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Oral Contraceptives, O, L
Pyrimethamine 0.05 mg every 12 h as starter
Combination Oral Contraceptives, O, L, H
Doxycycline (Rimadyl®) 100 mg as first-line
100 mg as first-line Clomifene 150 mg/d
150 mg/d as first-line Cyclosporine (Ortho-Synephrine) 5 mg/d as first-line
5 mg/d as first-line Nolvadex 100 mg dose as second line
Atherosclerosis risk factor prevention
Several new studies are underway, including three phase III trials
Athletes and
Some studies indicate that thiazide diuretics may be more beneficial for athletes, especially those who are physically active, as they reduce elevated C-reactive protein levels. (see The Atherosclerosis Risk in Young People)
Other Potential Treatments for Atherosclerosis
Several therapies are being investigated as alternative treatments of atherosclerosis
Crosstalk inhibitor therapy (G-protein inhibitors)
Crosstalk between endothelial cells, i.e. the endothelium and smooth muscle cells, is a critical factor in disease progression. Drugs that improve endothelium-specific C-reactive protein (CRP) may help reduce the incidence and severity of atherosclerosis.
C-reactive protein plays many roles in atherosclerosis including altering the expression of genes that regulate inflammation and plaque development.
Current therapies that prevent or reverse inflammation, such as aspirin, acetylsalicylic acid (ASA), lovastatin/atorvastatin, and interferon, are all well tolerated and effective for lowering CRP.
Some studies suggest that statin drugs could reduce atherosclerotic process, but these studies have not been well designed to determine the effects on risk of atherosclerosis. (see Atherosclerosis in Adults)
Interferon beta-1b
Interferon beta-1b is a member of the integrin family, a subclass of cytokines that regulates the expression of inflammatory proteins. Studies suggest that use of interferon beta-1b may increase plaque stability and decrease size. Interferon beta-1b may reduce heart attack and disease risk.
In one multicenter trial, interferon beta-1b was associated with a significant reduction in heart attack and a trend toward reduction in heart disease risk. ( see Atherosclerosis Risk in Children)
Adrenoceptor modulators
Several studies have suggested that exercise and induced inflammation might reverse the course of atherosclerosis and protect against heart attack. The body's first line of defense against tissue injury via inflammation is the production of chemical mediators that block the release of substances that cause injury. This includes prostaglandins, thromboxanes, and leukotrienes.
Exercise and inflammation have been shown to cause an initial increase in
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