Simvastatin: Difference between revisions

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[[Image:Simvastatin structure.jpg|right|thumb|350px|{{#ifexist:Template:Simvastatin structure.jpg/credit|{{Simvastatin structure.jpg/credit}}<br/>|}}Simvastatin, a class I statin.]]
{{Image|Simvastatin structure.jpg|right|250px|Simvastatin, a class I statin.}}


'''Simvastatin''' is a methylated derivative of [[lovastatin]] used treat [[hypercholesterolemia]], to prevent [[myocardial infarction|heart attacks]] and strokes, and to diminish [[athlerosclorosis]]. It is effective in reducing total and LDL-cholesterol as well as plasma triglycerides and apolipoprotein B.  It inhibits the function of hydroxymethylglutaryl COA reductases, key enzymes in the production of [[cholesterol]].  It also increases LDL catabolism and may interfere with [[steroid]] production.  It is structurally and functionally similar to the other class I [[statin]]s [[mevastatin]], [[lovastatin]] and [[pravastatin]]. Both the drug and its <math>\beta</math>-hydroxyacid metabolite are highly bound (approximately 95%) to human plasma proteins.
'''Simvastatin''' is a [[hydroxymethylglutaryl-coenzyme A reductase inhibitor]] (statin). It is a methylated derivative of [[lovastatin]] used treat [[hypercholesterolemia]], to prevent [[myocardial infarction|heart attacks]] and strokes, and to diminish [[athlerosclorosis]].   It is structurally and functionally similar to the other class I [[statin]]s [[mevastatin]], [[lovastatin]] and [[pravastatin]]. Its IUPAC chemical name is [(1S,3R,7S,8S,8aR)-8-[2-[(2R,4R)-4-hydroxy-6-oxooxan-2-yl]ethyl]-3,7-dimethyl 1,2,3,7,8,8a-hexahydronaphthalen-1-yl] 2,2-dimethylbutanoate and its chemical formula is C<sub>25</sub>H<sub>38</sub>O<sub>5</sub>.
is effective in reducing total and LDL-cholesterol as well as plasma triglycerides and apolipoprotein B.
Alcohol and grapefruit juice should be avoided when taking this medication.


Its IUPAC chemical name is [(1S,3R,7S,8S,8aR)-8-[2-[(2R,4R)-4-hydroxy-6-oxooxan-2-yl]ethyl]-3,7-dimethyl 1,2,3,7,8,8a-hexahydronaphthalen-1-yl] 2,2-dimethylbutanoate and its chemical formula is C<sub>25</sub>H<sub>38</sub>O<sub>5</sub>.
==Function==
Simvastatin is effective in reducing total and LDL-cholesterol as well as plasma triglycerides and apolipoprotein B.  It inhibits the function of hydroxymethylglutaryl COA reductases, key enzymes in the production of [[cholesterol]].  It also increases LDL catabolism and may interfere with [[steroid]] production.


== Brand names ==
== Brand names ==
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==Pharmacology== ===Administration=== Both the drug and its <math>\beta</math>-hydroxyacid metabolite are highly bound (approximately 95%) to human plasma proteins.
===Distribution=== ===Metabolism=== ===Excretion===
==Toxicity==
[[Drug toxicity]] include
==Drug interactions==
Its [[drug interaction]]s include alcohol and grapefruit juice which should be avoided when taking this medication.


==External links==
==External links==
* {{DailyMed}}
{{CZMed}}

Latest revision as of 08:33, 2 March 2012

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(CC) Image: David E. Volk
Simvastatin, a class I statin.

Simvastatin is a hydroxymethylglutaryl-coenzyme A reductase inhibitor (statin). It is a methylated derivative of lovastatin used treat hypercholesterolemia, to prevent heart attacks and strokes, and to diminish athlerosclorosis. It is structurally and functionally similar to the other class I statins mevastatin, lovastatin and pravastatin. Its IUPAC chemical name is [(1S,3R,7S,8S,8aR)-8-[2-[(2R,4R)-4-hydroxy-6-oxooxan-2-yl]ethyl]-3,7-dimethyl 1,2,3,7,8,8a-hexahydronaphthalen-1-yl] 2,2-dimethylbutanoate and its chemical formula is C25H38O5.

Function

Simvastatin is effective in reducing total and LDL-cholesterol as well as plasma triglycerides and apolipoprotein B. It inhibits the function of hydroxymethylglutaryl COA reductases, key enzymes in the production of cholesterol. It also increases LDL catabolism and may interfere with steroid production.

Brand names

  • Cholestat
  • Coledis
  • Colemin
  • Corolin
  • Denan
  • Labistatin
  • Lipex
  • Lodales
  • Medipo
  • Nivelipol
  • Pantok
  • Rendapid
  • Simovil
  • Simvastatin
  • Simvastatina
  • Simvastatine
  • Simvastatinum
  • Sinvacor
  • Sivastin
  • Synvinolin
  • Vasotenal
  • Vytorin
  • Zocor
  • Zocord

==Pharmacology== ===Administration=== Both the drug and its -hydroxyacid metabolite are highly bound (approximately 95%) to human plasma proteins.

Distribution=== ===Metabolism=== ===Excretion

Toxicity

Drug toxicity include

Drug interactions

Its drug interactions include alcohol and grapefruit juice which should be avoided when taking this medication.

External links

The most up-to-date information about Simvastatin and other drugs can be found at the following sites.