W7 : Antihyperlipidemic Drugs Flashcards

0
Q

What are the drugs of first choice for the treatment of hypercholesterolemia?

A

HMH-CoA reductase inhibitors

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1
Q

What are classes of Antihyperlipidemic drugs?

A
  1. HMG-CoA reductase inhibitors
  2. Fibrates
  3. Niacin (Nicobid)
  4. Bile acid sequestrants
  5. Cholesterol absorption inhibitors
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2
Q

What is Simvastatin (Zocor)?

A

HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL

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3
Q

What is Atrovastatin (Lipitor)?

A

Most potent HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL

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4
Q

What is Rosuvastatin (Cerstor)?

A

Most potent HMG-CoA reductase that decrease cholesterol, LDL, VLDL, and Triglycerides, and increase HDL

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5
Q

What are adverse effects of HMG-CoA reductase?

A

LV Fx abnormalities, myopathy, rhadbomyolysis (disintegration of muscle), etc.
*NO GRAPEFRUIT JUICE

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6
Q

What is MOA_HMG-CoA reductase?

A

Inhibit HMG-CoA reductase, which controls the rate-limiting step in cholesterol synthesis

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7
Q

What is MOA_Niacin?

A

Strongly inhibits lipolysis in adipose tissue–> decrease cholesterol, TG, LDL, VLDL and increases HDL

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8
Q

What is adverse effects of Niacin?

A

Flush and pruritus

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9
Q

What is MOA_bile acid sequestrants?

A

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
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10
Q

What is Cholestyramine (Questran)?

A

Bile acid sequestrant

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11
Q

What is MOA_Ezetimibe?

A

Inhibit intestinal absorption of dietary and biliary cholesterol
–> decrease of LDL & TG, increase HDL

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