Primary Prevention of Cardiovascular Disease and Type 2 Diabetes in Patients at Metabolic Risk

CVD-T2DM

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Treatment Regimen Table 5B. FDA Approved Lipid Modulating Combination Tablets Drug Class, Agents and Daily Doses Extended-release niacin/lovastatina Advicor ® 500/20 to 2000/80 mg/day LDL-C 34-47% HDL-C 24-33% TG 35-48% ApoB (LDL-P) ≤ 40%b Extended-release niacin/simvastatincd, e Simcor ® 500/20 to 2000/40 mg/day LDL-C 34-56% HDL-C 15-29% TG 22-38% ApoB (LDL-P) ≤ 50% Lipid/Lipoprotein Effects (varies with dosage used) Side Effects Myopathy Flushing Hyperglycemia & Hyperuricemia Hepatotoxicity Myopathy Flushing Hyperglycemia & Hyperuricemia Liver enzyme elevations Ezetimibe/simvastatinf Vytorin ® 10/10 to 10/80 mg/day Amlodipine/atorvastatin Caduet ® 2.5/10 to 10/80 LDL-C 45-60% HDL-C 6-10% TG 23-31% ApoB (LDL-P) ≤ 50%g LDL-C 18-55% LDL particle number 18-55% HDL-C 5-15% TG 7-30% a Advicor Prescribing Information, Abbott Laboratories, North Chicago, IL. b c Simcor Prescribing Information, Abbott Laboratories, North Chicago, IL. d e Myopathy Liver enzyme elevations Headache Edema Myopathy Liver enzyme elevations Bays HE, Dujovne CA, McGovern ME, et al. Comparison of once-daily, niacin extended- release/lovastatin with s Evaluation [ADVOCATE]). Am J Cardiol. 2003;91:667-672. Ballantyne CM, Davidson MH, McKenney J, et al. Comparison of the safety and efficacy of a combination tablet o cholesterol (from the SEACOAST I study). Am J Cardiol. 2008;101(10):1428-1436. Ballantyne CM, Davidson MH, McKenney J, et al. Comparison of the efficacy and safety of a combination tablet o study. J Clin Lipidology. 2008;2:79-90. f Vytorin Prescribing Information, Merck/Schering-Plough Pharmaceuticals, North Wales, PA. g Catapano AL, et al. Lipid-altering efficacy of the ezetimibe/simvastatin single tablet versus rosuvastatin in hypercho

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