Calcium ea Atorvastatin
Ka morao
Atorvastatin Calcium ke inhibitor e matla ea HMG-CoA reductase e nang le boleng ba IC50 ba 150 nM[1].
HMG-CoA reductase ke enzyme ea bohlokoa ea tsela ea mevalonate e hlahisang k'holeseterole.HMG-CoA ke enzyme e fokotsang sekhahla 'me e bohlokoa bakeng sa ho theola boemo ba k'holeseterole maling.HMG-CoA reductase e fumaneha ho endoplasmic reticulum mme e na le libaka tse robeli tsa transmembrane.Li-inhibitors tsa HMG-CoA reductase li ka susumetsa maikutlo a li-receptor tsa LDL (low density lipoprotein) sebeteng.E lebisa ho eketsa maemo a "catabolism" a LDL ho plasma le ho theola khatello ea cholesterol ea plasma, e leng sesupo sa bohlokoa sa atherosclerosis.HMG-CoA reductase e bapala karolo ea bohlokoa tlhahisong ea k'holeseterole.HMG-CoA ke sepheo se le seng sa lithethefatsi tse theolang cholesterol.HMG-CoA reductase le eona ke enzyme ea bohlokoa bakeng sa nts'etsopele.Mosebetsi oa HMG-CoA reductase o amana le bofokoli ba ho falla ha likokoana-hloko.Ho thibela tšebetso ea eona ho ka lebisa ho hemorrhage ea intracerebral[1].
Atorvastatin ke HMG-CoA reductase inhibitor e nang le boleng ba IC50 ba 154 nM.E sebetsa hantle ho phekoleng mafu a itseng a dyslipidemia le hypercholesterolemia[1].Kalafo ea Atorvastatin ka 40 mg e fokotsa k'holeseterole ka 40% kamora matsatsi a 40.[1]E boetse e sebelisoa ho phekola bakuli ba pelo kapa stroke ba nang le maemo a tloaelehileng a k'holeseterole.[2]Atorvastatin e boetse e fokotsa sekhahla sa lipoprotein apheresis ho bakuli ka ho susumetsa maikutlo a li-receptor tsa LDL.
E metabolized ho metabolites tse 'maloa tse bohlokoa bakeng sa phello ea liketso tsa phekolo ka CYP3A4 (cytochrome P450 3A4).[3]
Litšupiso:
[1].van Dam M, Zwart M, de Beer F, Smelt AH, Prins MH, Trip MD, Havekes LM, Lansberg PJ, Kastelein JJ: Tšebeliso ea nako e telele le polokeho ea atorvastatin kalafo ea mofuta o matla oa III le dyslipidaemia e kopantsoeng.Pelo 2002, 88(3):234-238.
[2].Sever PS, Dahlof B, Poulter NR, Wedel H, Beevers G, Caulfield M, Collins R, Kjeldsen SE, Kristinsson A, McInnes GT et al: Thibelo ea liketsahalo tsa coronary le stroke ka atorvastatin ho bakuli ba nang le khatello e phahameng ea mali ba nang le karolelano kapa tlase ho feta. -average concentrations ea k'holeseterole, ho Anglo-Scandinavian Cardiac Outcomes Trial--Lipid Lowering Arm (ASCOT-LLA): teko e laoloang ka mokhoa o sa reroang ka mefuta e mengata.Lancet 2003, 361(9364):1149-1158.
[3].Lennernas H: Clinical pharmacokinetics ea atorvastatin.Clin Pharmacokinet 2003, 42(13): 1141-1160.
Sebopeho sa lik'hemik'hale
Tlhahiso18Merero ea Tlhahlobo ea Boleng e amohetsoeng4, le6merero e tlas'a tumello.
Sistimi e tsoetseng pele ea boleng ba machaba e thehile motheo o tiileng oa thekiso.
Tlhokomelo ea boleng e tsamaisana le potoloho eohle ea bophelo ba sehlahisoa ho netefatsa boleng le phello ea kalafo.
Sehlopha sa Litaba tsa Taolo ea Setsebi se tšehetsa litlhoko tsa boleng nakong ea kopo le ngoliso.