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Antilipemic Drugs
Antilipemic drugs
| Question | Answer |
|---|---|
| HMG-COA reductase inhibitors | Reduce production of Cholesterol synthesis - most potent LDL reducer - Decrease LDL and TG - Increase HDL |
| What are the side effects of HMG-COA reductase inhibitors | Muscle pain Increased liver enzymes Constipation Headache |
| Bile acid sequestrants | Trap bile in the gut so it causes the body to use cholesterol to make more - Decreases LDL - Start with "Chol or col" |
| Side effects of Bile acid sequestrants | Constipation GI upset Interferes with absorption of other meds |
| Niacin (B3) | Reduces triglyceride production - Decrease LDL and TG - Increase HDL |
| SA of Niacin (B3) | Flushing, itching, GI problems |
| Fibrates | Increases breakdown of triglycerides = increase HDL cholesterol Have "fib" in the name |
| SA of Fibrates | Gallstones GI Upset |
| Ezetimibe | Blocks cholesterol absorption in gut Decreases LDL Added to statins |
| Teaching for HMG-COA reductase inhibitors | - Because endogenous cholesterol rises @ night - take at night/evening - Monitor liver enzymes - Avoid grapefruit juice - Not safe for pregnancy |
| What would be the signs of bile acid sequestrant overdose? | Overdose = obstruction - Constipation - Abd. pain - Bloating - Nausea |
| Teaching for bile acid sequestrants | All meds need to be taken 1 hour before or 4-6 hours after administration. |
| What are the health teaching for Niacin | Take asprin or NSAID 30 min before can help with flushing |
| SA of Ezetimibe | Rare - M. pain - Rhabdomyolysis - Hepatitis - Pancreatitis - Low platelets |