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PT2 test1
dyslipidemia
18
Medical
Graduate
02/07/2009

Additional Medical Flashcards

 


 

Cards

Term
Drug induced lipidemia
Definition
Thiazides
beta-blockers (Toprol)
birth control
ethanol
 
each can cause a 50% increase in TG
Term
Lipitor
Definition

statin

 

atorvastatin

 

10,20,40,80

 

compeling indication for DM (statins in general)

 

 First line drug if choice (statins in general)

 

 

Term
Zocor
Definition

statin

 

Simvastatin

 

5-80mg

20-40mg qHS

 

 

Term
Pravachol
Definition

statin

 

Pravastatin

 

40-80mg qd

 

more hyprophilic, less myalgia

Term
Mevacor
Definition
statin
 
Lovastatin
 
10-80 qd
20mg
Term
Lescol
Definition
statin
 
fluvastatin
 
40-80mg
Term
Crestor
Definition

statin

 

Rosuvastatin

 

5-10mg

 

most potent

 

more hydrophilic, less myalgia

Term
statin ADE's and contraindications
Definition

ADE: myalgia, myocitis

 

Contraindications: liver disease

Term
statins- do not add on
Definition
do not add on fibrates or fish oils
 
fibrates are:
Lopid- gemfibrozil
Tricor- fenofibrate
Term
Questran
Definition
bile acid resin
 
cholestyramine
 
use: decrease LDL up to 50% when with statin
 
ADE: increases  TG up to 30%
 
contraindicated for TG > 400
Term
Colestid
Definition
bile acid resin
 
colestipol
 
use: decrease LDL up to 50% when with statin
 
ADE: increases  TG up to 30%
 
contraindicated for TG > 400
 
least likely to cause myalgias
Term
Welchol
Definition
bile acid resin
 
colesevelam
 
use: decrease LDL up to 50% when with statin
 
ADE: increases  TG up to 30%
 
contraindicated for TG > 400
Term
Zetia
Definition
cholesterol absorption inhibitor
 
esetimibe
 
10mg qd
 
18% reduction in LDL alone and additional 25% when with a statin
Term
Niacin
Definition
nicotinic acid
 
500mg-1000mg
 
decrease TG 50% (most)
raise HDL 35% (most)
 
ADE: flushing
 
Contraindications: liver disease, gout
*careful in diabetes
Term
Lopid
Definition
Fibrate
 
genfibrozil
 
600mg
 
increase HDL 20%
 decrease TG 50%
 
contraindications: kidney/liver patients
Term
Tricor
Definition
Fibrate
 
fenofibrate
 
600mg
 
increase HDL 20%
 decrease TG 50%
 
contraindications: kidney/liver patients
Term
taking fibrates while having high TG levels causes
Definition
increased LDL 5-45%
Term
fish oils
Definition

Increase HDL 9%- good

 

Increase LDL 45%- bad

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