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medications to treat high blood cholesterol
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Category Brand Name Generic Name Manufacturer Minimum DailyDose Maximum DailyDose Special Considerations*
HMG-CoA reductase inhibitors (statins) Lipitor atorvastatin Pfizer 10 mg 80 mg Main action: Lowers LDL ("bad") cholesterol.Have blood tests for liver enzyme concentrations. Notify physician immediately of muscle pain.Use caution if combining with fibric acid derivatives or bile acid sequestrants (described below).(increased risk of rhabdomyolysis)
Lescol fluvastatin Novartis 20 mg 80 mg
Lescol XL fluvastatin Novartis 80 mg 80 mg
Mevacor lovastatin Merck 10 mg 80 mg
  lovastatin generic† 10 mg 80 mg
Altocor lovastatin (extended-release) Aura Labs 20 mg 60 mg
Pravachol pravastatin Bristol-MyersSquibb 10 mg 80 mg
Zocor simvastatin Merck 5 mg 80 mg
Cholesterol absorption inhibitors Zetia ezetimibe Merck Schering-Plough 10 mg 10 mg Main action: Lowers LDL cholesterol; inhibits absorption of cholesterol.If used with a statin, take together. If used with bile acid sequestrant, ezetimibe should be taken 2 hr before or 4 hr after bile acid sequestrant.
Nicotinic acid (niacin) Niaspan nicotinic acid (extended-release) Kos 300 mg (starting dose) 2,000 mg Main action: Lowers LDL cholesterol increases HDL ("good") cholesterol, lowers triglycerides.Take with food. May cause flushing. May increase blood glucose levels. Have blood tests for liver enzyme concentrations. Long-acting forms may be more likely to cause liver malfunction.
  nicotinic acid generic† 300 mg 2,000 mg
Lipid combinations Advicor lovastatin niacin Kos 20 mg
500 mg
40 mg
2,000 mg
Main Action: Reduces LDL, TC, and TG and increases HDL due to the individual actions of niacin and lovastatin.
Fibric acid derivatives Lopid gemfibrozil Pfizer 1,200 mg 1,200 mg Main action: Lowers triglycerides, increases HDL cholesterol. Perform blood tests for liver enzyme concentrations. Notify physician of muscle pain immediately.
  gemfibrozil generic† 1,200 mg 1,200 mg
Tricor fenofibrate Abbott 54 mg 160 mg
Bile acid sequestrants LoCHOLEST cholestyramine Warner Chilcott 4 g 24 g Main action: Lowers LDL cholesterol. May cause constipation and stomach upset. May need to be taken at a different time than other medications to avoid drug interactions. May increase triglycerides blood concentrations.
LoCHOLEST light cholestyramine
light
Warner Chilcott 4 g 24 g
Questran cholestyramine Par Pharmaceuticals 4 g 24 g
Questran light cholestyramine
light
Par Pharmaceuticals 4 g 24 g
Prevalite cholestyramine Upsher Smith 4 g 24 g
  cholestyramine generic† 4 g 24 g
  cholestyramine light generic† 4 g 24 g
Welchol colesevelam Sankyo 1,875 (3 tablets) 4,375 (7 tablets)
Adapted from Kings Publishing, Inc. For subscription information call 1-800-488-8468.
HMG-Coa = LDL = low-density lipoprotein HDL = high-density lipoprotein TC = total cholesterol TG = plasma triglycerides
†generic = generic drug manufacturers

From the National Diabetes Education Program
Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals
NDEP-54-S
http://www.ndep.nih.gov/diabetes/WTMD/diabets_suppl_3.htm




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