HMG-CoA reductase inhibitors Flashcards
1
Q
Prototype
A
Atorvastatin
2
Q
Route
A
PO
3
Q
Pharmacokinetics
A
1st pass
CYP450
4
Q
Metabolized
A
Liver
5
Q
Excreted
A
Kidneys
6
Q
Action
A
Inhibits HMG-CoA which is necessary for hepatic synthesis of cholesterol
7
Q
Use
A
Hypercholesterolemia
Metabolic syndrome
8
Q
Adverse effects
A
Nausea
Diarrhea
Constipation
Abdominal pain
headache
myopathy
liver problems
9
Q
Interactions
A
Many
Increased effects with amiodarone, colchicine, azole antifungals, cyclosporine, verapamil, erythromycin
Grapefruit juice and vitamin B
Decreased effects with cholestyramine and colestipol
10
Q
Nursing implications
A
Take in the evening
Liver studies (before you start, 12 weeks in, then periodically)