Prophylaxis of Atherosclerotic CV Disease (ASCVD) Flashcards
What is the most effective drug for Cholesterol and Triglyceride levels?
Statins
Name a HMG-CoA Reductase Inhibitor
Lovastatin
Name a Bile-Acid Sequestrate
Colesevelam
What are the two other drugs that help lower Cholesterol and triglyceride levels?
Ezetimibe
Fibrates
What are Statins used for?
Most effective drug for lowering cholesterol and TG levels
What is the MOA for Statins?
Ultimately increase the number of LDL receptors on hepatic cells
What are some serious side effects?
Myopathy/Rhabdo
Hepatotoxicity
New onset Diabetes
What do you want to assess before adminstering Atorvastatin (Lipitor)?
Liver Function Tests
Viral or Alcoholic Hepatitis
Pregnancy
When should you take Atorvastatins?
In the evening
What is Colesevelam (Welchol) used for?
Reduce LDL cholesterol levels
Adjunts to statins
What is the MOA of Colesevelam?
Increases LDL receptors on hepatocytes
Binds to bile acids In GI tract. Prevents absorption and promotes their excretion
What are the adverse effects of Colesevelam?
Constipation
What are some drugs that interact with Colesevelam?
Thiazide Diuretics
Digoxin
Warfarin
What do you want to assess for before administering Bile-acid Sequestrants?
Obtain lab values for total cholesterol, LDL, HDL, and TG’s
What is Ezetimibe used for?
Adjunct to diet modification to reduce total cholesterol