
Bile acid sequestrant monitoring parameters
Triaglycerides
Fibrates monitoring parameters
none unless concomitant disease (renal, serum transaminases, gallbladder, PT/INR)
Omega-3 fatty acid monitoring parameters
LDL levels, AST, ALT in patients with hepatic impairment
Niacin monitoring parameters
blood sugar in diabetes patients, phosphorus levels for pts at risk for hypophosphatemia
Low intensity statins
simvastatin 10 mg, pravastatin 10-20 mg, lovastatin 20 mg, fluvastatin 20-40 mg
Moderate intensity statins
atorvastatin 10-20 mg, rosuvastatin 5-10 mg, simvastatin 20-40 mg, pravastatin 40-80 mg, lovastatin 40-80 mg, fluvastatin 40 mg BID, fluvastatin XL 80 mg, pitavastatin 1-4 mg
High intensity statins
atorvastatin 40-80 mg, rosuvastatin 20-40 mg
Atorvastatin dosing
Moderate intensity: 10-20 mg
High intensity: 40-80 mg
Rosuvastatin dosing
moderate intensity: 5-10 mg
high-intensity: 20-40 mg
Simvastatin dosing
low intensity: 10 mg
moderate intensity: 20-40 mg
Pravastatin dosing
low intensity: 10-20 mg
moderare intensity: 40-80 mg
lovastatin dosing
low intensity: 20 mg
moderate intensity: 40-80 mg
pitavastatin dosing
moderate intensity: 1-4 mg
fluvastatin dosing
low intensity: 20-40 mg
moderate intensity: 40 mg BID or XL 80 mg
ezetimibe dosing
10 mg
evolocumab dosing
140 mg every 2 weeks or 420 mg monthly
alirocumab dosing
75 mg every 2 weeks or 300 mg monthly
cholestyramine dosing
4-16 g
colsevelam dosing
3.75 g
colestipol dosing
5-30 g
fenofibrate dosing
40-160 mg
gemfibrozil dosing
600 mg BID
omega-3 fatty acid dosing
2 g BID or 4 g QD
icosapent ethyl dosing
2 g BID
niacin dosing
initial 200 mg - max 6 g / day (3 doses)