Hyperlipidemia 4 (meds) Flashcards
How much do statins decrease LDL by?
20-55+%
How much do statins increase HDL by?
5-15%
How much do statins decrease TG by?
Are they effective on Tgs >400mg/dL?
TG decrease 7-30%
NOT effective on Tgs >400
What are the 3 contraindications of Statins?
- Pregnancy/breastfeeding
- Active liver disease
- Unexplained elevated LFTs
The following are side effects for which medication:
- Myalgias, up to 10%
- Myositis, myopathy
- Rhabdomyolysis
- Hepatotoxicity (LFT elevation, hepatic failure)
- Increased diabetes risk
Statins (HMG-CoA reductase inhibitors)
The following should be done at follow up for patients on which type of medication?
1. LFTs (at 12 weeks, dont need to continue monitoring unless meds are changed)
- Creatine kinase (baseline and if myalgias present)
Statins
The following is the MOA of which drug?
MOA: Decreases absorption of cholesterol in small intestine, upregulates LDL receptors on peripheral cells
Cholesterol absorption inhibitor
Contraindications of what medication?
–Caution with hepatic impairment
–Do not use with fibrates
Cholesterol absorption inhibitor
What type of medication is ezetimibe (Zetia)?
A cholesterol absorption inhibiotr
How much do cholesterol absorption inhibitors (like ezetimibe) decrease LDL by?
15-20%
You should consider adding what medication to statin when LDL > 70 in very high-risk ASCVD?
Cholesterol absorption inhibitor (ex: ezetimibe)
Which pharmacologic tx has the following MOA:
•monoclonal antibodies blocks PCSK9 effect of degrading LDL receptors
PCSK9 inhibitor (ex: alirocumab, evolocumab)
Which pharmacologic tx requires SC injection q 2-4 weeks?
PCSK9 inhibitor (ex: alirocumab, evolocumab)
alirocumab (Praluent) and evolocumab (Repatha) are examples of what types of pharmacologic tx?
PCSK9 inhibitor
How much do PCSK9 inhibitors (ex: alirocumab, evolocumab) lower LDL by?
by 50-60%