Hyperlipidemic Agents
• Classification, Mechanism of Action (MOA) in
Flowchart, Uses, Adverse Effects,
Pharmacokinetics, and Contraindications
Classification of Hyperlipidemic
Agents
• - **Statins (HMG-CoA Reductase Inhibitors)**
– Atorvastatin, Simvastatin
• - **Fibrates (PPAR-α Agonists)** –
Fenofibrate, Gemfibrozil
• - **Bile Acid Sequestrants** –
Cholestyramine, Colestipol
• - **Niacin (Vitamin B3)** – Nicotinic acid
• - **Cholesterol Absorption Inhibitors** –
Ezetimibe
• - **PCSK9 Inhibitors** – Alirocumab,
Mechanism of Action (MOA)
• A flowchart explaining how each class of drugs
acts to reduce lipid levels (to be added
manually).
Uses of Hyperlipidemic Agents
• - **Primary & Secondary Prevention of
ASCVD**
• - **Hypercholesterolemia (High LDL-C)** –
Statins, Ezetimibe, PCSK9 inhibitors
• - **Hypertriglyceridemia (High TGs)** –
Fibrates, Niacin, Omega-3 fatty acids
• - **Mixed Dyslipidemia** – Combination
therapy (Statins + Fibrates or Ezetimibe)
Adverse Effects
• - **Statins** – Myopathy, hepatotoxicity, GI
disturbances
• - **Fibrates** – Gallstones, myopathy
(especially with statins)
• - **Bile Acid Sequestrants** – Constipation,
bloating, decreased absorption of fat-soluble
vitamins
• - **Niacin** – Flushing, hyperuricemia,
hepatotoxicity
• - **Ezetimibe** – Diarrhea, increased liver
Pharmacokinetics
• Pharmacokinetic details are best represented
in a table (to be added manually in
PowerPoint).
Contraindications
• - **Statins** – Liver disease, pregnancy
• - **Fibrates** – Severe renal/hepatic disease,
gallbladder disease
• - **Bile Acid Sequestrants** – Bowel
obstruction, severe dysphagia
• - **Niacin** – Gout, peptic ulcers, liver
disease
• - **Ezetimibe** – Severe hepatic impairment
• - **PCSK9 Inhibitors** – Hypersensitivity
reactions
Summary
• - Hyperlipidemic agents help lower cholesterol
and triglycerides.
• - Different classes have distinct mechanisms of
action.
• - Consideration of **adverse effects,
pharmacokinetics, and contraindications** is
essential for safe use.