Hypercholesterolemia And Dyslipidemia Flashcards
Recommended first line therapy for lowering lipids and preventing CHD events in postmenopausal women.
Statin
Most frequent risk factor for premature CHD
Low HDL-C
Most effective and best tolerated agents for treating dyslipidemia.
Statins
Major effect of Statin
Reduce LDL-C levels
All statins have a t1/2 of
Atorvastatin rosuvastatin
Statins taken as hydroxy acids and thus contraindicated with bile acid sequestrants.
Pravastatin and Fluvastatin
Marketed in combination with amlodipine and used in treating patients with hypertension or angina as well as hypercholesterolemia.
Atorvastatin
Reduces the clearance of Pitavastatin and raises blood concentrations.
Gemfibrozil
Indicated for children >11 years
Atorvastatin
Lovastatin
Simvastatin
Approved for children >8 years
Pravastatin
Least likely to interfere with statin metabolism and the safest fibrate to use with statins.
Fenofibrate
All statins are administered as B-hydroxy acid form except…. Which are administered as inactive lactones.
Simvastatin
Lovastatin
All plasma statins and their metabolites are >95% protein bound except
Pravastatin 50%
Major route of excretion for statins
Feces
Major adverse effect of statin use
Myopathy