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-Rhabdomyolysis -Hepatotoxicity -Neuropathy |
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-Pregnancy and Nursing mothers -Drug interactions - P450 3A4, increase warfarin levels - OAT2 inhib (gemfibrozil)> ^ circ statin levels |
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Causes bile acid not to be reabsorbed, convert cholesterol to bile acids -Useful when LDL ^ -May raise TG's -decrease absorption of other drugs |
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-Blocks intestinal absorption of cholesterol (blocks N1C1L1) |
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Fibric Acids (Gemfibrozil and Fenofibrate) |
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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 |
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Fibric Acid Contras and Drug intxn |
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Definition
-Sever renal or hepatic dx -Displace warfarin, causing increase free warfarin (bleeding) -Cyclosporine (increases of clearance, causing acute organ rejection) |
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-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 |
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Definition
Antioxidant -Inhibits cholesterol oxidation Sfx: Increase QT interval (not use with people with long QT interval) |
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Definition
-Uptake by OATP2 -Peak plasma concentration 20 hours (lot longer than simvastatin and pravastatin) |
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Definition
-Prodrug (simple diffusion) |
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Definition
-Uptake by OATP2 (active metabolites) -Only one not metabolized at same Cytochrome P450 as the rest |
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