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Biochem./physiol. Wirkung
Simvastatin ist ein spezifischer Inhibitor der HMG-CoA-Reduktase und ein Cholesterinsenker.
Simvastatin ist ein spezifischer Inhibitor der HMG-CoA-Reduktase, dem Enzym das die Umwandlung von HMG-CoA in Mevalonat katalysiert. Diese Umwandlung ist ein früher Schritt in der Cholesterin-Biosynthese. Es wird bei der Behandlung von Hypercholesterinämie verwendet, da es den Low-Density-Lipoprotein- ??und Triglycerid-Level verringert und den High-Density-Lipoprotein-Level erhöht. Simvastatin ist ein Lacton, das in vivo leicht zur entsprechenden β-Hydroxysäure hydrolysiert und es kann vor der Verwendung durch eine Behandlung mit NaOH in EtOH aktiviert werden. Es ist ein synthetisches Analogon von Lovastatin (Prod.Nr. M2147).
In phase 2 studies, evolocumab, a fully human monoclonal antibody to PCSK9, reduced LDL-C levels in patients receiving statin therapy. To evaluate the efficacy and tolerability of evolocumab when used in combination with a moderate- vs high-intensity statin. Phase 3
Expert opinion on drug delivery, 8(9), 1205-1220 (2011-05-28)
Chronic Obstructive Pulmonary Disease (COPD) is a severe disease that leads to a non-reversible obstruction of the small airways. The prevalence of this disease is rapidly increasing in developed countries, and in 2020 it has been predicted that this disease
Myopathy, including rhabdomyolysis, is a well-known, albeit rare complication of statin therapy. Predisposing factors include comorbidities and the concomitant use of cytochrome P-450 (CYP) 3A4 inhibitors. We report a case of severe simvastatin-induced rhabdomyolysis triggered by the addition of amiodarone
Clinical pharmacology and therapeutics, 96(4), 423-428 (2014-06-12)
Simvastatin is among the most commonly used prescription medications for cholesterol reduction. A single coding single-nucleotide polymorphism, rs4149056T>C, in SLCO1B1 increases systemic exposure to simvastatin and the risk of muscle toxicity. We summarize evidence from the literature supporting this association
The Lancet. Neurology, 13(7), 666-675 (2014-05-20)
The benefit of statins in patients with acute aneurysmal subarachnoid haemorrhage is unclear. We aimed to determine whether simvastatin 40 mg could improve the long-term outcome in patients with this disorder. In this international, multicentre, randomised, double-blind trial, we enrolled
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