Femfibrozil is a fibrate, used for lowering TG levels.
100% BS. UpToDate provides the most recent evidence and guidelines that state Fibrate therapy for High TG isn't considered until >500.
I think its because she has a hx of peptic ulcer disease (stated in hx) that is currently flaring up (mild epigastric tenderness to deep palpation).
There are drug interactions--- Atorvastatin (choice A), which is a CYP3A4 substrate, shouldn't be used with Clarithromycin/some other antibiotics used to tx peptic ulcers/CYP3A4 inhibitors.
Under warnings and precautions, page 1, FDA- https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020702s056lbl.pdf https://www.pdr.net/drug-summary/lipitor?druglabelid=2338
(I also got the questions wrong and chose Atorvastatin-- this is just my guess!)
honestly just remember Fibrates treat Hypertriglyceridemia and move on. Too many questions too little time. I am a Cool Med Student but I am on Life 9. Research aint big but who the fuck got time. By time we all losing so lil hope trying! Einstein said science is a great thing if one doesn't make a living out of it. I plan on making a living out of medicine and buy my momma a house. I am a real street nikka I came to far to go back home empty handed. My maman hoping her son gon be something one day cant let her down, she sacrificed a lot for us!
Hypertriglyceridemia is always treated with Fibrates, even though she is coming for a follow up examination and concetration of TGs is 350 keep giving Gemfibrozil a fibrate.
Hypertriglyceridemia is always treated with Fibrates, even though she is coming for a follow up examination and concetration of TGs is 350 keep giving Gemfibrozil a fibrate.
Niacin can cause hyperglycemia, flushing, and gout. NSAID's can treat gout. Aspirin at high concentrations also inhibits renal reabsorption, but it inhibits secretion at low levels. I went with aspirin over acetaminophen b/c although acetaminophen is an analgesic it lacks anti-inflammatory activity.
submitted by โmonkd(21)
Am I crazy or did Uworld not have a question that stated Statins are the most effective drug regardless of baseline lipids. This logic threw my off.