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Questions and Answers
Qual classification de hyperlipoproteinemia es characterisate per un elevation significante de chylomicrones?
Qual classification de hyperlipoproteinemia es characterisate per un elevation significante de chylomicrones?
Qual del sequente medicamentos es un inhibitor de HMG-CoA reductasa (statina)?
Qual del sequente medicamentos es un inhibitor de HMG-CoA reductasa (statina)?
Qual lipoproteina primarimente es elevate in le hypertriglyceridemia familial?
Qual lipoproteina primarimente es elevate in le hypertriglyceridemia familial?
Qual del sequente agentes es un resina que liga le acidos biliari?
Qual del sequente agentes es un resina que liga le acidos biliari?
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Qual del sequente conditiones es characterisate per un nivello elevate a tanto VLDL como LDL?
Qual del sequente conditiones es characterisate per un nivello elevate a tanto VLDL como LDL?
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Qual del sequente es un effecto primari de ezetimibe super lipidos plasmatic?
Qual del sequente es un effecto primari de ezetimibe super lipidos plasmatic?
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Qual es un effecto secundari potential associate con le uso de ezetimibe?
Qual es un effecto secundari potential associate con le uso de ezetimibe?
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In qual conditiones es ezetimibe contraindicate?
In qual conditiones es ezetimibe contraindicate?
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Qual es le mechanismo de action de ezetimibe?
Qual es le mechanismo de action de ezetimibe?
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Quando debe ezetimibe esser usate con precaution durante le pregnantia?
Quando debe ezetimibe esser usate con precaution durante le pregnantia?
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Qual condition es un contraindication pro le uso de acido nicotinic?
Qual condition es un contraindication pro le uso de acido nicotinic?
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Qual es le mechanismo de action primari de niacina (acido nicotinic) in le reduction del lipides plasmatic?
Qual es le mechanismo de action primari de niacina (acido nicotinic) in le reduction del lipides plasmatic?
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Qual effecto adverse de niacina pote esser alleviate per le administration de aspirina?
Qual effecto adverse de niacina pote esser alleviate per le administration de aspirina?
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Qual es le mechanismo de action de PCSK9 inhibidores?
Qual es le mechanismo de action de PCSK9 inhibidores?
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Qual es un effecto therapeutic de niacina (acido nicotinic) super lipides plasmatic?
Qual es un effecto therapeutic de niacina (acido nicotinic) super lipides plasmatic?
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Qual effecto ha PCSK9 inhibidores typicamente super le lipidos plasmatic?
Qual effecto ha PCSK9 inhibidores typicamente super le lipidos plasmatic?
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Qual es le ration pro le qual statinas (excepto atorvastatina e rosuvastatina) debe esser administrate in le vespere?
Qual es le ration pro le qual statinas (excepto atorvastatina e rosuvastatina) debe esser administrate in le vespere?
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Qual droga inter le sequente es un prodroga que debe esser hydrolysate in le hepate pro converter se in su forma active?
Qual droga inter le sequente es un prodroga que debe esser hydrolysate in le hepate pro converter se in su forma active?
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Qual es un effecto secundari communmente reportate associate con le uso de PCSK9 inhibidores?
Qual es un effecto secundari communmente reportate associate con le uso de PCSK9 inhibidores?
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Qual es le effecto primari del fibratos super le lipidos plasmatic?
Qual es le effecto primari del fibratos super le lipidos plasmatic?
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In qual condition clinic es le uso de PCSK9 inhibidores generalmente considerate?
In qual condition clinic es le uso de PCSK9 inhibidores generalmente considerate?
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Qual condition require precaution quando prescribe niacina a causa del risco de exacerbar iste condition?
Qual condition require precaution quando prescribe niacina a causa del risco de exacerbar iste condition?
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Qual es le ration pro le contraindication de HMG-CoA reductase in graviditate?
Qual es le ration pro le contraindication de HMG-CoA reductase in graviditate?
