Simvastatin therapy in patients with hepatic disease

Aim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment,...

Full description

Bibliographic Details
Main Authors: O. M. Drapkina, A. V. Klimenkov, I. I. Sukhovskaya, V. T. Ivashkin
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2007-10-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1359
_version_ 1797882714029817856
author O. M. Drapkina
A. V. Klimenkov
I. I. Sukhovskaya
V. T. Ivashkin
author_facet O. M. Drapkina
A. V. Klimenkov
I. I. Sukhovskaya
V. T. Ivashkin
author_sort O. M. Drapkina
collection DOAJ
description Aim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment, fasting levels of total cholesterol (TCH), triglycerides (TG), high-density lipoprotein CH (HDL-CH), low-density lipoprotein CH (LDL-CH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activity, bilirubin and creatinine were measured. Vasilip lipid-lowering effectiveness and tolerability was assessed during 12 months of the therapy. Results. After 12 months of Vasilip therapy, there was a significant reduction in TCH (17,5%), TG (26,3%), and LDL-CH (27,8%) levels; HDL-CH increase (23,3%) was not statistically significant. Atherogenicity index decreased by 36,7%. Vasilip therapy was well tolerated by individuals with hepatic pathology throughout the whole study. No significant increase in AST and ALT activity, glucose, creatinine or bilirubin levels was observed. Conclusion. Long-term (one-year) simvastatin therapy (20 mg/d) in patients with lipid hepatosis was both safe and clinically effective.
first_indexed 2024-04-10T03:40:07Z
format Article
id doaj.art-097418ff1d3b4fd2a250d7f2e8d3da58
institution Directory Open Access Journal
issn 1728-8800
2619-0125
language Russian
last_indexed 2024-04-10T03:40:07Z
publishDate 2007-10-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj.art-097418ff1d3b4fd2a250d7f2e8d3da582023-03-13T07:23:14Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252007-10-016570751069Simvastatin therapy in patients with hepatic diseaseO. M. Drapkina0A. V. Klimenkov1I. I. Sukhovskaya2V. T. Ivashkin3Московская медицинская академия им. И.М. Сеченова, МоскваМосковская медицинская академия им. И.М. Сеченова, МоскваСтавропольский краевой клинический диагностический центр, СтавропольМосковская медицинская академия им. И.М. Сеченова, МоскваAim. To assess effectiveness, safety, and tolerability of simvastatin (Vasilip) in patients with IIa and IIb dyslipidemia, as well as with hepatic disease. Material and methods. The analysis included 30 patients receiving Vasilip (20 mg/d). At baseline and after 3, 6, and 14 months of the treatment, fasting levels of total cholesterol (TCH), triglycerides (TG), high-density lipoprotein CH (HDL-CH), low-density lipoprotein CH (LDL-CH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activity, bilirubin and creatinine were measured. Vasilip lipid-lowering effectiveness and tolerability was assessed during 12 months of the therapy. Results. After 12 months of Vasilip therapy, there was a significant reduction in TCH (17,5%), TG (26,3%), and LDL-CH (27,8%) levels; HDL-CH increase (23,3%) was not statistically significant. Atherogenicity index decreased by 36,7%. Vasilip therapy was well tolerated by individuals with hepatic pathology throughout the whole study. No significant increase in AST and ALT activity, glucose, creatinine or bilirubin levels was observed. Conclusion. Long-term (one-year) simvastatin therapy (20 mg/d) in patients with lipid hepatosis was both safe and clinically effective.https://cardiovascular.elpub.ru/jour/article/view/1359атеросклерозингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазысимвастатинжировой гепатоз печени
spellingShingle O. M. Drapkina
A. V. Klimenkov
I. I. Sukhovskaya
V. T. Ivashkin
Simvastatin therapy in patients with hepatic disease
Кардиоваскулярная терапия и профилактика
атеросклероз
ингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазы
симвастатин
жировой гепатоз печени
title Simvastatin therapy in patients with hepatic disease
title_full Simvastatin therapy in patients with hepatic disease
title_fullStr Simvastatin therapy in patients with hepatic disease
title_full_unstemmed Simvastatin therapy in patients with hepatic disease
title_short Simvastatin therapy in patients with hepatic disease
title_sort simvastatin therapy in patients with hepatic disease
topic атеросклероз
ингибиторы 3–гидрокси–3–метилглутарил–коэнзим–а–редуктазы
симвастатин
жировой гепатоз печени
url https://cardiovascular.elpub.ru/jour/article/view/1359
work_keys_str_mv AT omdrapkina simvastatintherapyinpatientswithhepaticdisease
AT avklimenkov simvastatintherapyinpatientswithhepaticdisease
AT iisukhovskaya simvastatintherapyinpatientswithhepaticdisease
AT vtivashkin simvastatintherapyinpatientswithhepaticdisease