| Rosuvastatin calcium 
rosuvastatin calcium is a synthetic lipid-lowering agent
approved as a treatment for hypercholesterolemia. The drug
is classified as a Statin, a type of agent that inhibits cholesterol
production in the liver.
It is indicated as an adjunct to diet to reduce elevated cholesterol
levels in the blood. It is indicated for primary hypercholesterolemia
(heterozygous familial and nonfamilial) and mixed dyslipidemia
(Fredrickson Type IIa and IIb).
It is also indicated as an adjunct to diet for the treatment
of patients with elevated serum TG levels (Fredrickson Type
IV) and in patients with homozygous familial hypercholesterolemia
as an adjunct to other lipid-lowering treatments.
Mechanism of Action
Rosuvastatin is an inhibitor of HMG-CoA reductase, an enzyme
that catalyzes the conversion of HMG-CoA to mevalonate, an
early and rate-limiting step in cholesterol biosynthesis.
Rosuvastatin reduces cholesterol by increasing the number
of low-density lipoprotein (LDL) receptors on the cell-surface
to enhance uptake and catabolism of LDL. It also inhibits
hepatic synthesis of hepatic very-low-density lipoprotein
(VLDL), which reduces the total number of VLDL and LDL particles.
The treatment reduces triglycerides (TG) and produces increases
in high-density lipoprotein cholesterol (HDL-C.)
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