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Pro que le graviditate es generalmente considerate un contraindication relative pro le uso de PCSK9 inhibidores?
Pro que le graviditate es generalmente considerate un contraindication relative pro le uso de PCSK9 inhibidores?
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Qual es un effecto secundari communmente associate con le uso de fibratos?
Qual es un effecto secundari communmente associate con le uso de fibratos?
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Qual es le mechanismo de action del fibratos sur le lipoproteinas?
Qual es le mechanismo de action del fibratos sur le lipoproteinas?
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In qual condition clinic le fibratos es considerate le droga de election?
In qual condition clinic le fibratos es considerate le droga de election?
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Qual es un contraindication major pro le uso de fibratos?
Qual es un contraindication major pro le uso de fibratos?
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Qual es le effecto del fibratos super le lipoproteina HDL?
Qual es le effecto del fibratos super le lipoproteina HDL?
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Qual es le ration pro que le fibratos es contraindicate durante le graviditate?
Qual es le ration pro que le fibratos es contraindicate durante le graviditate?
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Qual es un differentia importante inter le fibratos de prime e secunde generation?
Qual es un differentia importante inter le fibratos de prime e secunde generation?
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Qual combination de medicamentos es plus probabilemente usate pro patientes con LDL severmente elevate e demonstration de pauc toxicitate?
Qual combination de medicamentos es plus probabilemente usate pro patientes con LDL severmente elevate e demonstration de pauc toxicitate?
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Qual effecto combinate es expectate quando statins e PCSK9i es usate simultaneemente?
Qual effecto combinate es expectate quando statins e PCSK9i es usate simultaneemente?
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In qual situation clinic es le combination de acido bempedoic e statin le plus frequentemente prescribite?
In qual situation clinic es le combination de acido bempedoic e statin le plus frequentemente prescribite?
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Qual droga es le plus probabile causa de flushing e prurit post dosage, alleviate per aspirina?
Qual droga es le plus probabile causa de flushing e prurit post dosage, alleviate per aspirina?
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Un patiente con morbo coronari recipe un droga que reduce LDL, triglyceridos, e lipoproteina (a), e augmenta HDL. Qual droga es le plus probabile?
Un patiente con morbo coronari recipe un droga que reduce LDL, triglyceridos, e lipoproteina (a), e augmenta HDL. Qual droga es le plus probabile?
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Un patiente reporta constipation e sufflation post initiar un medication pro hyperlipidemia. Qual droga es le plus probabile causa?
Un patiente reporta constipation e sufflation post initiar un medication pro hyperlipidemia. Qual droga es le plus probabile causa?
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Qual es le mechanismo primari de action de un droga que reduce niveles de trigliceridos per augmentar le activitate de lipoproteina lipasa?
Qual es le mechanismo primari de action de un droga que reduce niveles de trigliceridos per augmentar le activitate de lipoproteina lipasa?
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Qual es le rationamento pro reducer le doses individual de agentes antihyperlipidemic in combination therapia?
Qual es le rationamento pro reducer le doses individual de agentes antihyperlipidemic in combination therapia?
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Flashcards
Familial hyperchylomicronemia
Familial hyperchylomicronemia
A condition characterized by very high levels of chylomicrons, triglycerides (TG), and cholesterol.
HMG-CoA reductase inhibitors
HMG-CoA reductase inhibitors
A class of drugs, known as statins, used to lower LDL cholesterol levels.
Dysbetalipoproteinemia
Dysbetalipoproteinemia
A disorder associated with increased levels of VLDL and IDL, leading to high cholesterol levels.
