W7 : Antihyperlipidemic Drugs Flashcards
What are the drugs of first choice for the treatment of hypercholesterolemia?
HMH-CoA reductase inhibitors
What are classes of Antihyperlipidemic drugs?
- HMG-CoA reductase inhibitors
- Fibrates
- Niacin (Nicobid)
- Bile acid sequestrants
- Cholesterol absorption inhibitors
What is Simvastatin (Zocor)?
HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL
What is Atrovastatin (Lipitor)?
Most potent HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL
What is Rosuvastatin (Cerstor)?
Most potent HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL
What are adverse effects of HMG-CoA reductase?
LV Fx abnormalities, myopathy, rhadbomyolysis (disintegration of muscle), etc.
*NO GRAPEFRUIT JUICE
What is MOA_HMG-CoA reductase?
Inhibit HMG-CoA reductase, which controls the rate-limiting step in cholesterol synthesis
What is MOA_Niacin?
Strongly inhibits lipolysis in adipose tissue–> decrease cholesterol, TG, LDL, VLDL and increases HDL
What is adverse effects of Niacin?
Flush and pruritus
What is MOA_bile acid sequestrants?
Bind bild acids in the SI, prevent their reabsorption
- -> LV use cholesterol to make more bile acids
- -> decrease cholesterol and LDL, increase TG and HDL
What is Cholestyramine (Questran)?
Bile acid sequestrant
What is MOA_Ezetimibe?
Inhibit intestinal absorption of dietary and biliary cholesterol
–> decrease of LDL & TG, increase HDL