Shared Flashcard Set

Details

Lipid Lowering
Test 2
16
Pharmacology
Professional
02/19/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
Statins Adverse Effects
Definition
-Rhabdomyolysis
-Hepatotoxicity
-Neuropathy
Term
Statin Contraindications
Definition
-Pregnancy and Nursing mothers
-Drug interactions
- P450 3A4, increase warfarin levels
- OAT2 inhib (gemfibrozil)> ^ circ statin levels
Term
Bile Acid-Binding resins
Definition
Causes bile acid not to be reabsorbed, convert cholesterol to bile acids
-Useful when LDL ^
-May raise TG's
-decrease absorption of other drugs
Term
Cholestipol
Definition
Bile acid binding resin
Term
Cholestyramine
Definition
Bile acid binding resin
Term
Colesevelam
Definition
Bile acid binding resin
Term
Ezetimibe
Definition
-Blocks intestinal absorption of cholesterol (blocks N1C1L1)
Term
Fibric Acids (Gemfibrozil and Fenofibrate)
Definition
-Decrease synth of VLDL
-Bind and activate PPARalpha
-Lowers TG and VLDL w/ ^HDL
-Increase FA oxidation in skeletal muscles
**Increase rhabdomyolysis with statins
Term
Fibric Acid Contras and Drug intxn
Definition
-Sever renal or hepatic dx
-Displace warfarin, causing increase free warfarin (bleeding)
-Cyclosporine (increases of clearance, causing acute organ rejection)
Term
Gemfibrozil
Definition
Fibric Acid
Term
Fenofibrate
Definition
Fibrate
Term
Nicotinic Acid (B3)
Definition
-Makes more ApoA1 and reduces action of hormone sensitive lipase
-Reduces VLDL and LDL
-Most effective for raising HDL
Contra: Gout, liver dx, peptic ulcer
Term
Probucol
Definition
Antioxidant
-Inhibits cholesterol oxidation
Sfx: Increase QT interval (not use with people with long QT interval)
Term
Atorvastatin
Definition
-Uptake by OATP2
-Peak plasma concentration 20 hours (lot longer than simvastatin and pravastatin)
Term
Simvastatin
Definition
-Prodrug (simple diffusion)
Term
Pravastatin
Definition
-Uptake by OATP2 (active metabolites)
-Only one not metabolized at same Cytochrome P450 as the rest
Supporting users have an ad free experience!