Therapeutic Approaches for Hyperlipidemia Treatment
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Questions and Answers

What is the enzyme targeted by statins to decrease cholesterol?

  • NADPH oxidase
  • Pancreatic lipase
  • Lipoprotein lipase
  • Hydroxymethyl glutaryl CoA reductase (HMGR) (correct)
  • Which condition might be a risk when using fibric acids and ezetimibe together?

  • Gastric ulcers
  • Kidney stones
  • Pancreatitis
  • Gall stones (cholithiasis) (correct)
  • What is the primary method of administration for the active free acid form of fibric acids?

  • Topical application
  • Subcutaneous injection
  • Intravenous injection
  • Oral absorption (correct)
  • Which therapeutic approach inhibits triglyceride biosynthesis and VLDL formation?

    <p>Inhibiting triglyceride biosynthesis and VLDL formation</p> Signup and view all the answers

    What type of chemical class do statins belong to?

    <p>HMG-CoA reductase inhibitors</p> Signup and view all the answers

    Which lipid-lowering agent traps bile acids in the gut and facilitates its excretion?

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

    What is the primary mechanism of action of MOA (various) in inhibiting lipolysis?

    <p>Inhibiting lipolysis of stored triglycerides in adipose tissue</p> Signup and view all the answers

    What is the major side effect associated with Niacin?

    <p>Flushing and GI distress</p> Signup and view all the answers

    What type of drug-drug interaction can occur with statins and Niacin?

    <p>Increased myotoxicity including rhabdomyolysis</p> Signup and view all the answers

    Why must fibric acids be anionic for activity?

    <p>To enhance oral absorption</p> Signup and view all the answers

    Study Notes

    Statins

    • Statins inhibit HMG-CoA reductase, the enzyme responsible for cholesterol synthesis.

    Fibric Acids

    • Fibric acids are primarily administered orally as the active free acid form.
    • When combined with ezetimibe, fibric acids may increase the risk of myopathy.

    Ezetimibe

    • Ezetimibe inhibits cholesterol absorption in the small intestine.

    Niacin

    • Niacin can cause flushing as a major side effect.
    • Niacin can interact with statins and increase the risk of myopathy.

    MOA Inhibitors

    • MOA (monoamine oxidase) inhibitors inhibit lipolysis primarily by blocking the breakdown of triglycerides.

    Bile Acid Sequestrants

    • Bile acid sequestrants trap bile acids in the gut, preventing reabsorption and leading to their excretion.

    Lipid-Lowering Agents

    • Fibric acids inhibit triglyceride biosynthesis and VLDL (very low-density lipoprotein) formation.

    Drug Mechanisms

    • Fibric acids must be anionic for their pharmacological activity.
    • Statins belong to the HMG-CoA reductase inhibitor chemical class.

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    Description

    Test your knowledge on therapeutic approaches for treating hyperlipidemia, including inhibiting intestinal reabsorption of bile acids, inhibiting triglyceride biosynthesis, inhibiting dietary absorption of cholesterol, stimulating triglyceride cleavage and clearance, and inhibiting cholesterol biosynthesis.

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