Pharm Exam #3 (Antilipidemic) Flashcards

1
Q

What are statins mode of action?

A

Decreases LDL levels and increases HDL levels

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2
Q

What are the side effects of statin?

A

Hepatotoxicity, GI upset, muscle pain, rhabdomyolysis (muscle pain, dark/reddish urine, weakness, decreased amount of urine)

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3
Q

When should a patient take their statin medication?

A

With their evening meal because cholesterol is synthesized at night

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4
Q

What should you monitor during statin therapy?

A

Creatinine kinase and liver function

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5
Q

What are statins used for?

A

Hypercholesteremia and coronary heart disease

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6
Q

What should a patient avoid during statin therapy?

A

Avoid alcohol and grapefruit juice

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7
Q

What is cholestyramine (colesevelam) used for?

A

Treats hypercholesterolemia

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8
Q

What is cholestyramine (colesevelam) mode of action?

A

Bind to bile acids in the intestines which helps increase excretion of cholesterol to bring down LDL levels

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9
Q

What are the side effects of cholestyramine (colesevelam)?

A

Constipation and GI upset

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10
Q

Which vitamins does cholestyramine (colesevelam) therapy interfere with?

A

Fat-soluble vitamins (Vitamins A, D, E, and K)

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11
Q

How can a patient treat cholestyramine (colesevelam) symptoms?

A

Patient can increase their fiber and fluid intake

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12
Q

How should cholestyramine (colesevelam) be taken?

A

With food and a full glass of water

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13
Q

What is gemfibrozil used for?

A

Treats hypercholesterolemia

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14
Q

What is the mode of action of gembibrozil?

A

Decreases triglyceride production and transport and increases HDL levels

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15
Q

What are the side effects of gemfibrozil?

A

Gallstones, GI upset, hepatotoxicity, and muscle pain

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16
Q

When should gemfibrozil be taken?

A

Take 30 minutes before breakfast and dinner

17
Q

What should you monitor during gemfibrozil therapy?

A

Monitor liver function

18
Q

What is niacin (water-soluble vitamin, B3) mode of action?

A

Decreases lipoprotein and triglyceride synthesis

19
Q

What does niacin (B3) treat?

A

Treats hypercholesterolemia

20
Q

What are some side effects of niacin?

A

Flushing of the face, GI upset, pruritis, hepatotoxicity, hyperglycemia

21
Q

What should you monitor for during gemfibrozil therapy? It should be used cautiously in which patients?

A

Monitor liver function and use cautiously in patients with diabetes