Pharmaceutical Chemistry Medicinal Chemistry of Drug Classes

Lipid-Lowering Agents

Topic overview

Start with the big picture

The lesson surveys statins, fibrates, bile-acid sequestrants, niacin, ezetimibe, PCSK9 inhibitors, omega-3 ethyl esters, and bempedoic acid. It highlights how structural features relate to drug action, including the statin dihydroxyheptanoic acid core and ezetimibe’s azetidinone structure, and contrasts targets such as HMG-CoA reductase, PPAR-α, NPC1L1, and PCSK9. The material also reviews effects on LDL, triglycerides, and HDL alongside metabolism and notable adverse effects. Topic headings indicate further coverage of lomitapide, mipomersen, experimental CETP inhibitors, and combination therapy, followed by a visual mechanism summary and comparative table.

Learning objectives

What you'll learn

  • Relate key structural features of lipid-lowering agents to their mechanisms of action.
  • Differentiate major drug classes by their effects on LDL, triglycerides, and HDL.
  • Identify metabolism pathways and notable adverse effects described for the drug classes.
  • Recognize how combination therapy and comparative summaries organize class-specific considerations.
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