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In [[medicine]], '''antilipemic agents''' are [[medication]]s for the treatment of [[hypercholesterolemia]] and [[hypertriglyceridemia]].<ref>{{MeSH}}</ref>
In [[medicine]], '''antilipemic agents''' are [[medication]]s for the treatment of [[hypercholesterolemia]] and [[hypertriglyceridemia]].<ref>{{MeSH}}</ref>


==Classification==
==Classification==
Classes of antilipemic agents include:
===Hydroxymethylglutaryl-coenzyme A reductase inhibitors (statins)===
* [[Hydroxymethylglutaryl-coenzyme A reductase inhibitor]]s (statins)
{{main|Hydroxymethylglutaryl-coenzyme A reductase inhibitor}}
* [[Bile acid sequestrant]]s
 
* [[Fibric acid]] derivatives
===Bile acid sequestrants===
* Plant stanols
 
===Fibric acid derivatives===
[[Clofibric acid]] derivatives include [[gemfibrozil]], [[clofibrate]], and [[fenofibrate]]. [[Fenofibrate]] is unique in being able to lower the serum [[uric acid]] level and treat [[hyperuricemia]].<ref name="pmid12595630">{{cite journal |author=Feher MD, Hepburn AL, Hogarth MB, Ball SG, Kaye SA |title=Fenofibrate enhances urate reduction in men treated with allopurinol for hyperuricaemia and gout |journal=Rheumatology (Oxford) |volume=42 |issue=2 |pages=321–5 |year=2003 |month=February |pmid=12595630 |doi= |url=http://rheumatology.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=12595630 |issn=}}</ref>
 
===Plant stanols===
 
==Uses==
{{main|Hypercholesterolemia|Hypoalphalipoproteinemia}}
 
==Adverse effects==
Medications, such as the antilipemic  agents [[atorvastatin]],  [[simvastatin]],  or [[gemfibrozil]]  that are metabolized by [[cytochrome P-450]] may increase bleeding when added  to patients taking [[warfarin]].<ref  name="pmid20103024">{{cite journal|  author=Schelleman H, Bilker WB, Brensinger CM, Wan F, Yang YX, Hennessy  S| title=Fibrate/Statin initiation in warfarin users and  gastrointestinal bleeding risk. | journal=Am J Med | year= 2010 |  volume= 123 | issue= 2 | pages= 151-7 | pmid=20103024
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=20103024  | doi=10.1016/j.amjmed.2009.07.020 | pmc=PMC2813204 }} <!--Formatted  by http://sumsearch.uthscsa.edu/cite/--></ref>


==References==
==References==
<references/>
<references/>

Latest revision as of 07:30, 11 May 2010

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In medicine, antilipemic agents are medications for the treatment of hypercholesterolemia and hypertriglyceridemia.[1]

Classification

Hydroxymethylglutaryl-coenzyme A reductase inhibitors (statins)

For more information, see: Hydroxymethylglutaryl-coenzyme A reductase inhibitor.


Bile acid sequestrants

Fibric acid derivatives

Clofibric acid derivatives include gemfibrozil, clofibrate, and fenofibrate. Fenofibrate is unique in being able to lower the serum uric acid level and treat hyperuricemia.[2]

Plant stanols

Uses

For more information, see: Hypercholesterolemia and Hypoalphalipoproteinemia.


Adverse effects

Medications, such as the antilipemic agents atorvastatin, simvastatin, or gemfibrozil that are metabolized by cytochrome P-450 may increase bleeding when added to patients taking warfarin.[3]

References

  1. Anonymous (2024), Antilipemic agent (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Feher MD, Hepburn AL, Hogarth MB, Ball SG, Kaye SA (February 2003). "Fenofibrate enhances urate reduction in men treated with allopurinol for hyperuricaemia and gout". Rheumatology (Oxford) 42 (2): 321–5. PMID 12595630[e]
  3. Schelleman H, Bilker WB, Brensinger CM, Wan F, Yang YX, Hennessy S (2010). "Fibrate/Statin initiation in warfarin users and gastrointestinal bleeding risk.". Am J Med 123 (2): 151-7. DOI:10.1016/j.amjmed.2009.07.020. PMID 20103024. PMC PMC2813204. Research Blogging.