4.1 pharm plasma lipids Flashcards
(28 cards)
Prevents reuptake of bile acids from intestine
Bile acid binding resins / sequestrants
Inhibits HMG-CoA
Statins
Inhibits uptake of dietary and biliary cholesterol from intestine
Cholesterol absorption blockers (ezetimibe)
Inhibits cholesterol transport via NPC1L1
Cholesterol absorption blockers (ezetimibe)
Decrease TG breakdown in adipose -> decrease FFA -> decrease VLDL production by liver
Niacin
Activate nuclear receptor PPARα to affect LPL metabolism for TG metabolism
Fibrates
Mainly increases HDL
Niacin
Mainly decreases TG
Fibrates
TG no change or slightly increase
Bile acid binding resins / sequestrants
Can elevate LFTs
Statins
Cholesterol absorption blockers
Fibrates
Can cause rhabdomyolysis
Statins
Taste bad
Bile acid binding resins / sequestrants
Decrease absorption of fat soluble vitamins
Bile acid binding resins / sequestrants
CI if TG >400 mg/dl
Bile acid binding resins / sequestrants
No effect of fat soluble vitamin uptake
Cholesterol absorption blockers
Intense flushing reaction
Niacin
Risk of gout
Niacin
Risk of gallstones
Bile acid binding resins / sequestrants
Fibrates
Can cause hyperglycemia
Niacin
CI in pregnancy
Statins
Niacin
Fibrates
CI if liver disease
Statins
Niacin
Fibrates
CI in children
Fibrates
CI if nursing
Statins
Relative CI if diabetes
Niacin