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antihyperlipidemic
dreca's test helpers
| Question | Answer |
|---|---|
| LDL | Low density lipoproteins contain the major portion of cholesterol in blood and are considered to be most harmful |
| HDL | high density lipoproteins are smallest and most dense lipoproteins. function to transport cholesterol from peripheral cells to liver, where it is metabolized and excreted. |
| lovastatin | (Mevacor)Treats primary hypercholesterolemia caused by an elevated LDL cholesterol level not controlled by diet or other treatment measures. |
| Lovastatin Pharmokinetics | Exstensive first pass hepatic extraction. Peak reached in 2-4hrs. Initial response seen in 1-2 weeks. dose = 20mg daily with meals. maximum 80 mg daily. |
| lovastatin Adverse effects | myopathy |
| lovastatin Drug interractions | Grapefruit juice, cyclosporine, antifungals |
| Niacin | (nicotinic acid, Nicobid) Niacin (vitamin B3) is water-soluble vitamin that can lower total cholesterol and triglyceride levels by inhibiting VLDL-C synthesis and can also increase HDL cholestrol levels. |
| Niacin Indication | treats hyperlipidemia, hypercholesterolemia, and prevent Vit. B3 deficiency. |
| Niacin Pharmacokinetics | Well absorbed orally. half-life of approx. 45 minutes. 1g PO TID, |
| Niacin Adverse Effects | Flushing, red-skin on the face and neck. |
| Niacin Drug interaction | Concurrent use of vasodilators may increase the likelihood of flushing and postural hypotension. |
| Cholestyramine | (Questran)bile acid sequestering agents. |
| Cholestyramine Pharmacokinetics | plasma cholesterol levels usually decrease 1-2 weaks after initiation of therapy. |
| Cholestyramine Adverse Effects and Drug interaction | constipation, indegestion, abdominal pain, N/V. reduces systemic absorption of digoxin, corticosteroids, and warfarin. |
| Gemfibrozil | (lopid) treatment of hyperlipidemia when triglyceride levels are elevated. Inhibits peripheral lipolysis and decrease the hepatic extraction of free fatty acids, which result in reduction of triglyceride production. |
| Gemfibrozil Adverse Effects | muscle aches, gas, vomiting, diarrhea, rash. |
| Gemfibrozil Drug interactionss | increase in anticoagulant effect when used with warfarin. monitor PT/INR |
| Ezetimibe | (Zetia) 2-Azetidinones. inhibits cholesterol absorption at the brush border of the small intestine. |
| Ezetimibe Adverse effects | headache, GI upset |
| Ezetimibe Drug interactions | use of cyclosporine, gemfibrozil, clofibrate, or fenofibrate may increase levels of ezetimibe. dosing with bile sequestrants (cholestyramine) reduces absorption. |
| Ezetimibe Nursing management | risk for an upper respiratory infection. |