Indications/Nursing Consider/Med Names Lipid Meds

Question 1

Those who cannot tolerate statins should be on which lipid lowering meds? (2)

Answer 1

Cholesterol Absorption Inhibitors
PCSK9 Inhibitors

Question 2

Lovera is which type of lipid lowering med?

Answer 2

Omega 3 fatty acid

Question 3

Fenofibrate (Tricor) is which type of lipid lowering med?

Answer 3

fibrate

Question 4

Which lipid lowering med is less effective as research does not support its efficacy in lowering cholesterol?

Answer 4

Niacin

Question 5

What lipid lowering meds are first line tx?

Answer 5

Statins (HMG-CoA Reductase Inhibitors)

Question 6

What lipid lowering meds can be given in combination with statins? (2)

Answer 6

cholesterol absorption inhibitors
PCSK9 inhibitors

Question 7

Cholestyramine (Prevalite) is which type of lipid lowering med?

Answer 7

Bile acid sequestrant

Question 8

What are the most effective and most prescribed lipid lowering drug?

Answer 8

Statins (HMG-CoA Reductase Inhibitors)

Question 9

Vascepa is which type of lipid lowering med?

Answer 9

Omega 3 fatty acid

Question 10

Ezetimibe (Zetia) is which type of lipid lowering med?

Answer 10

cholesterol absorption inhibitor

Question 11

With statins, how is the risk of myopathy reduced?

Answer 11

by using the lowest effective dose

Question 12

Which lipid lowering med was used for hyperlipidemia historically?

Answer 12

Niacin

Question 13

What lipid lowering meds are sometimes used for secondary prevention after diet and exercise?

Answer 13

Statins (HMG-CoA Reductase Inhibitors)

Question 14

What lipid lowering med is often reserved for people who have very high LDL levels?

Answer 14

PCSK9 inhibitors

Question 15

Which type of lipid lowering med is Colesevelam (Welchol) ?

Answer 15

Bile acid sequestrant

Question 16

What lipid lowering med should be taken at bedtime or in the evening? Why?

What are the exceptions?

Answer 16

Statins

Because cholesterol synthesis occurs while you are fasting, while you are sleeping so this is the best time to help block the cholesterol from forming

Rosuvastatin and Atorvastatin can be given in the morning

Question 17

Espanova is which type of lipid lowering med?

Answer 17

Omega 3 fatty acid

Question 18

Gemfibrozil (Lopid) is which type of lipid lowering med?

Answer 18

fibrate

Question 19

Which lipid lowering med can be used together with fibrates?

Answer 19

bile acid sequestrants

Question 20

Who should be on a statin? (5)

Answer 20

1. Adults with a history of cardiovascular disease
2. Those with LDL-C level of greater than 190 mg/dL
3. Adults 40-75 years with diabetes
4. Adults 40-75 years with LDL-C level of 70-189 mg/dL and a 5% to 19.9% 10-year risk of developing cardiovascular disease
5. Adults 40-75 years with LDL-C level of 70-189 mg/dL and a 20% or greater 10-year risk of developing cardiovascular disease

Question 21

What lipid lowering med is OFTEN given in conjunction with statins?

Answer 21

PCSK9 inhibitors

Question 22

Which type of lipid lowering med is Colestipol (Colestid) ?

Answer 22

Bile acid sequestrant

Question 23

What lipid lowering med start with a lower dose and increase as needed?

Answer 23

statins

Question 24

What type of lipid lowering med is Alirocumab (Praulent) ?

Answer 24

PCSK9 Inhibitor

Question 25

For what lipid lowering med will lipid panel usually be checked 4-6 weeks after starting the med? (2)

Answer 25

Statins Fibrates

Question 26

What lipid lowering meds may be used in pts with active liver disease?

Answer 26

Bile acid sequestrants

Question 27

Serious liver problems are rare with which lipid lowering med?

Answer 27

statins

Question 28

Fenofibric acid (Tripipix) is which type of lipid lowering med?

Answer 28

Fibrates

Question 29

What type of lipid lowering med is Evolocumab (Repatha) ?

Answer 29

PCSK9 Inhibitors

Question 30

Which lipid lowering med is safe for pregnant women?

Answer 30

Bile acid sequestrants

Question 31

With statins, how is an increase in liver enzymes managed?

Answer 31

by reducing the dose or stopping until levels return to normal

Question 32

What lipid lowering med is administered by SQ injection either weekly or monthly?

Answer 32

PCSK9 Inhibitors

Question 33

why are bile acid sequestrants considered second line?

Answer 33

Because of drug-drug interactions

Question 34

What is niacin made up of?

Answer 34

Nicotinic Acid and Vitamin B3

Question 35

Which lipid lowering meds are not routinely used? (2)

Answer 35

Bile acid sequestrants Niacin

Question 36

When is niacin given?

Answer 36

at bedtime

Question 37

Which lipid lowering meds have a strong record of efficacy and safety?

Answer 37

Bile acid sequestrants

Question 38

Which lipid lowering med is often taken with an Acetylsalicylic acid (ASA) to help prevent flushing?

Answer 38

Niacin

Question 39

For which lipid lowering meds are lipid levels checked every 3-4 months?

Answer 39

fibrates