Atorvastatin Overview and Mechanisms
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Atorvastatin Overview and Mechanisms

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Questions and Answers

What is the name of the medication?

  • Lipitor (correct)
  • Atorvastatin (correct)
  • Simvastatin
  • Rosuvastatin
  • What class of drug is Atorvastatin?

    Antilipemic agent, HMG-CoA reductase inhibitor (statin)

    What is the usual dose range for adults taking Atorvastatin?

    10-40 mg per day, may increase up to 80 mg/day

    Usual side effects of Atorvastatin include back pain and _____

    <p>myalgia</p> Signup and view all the answers

    Which symptom must be monitored while taking Atorvastatin?

    <p>Muscle pain</p> Signup and view all the answers

    What is the primary reason patients take Atorvastatin?

    <p>To reduce levels of LDL cholesterol</p> Signup and view all the answers

    Grapefruit juice may increase the risk of myopathy with Atorvastatin.

    <p>True</p> Signup and view all the answers

    What pregnancy category is Atorvastatin classified under?

    <p>Category X</p> Signup and view all the answers

    Study Notes

    Atorvastatin Overview

    • Atorvastatin is commonly known by the brand name Lipitor.
    • It is classified as an antilipemic agent, specifically an HMG-CoA reductase inhibitor (statin).

    Mechanism of Action

    • Inhibits HMG-CoA reductase, crucial for hepatic cholesterol production.
    • Increases the number of LDL (low-density lipoprotein) receptors, leading to enhanced uptake and catabolism of LDL cholesterol, thereby reducing its levels.
    • Increases HDL (high-density lipoprotein) cholesterol levels in the blood.
    • Also promotes increased production of triglycerides.

    Dosage Information

    • Recommended dosage ranges from 10 to 40 mg taken once daily.
    • Dosage may be escalated up to 80 mg/day if needed.
    • For pediatric patients, the typical dosage is between 10 and 20 mg/day.

    Side Effects

    • Common side effects include:
      • Musculoskeletal: back pain, myalgia, asthenia, and risk of rhabdomyolysis.
      • Central Nervous System: headaches.
      • Gastrointestinal: abdominal pain, constipation, diarrhea, dyspepsia, flatulence, and increased liver enzyme levels.
      • Respiratory: sinusitis and pharyngitis.

    Serious Side Effects to Monitor

    • Look for symptoms of muscle pain, tenderness, or weakness, especially in conjunction with fever or malaise, and monitor Creatine Phosphokinase (CPK) levels.
    • Discontinue atorvastatin if CPK levels are markedly elevated or if myopathy is suspected.
    • Yellowing of the skin or eyes may indicate liver issues.
    • Be alert for severe stomach pain accompanied by nausea/vomiting or loss of appetite.
    • Monitor for skin rashes or hives.

    Indication for Use

    • Atorvastatin is primarily prescribed to reduce levels of LDL cholesterol.

    Important Nursing Considerations

    • Caution is advised when atorvastatin is used alongside digoxin.
    • Grapefruit juice consumption can heighten the risk of myopathy and rhabdomyolysis.
    • Classified as Pregnancy Category X, indicating teratogenic risks.
    • Potential adverse interactions with medications such as erythromycin, niacin, antifungals, and oral contraceptives should be monitored.

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    Description

    This quiz covers atorvastatin, widely known as Lipitor, detailing its function as an HMG-CoA reductase inhibitor. It explores its mechanism of action, recommended dosages, and common side effects. Test your knowledge on this essential antilipemic agent.

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