Hypercholesterolemia Drugs Flashcards

1
Q

HMG-CoA Reductase Inhibitors

A

Atorvastatin, rosuvastatin, simvastatin, lovastatin
lower LDL the most
Mechanism: results in increased LDL uptake
PK: PO at night
AE: myopathies, rhabdomyolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bile Acid Sequestrants

A

Colesevelam, cholestyramine, colestipol
Mechanism: binds bile acids and prevents absorption, excretion of cholesterol
PK: cannot be absorbed from GI tract
AE: GI side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fibrates

A

Gemfibrozil, fenofibrate, fenofibric acid
lower VLDLs
Mechanism: inhibit hepatic extraction of free fatty acids
AE: Gi disturbances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ezetimibe

A

Mechanism: inhibits dietary cholesterol absorption
PK: PO
AE: myopathy/rhabdomyolysis, hepatitis, pancreatitis, thrombocytopenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Monoclonal Antibody (PCSK9) Inhibitors

A

Alirocumab, evolocumab
added onto -statins
Mechanism: inhibition of PCSK9 leads to freed receptors and thus increased LDL uptake
PK: subQ only
AE: hypersensitivity, immunogenicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adenosine Triphosphate-Citrate Lysase (ACL) Inhibitors

A

Bempedoic acid
Mechanism: inhibition causes decreased cholesterol synthesis
PK: PO
AE: gout risk, increased risk of tendon rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Atorvastatin

A

HMG-CoA Reductase Inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Rosuvastatin

A

HMG-CoA Reductase Inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Simvastatin

A

HMG-CoA Reductase Inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lovastatin

A

HMG-CoA Reductase Inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Colesevelam

A

Bile Acid Sequestrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cholestyramine

A

Bile Acid Sequestrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Colestipol

A

Bile Acid Sequestrant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Gemfibrozil

A

Fibrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Fenofibrate

A

Fibrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fenofibric Acid

A

Fibrate