| Term 
 | Definition 
 
        | Inhibits VLDL production (which decreases LDL and decreases TGs) and decreases the removal of HDL (causing increase in HDL) |  | 
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        | Term 
 
        | Brand name for extended release Niacin? |  | Definition 
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        | Term 
 
        | Dosing for extended rlease niacin? |  | Definition 
 
        | 500 QHS x 4 weeks 1000 QHS x 4 weeks Can increase to 1500 - 2000 QHS Max: 2 grams daily |  | 
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        | Term 
 
        | The problem with Niacin is? |  | Definition 
 
        | tolerability due to flushing/itching |  | 
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        | Term 
 
        | Is Niaspan the most economical choice? |  | Definition 
 
        | No. It is the most expensive. But it's the best clinical choice because it has decreased side effects withouth increased risk liver damage |  | 
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        | Term 
 
        | Niaspan is approved for use with what two statins? |  | Definition 
 
        | simvastatin and lovastatin |  | 
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        | Term 
 
        | Are Niaspan tablets interchangeable? |  | Definition 
 
        | NO. Niaspan talbets are not interchangeable from other formulations; also the 500 and 750 mg tabs are not interchangeable   3 of the 500 mg tabs ≠ 2 of 750 mg tabs |  | 
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        | Term 
 
        | Major side effect of Niacin? |  | Definition 
 
        | Flushing and pruritis (itching) |  | 
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        | Term 
 
        | How should Niaspan be taken? |  | Definition 
 
        | At night after a low-fat snack. Other niacins: take with food |  | 
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        | Term 
 
        | How to do deal with the flushing side effect? |  | Definition 
 
        | pre-treat with 325mg uncoated aspirin (or ibuprofen) 30 min before dose (for a few weeks) to decrease flushing. With Niaspan, flushing will occur mostly at night |  | 
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        | Term 
 | Definition 
 
        | Statement. Not a question. |  | 
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