General
-
Atorvastatin is a member of the drug class known as statins, used for
lowering blood cholesterol.
- This lowers
the amount of cholesterol produced which in turn lowers the total amount
of LDL cholesterol.
Process
- It is a
completely synthetic compound. HMG-CoA reductase catalyzes the reduction
of 3-hydroxy-3-methylglutaryl-coenzyme A to mevalonate, which is the
rate-limiting step in hepatic cholesterol biosynthesis.
- Inhibition
of the enzyme decreases de novo cholesterol synthesis, increasing
expression of low-density lipoprotein receptors on hepatocytes.
Market
- A
statistically significant negative correlation between market share and
mean dose was found for atorvastatin and a positive correlation was found
for fluvastatin (P<0.01).
-
Atorvastatin and cerivastatin consistently gained share at the expense of
the other four brands over the two year period.
Application
-
Atorvastatin is indicated as an adjunct to diet for the treatment of
dyslipidemia, specifically hypercholesterolaemia.
- It has also
been used in the treatment of combined hyperlipidemia.
- It is used
for lowering blood cholesterol.
-
Atorvastatin inhibits the rate-determining enzyme located in hepatic
tissue that produces mevalonate, a small molecule used in the synthesis of
cholesterol and other mevalonate derivatives.
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