Hypercholesterolemia Drugs Flashcards
HMG-CoA Reductase Inhibitors
Atorvastatin, rosuvastatin, simvastatin, lovastatin
lower LDL the most
Mechanism: results in increased LDL uptake
PK: PO at night
AE: myopathies, rhabdomyolysis
Bile Acid Sequestrants
Colesevelam, cholestyramine, colestipol
Mechanism: binds bile acids and prevents absorption, excretion of cholesterol
PK: cannot be absorbed from GI tract
AE: GI side effects
Fibrates
Gemfibrozil, fenofibrate, fenofibric acid
lower VLDLs
Mechanism: inhibit hepatic extraction of free fatty acids
AE: Gi disturbances
Ezetimibe
Mechanism: inhibits dietary cholesterol absorption
PK: PO
AE: myopathy/rhabdomyolysis, hepatitis, pancreatitis, thrombocytopenia
Monoclonal Antibody (PCSK9) Inhibitors
Alirocumab, evolocumab
added onto -statins
Mechanism: inhibition of PCSK9 leads to freed receptors and thus increased LDL uptake
PK: subQ only
AE: hypersensitivity, immunogenicity
Adenosine Triphosphate-Citrate Lysase (ACL) Inhibitors
Bempedoic acid
Mechanism: inhibition causes decreased cholesterol synthesis
PK: PO
AE: gout risk, increased risk of tendon rupture
Atorvastatin
HMG-CoA Reductase Inhibitor
Rosuvastatin
HMG-CoA Reductase Inhibitor
Simvastatin
HMG-CoA Reductase Inhibitor
Lovastatin
HMG-CoA Reductase Inhibitor
Colesevelam
Bile Acid Sequestrant
Cholestyramine
Bile Acid Sequestrant
Colestipol
Bile Acid Sequestrant
Gemfibrozil
Fibrate
Fenofibrate
Fibrate