Fibrates
Fibrates
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Familial hypercholesterolemia
Familial hypercholesterolemia
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Contraindication
Contraindication
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HMG-CoA reductase
HMG-CoA reductase
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Drug Interactions
Drug Interactions
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Statins Administration
Statins Administration
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Lovastatin and Simvastatin
Lovastatin and Simvastatin
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Niacin (Vitamin B3)
Niacin (Vitamin B3)
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Side Effects of Niacin
Side Effects of Niacin
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Clinical Indications for Niacin
Clinical Indications for Niacin
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Mechanism of action
Mechanism of action
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Effects on plasma lipid
Effects on plasma lipid
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Side effects
Side effects
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Clinical indications
Clinical indications
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Inhibitor
Inhibitor
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PPARα
PPARα
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Hypertriglyceridemia
Hypertriglyceridemia
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Cholelithiasis
Cholelithiasis
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PCSK9
PCSK9
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PCSK9 Inhibitors
PCSK9 Inhibitors
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Effects on Plasma LDL
Effects on Plasma LDL
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Clinical Indications for PCSK9 Inhibitors
Clinical Indications for PCSK9 Inhibitors
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Side Effects of PCSK9 Inhibitors
Side Effects of PCSK9 Inhibitors
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Statins
Statins
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Bempedoic acid
Bempedoic acid
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Cholestyramine
Cholestyramine
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Ezetimibe
Ezetimibe
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Niacin Side Effects
Niacin Side Effects
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Gemfibrozil
Gemfibrozil
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Combination Therapy
Combination Therapy
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Study Notes
Antihyperlipidaemia Drugs
-
HMG-CoA Reductase Inhibitors (Statins):
- Inhibit HMG-CoA reductase, the rate-limiting step in cholesterol biosynthesis.
- Decrease cholesterol synthesis and increase LDL receptor activity.
- Examples include lovastatin, simvastatin, atorvastatin.
- Reduce LDL cholesterol.
- Often used as a first-line treatment.
- May cause muscle pain (myopathy).
-
Fibric Acids:
- Lipid-lowering agents, reducing VLDL and TG levels.
- May upregulate lipoprotein lipase activity.
- Examples include clofibrate, gemfibrozil, fenofibrate.
- Increase HDL cholesterol.
- Potential for adverse effects, including gallstones and muscle pain.
-
Nicotinic Acid (Niacin):
- Inhibits lipolysis in peripheral tissues, reducing VLDL secretion.
- Increases HDL level.
- Often causes cutaneous flush (prostaglandin mediated).
- May increase blood uric acid.
-
Bile Acid Binding Resins:
- Bind bile acids in the small intestine, preventing their enterohepatic circulation.
- Force the liver to produce more bile acids from cholesterol, increasing cholesterol uptake.
- Reduce LDL cholesterol.
- May cause constipation, bloating, and nausea.
-
Intestinal Sterol Absorption Inhibitors:
- Ezetimibe.
- Selectively inhibits intestinal absorption of cholesterol and phytosterols.
- Reduces cholesterol absorption.
- Decreases plasma LDL concentration
- May cause muscle weakness or mild liver dysfunction.
-
PCSK9 Inhibitors:
- Evolucumab, Alirocumab.
- Prevent PCSK9 (an enzyme) binding to LDL receptors, increasing LDL receptor activity.
- Significant reduction in LDL cholesterol.
-
ATP-Citrate Lyase Inhibitors:
- Bempedoic acid.
- Inhibits ATP-citrate lyase, an important enzyme in fatty acid biosynthesis.
- Reduces cholesterol synthesis.
- Reduces LDL cholesterol.
- May affect muscle functions.
-
Cholesteryl Ester Transfer Protein (CETP) Inhibitors:
- Torcetrapib, Anacetrapib, Dalcetrapib.
- Inhibit CETP, reduce LDL cholesterol, and increase HDL cholesterol.
- Associated with increased cardiovascular events leading to removal from the market.
Drug Combinations
- Combination therapies often increase efficacy and reduce side effects, compared to single drug treatments.
Hyperlipidemia Classifications
- Diseases characterized by elevated blood lipid levels.
- Classified by the specific lipoprotein abnormalities (e.g., familial hyperchylomicronemia, familial hypercholesterolemia).
- Specific disorders demonstrate elevated levels of various lipoproteins.
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