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연구개발 고콜레스테롤 치료제

지방간

콜레스테롤이 혈액 1dL당 240mg 이상
동맥경화, 협심증, 심근경색 등과 같은 심혈관 질환 발생의 증가
유전적인요인, 식습관, 당뇨병, 갑상선질환, 특정 약물 (경구피임약, 부신피질호르몬제)에 의해 유발됨

Survey Data Trend (2007-2017)





콜레스테롤 대사 경로 및 치료제

HMG-CoA HMG-CoA Red Mevalonate Cholesterol LDL-R IDL-R Biliar acids Cholesterol Triglicerides Chylomicron LDL HDL VLDL IDL LDL Lipoprotein Lipase ANIONIC EXCHANGE RESINS STATINS FIBRATES MIPOMERSEN NIACIN PCSK9 INHIBITORS EZETIMIBE LOMITAPIDE

작용기전 효능 (% change) 부작용
HMG CoA reductase inhibitors ↓ LDL (18-55), ↑ HDL (5-15), ↓ TG (7-30) Myopathy, ↑ Liver enzymes
Cholesterol absorption inhibitors ↓ LDL (14-18), ↑ HDL (1-3), ↓ TG (2) Headache, GI distress
Nicotinic Acid ↓ LDL (15-30), ↑ HDL (15-35), ↓ TG (20-50) Flushing, Hyperglycemia
Hyperuricemia, GI distress, Hepatotoxicity
Fibric Acids ↓ LDL (5-20), ↑ HDL (10-20), ↓ TG (20-50) Dyspepsia, Gallstones, Myopathy
Bile Acid sequestrants ↓ LDL, ↑ HDL, No change in TG GI distress, Constipation
↓ absorption of other drugs

Statin의 한계

Most Common Reasons for

STOPPING
STATIN USE
62%
Side
Effects
17%
Cost
12%
Efficacy
8%
Other
6%
Don't know
Can't remember
Reasons for stopping statin use among former statin users

- 고콜레스테롤증 시장의 90%를 차지하는 스타틴 수용한 부작용으로 한계를 지니고 있음

- 햄프랜드는 이 한계를 극복할 심마립 대마추출물에서 찾았음

Statin side effect

Common

  • headache
  • dizziness
  • feeling sick
  • feeling unusually tired or physically weak
  • digestive system problems, such as constipation, diarrhea, indigestion or farting
  • muscle pain
  • sleep problems
  • low blood platelet count

Uncommon

  • being sick
  • memory problems
  • hair loss
  • pins and needles
  • inflammation of the liver (hepatitis), which can cause flu-like symptoms
  • inflammation of the pancreas (pancreatitis), which can cause stomach pain
  • skin problems, such as acne or an itchy red rash
  • sexual problems, such as loss of libido (reduced sex drive) or erectile dysfunction

Rare

  • muscle weakness (myopathy)
  • loss of sensation or tingling in the nerve endings of the hands and feet (peripheral neuropathy)
  • tendon problems (tendons are tough cords of tissue that connect muscles to bones)