Lovastatin
HMG-CoA Reductase Inhibitor — CARDIOVASCULAR SYSTEM
Also known as: lostatin, mevacor
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Lovastatin is an ofp drug in the HMG-CoA Reductase Inhibitor class catalogued in DrugCentral. It was first approved by the FDA in 1987. Its mechanism of action is classified as Hydroxymethylglutaryl-CoA Reductase Inhibitors. DrugCentral lists 18 molecular targets, including Hmgcr, HMGCR and Hmgcr. Recorded indications include Arteriosclerotic vascular disease, Familial hypercholesterolemia - heterozygous, Hypercholesterolemia and Hyperlipidemia.
- Approval status: ofp (first approved 1987 by the FDA).
- Drug class: HMG-CoA Reductase Inhibitor.
- Mechanism of action: Hydroxymethylglutaryl-CoA Reductase Inhibitors.
- Molecular targets: Hmgcr, HMGCR, Hmgcr and HCAR2 (18 listed in DrugCentral).
- Indications: Arteriosclerotic vascular disease, Familial hypercholesterolemia - heterozygous, Hypercholesterolemia, Hyperlipidemia and Hypertriglyceridemia and others.
- ATC code: C10AA02 (HMG CoA reductase inhibitors).
- Molecular formula: C24H36O5; molecular weight 404.55 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (11)
- Arteriosclerotic vascular disease
- Familial hypercholesterolemia - heterozygous
- Hypercholesterolemia
- Hyperlipidemia
- Hypertriglyceridemia
- Hypoalphalipoproteinemia
- Mixed hyperlipidemia
- Myocardial Infarction Prevention
- Myocardial Reinfarction Prevention
- Primary Prevention of Coronary Heart Disease
- Slow Progression of Coronary Artery Disease
Off-label uses (2)
- Cerebrovascular accident
- Prevention of Transient Ischemic Attacks
Contraindications (24)
- Acute coronary syndrome
- Acute nephropathy
- Alcoholism
- Arterial hemorrhage
- Blood coagulation disorder
- Breastfeeding (mother)
- Diabetes mellitus
- Disease of liver
- Disorder of coronary artery
- Disorder of muscle
- Gout
- Hemorrhagic cerebral infarction
- Hyperglycemia
- Hypophosphatemia
- Liver function tests abnormal
- Low blood pressure
- Myocardial infarction
- Peptic ulcer
- Pregnancy, function
- Rhabdomyolysis
- Surgical procedure
- Thrombocytopenic disorder
- Traumatic injury
- Uncontrolled Epilepsy
Mechanism & targets
| Mechanism of action (MoA) | Hydroxymethylglutaryl-CoA Reductase Inhibitors |
|---|---|
| Established pharmacologic class | HMG-CoA Reductase Inhibitor |
Molecular targets (18)
| Target | Gene | Action | Activity |
|---|---|---|---|
| 3-hydroxy-3-methylglutaryl-coenzyme A reductase | Hmgcr | unknown | IC50 8.52 |
| 3-hydroxy-3-methylglutaryl-coenzyme A reductase | HMGCR | inhibitor | IC50 7.67 |
| 3-hydroxy-3-methylglutaryl-coenzyme A reductase | Hmgcr | unknown | IC50 7.57 |
| Hydroxycarboxylic acid receptor 2 | HCAR2 | unknown | IC50 7.30 |
| Hydroxycarboxylic acid receptor 3 | HCAR3 | unknown | IC50 6.53 |
| Nuclear receptor subfamily 1 group I member 2 | NR1I2 | agonist | EC50 6.00 |
| Cholinesterase | BCHE | unknown | Ki 5.96 |
| Acetylcholinesterase | ache | unknown | Ki 5.57 |
| Sodium-dependent dopamine transporter | SLC6A3 | unknown | Ki 5.09 |
| Sodium-dependent noradrenaline transporter | SLC6A2 | unknown | Ki 5.06 |
| Substance-K receptor | TACR2 | unknown | Ki 5.03 |
| Histone deacetylase 1 | HDAC1 | unknown | IC50 4.92 |
| Leukocyte adhesion glycoprotein LFA-1 alpha | ITGAL | unknown | Kd 4.89 |
| Adenosine receptor A1 | ADORA1 | unknown | Ki 4.81 |
| Histone deacetylase 6 | HDAC6 | unknown | IC50 4.79 |
| Acyl-CoA:cholesterol acyltransferase | ACAT | unknown | IC50 4.77 |
| Androgen receptor | Ar | unknown | Ki 4.70 |
| Histone deacetylase 2 | HDAC2 | unknown | IC50 4.59 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1987-08-31 | FDA | — | MERCK |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
C10AA02 | CARDIOVASCULAR SYSTEM › LIPID MODIFYING AGENTS › LIPID MODIFYING AGENTS, PLAIN › HMG CoA reductase inhibitors |
C10BA01 | CARDIOVASCULAR SYSTEM › LIPID MODIFYING AGENTS › LIPID MODIFYING AGENTS, COMBINATIONS › Combinations of various lipid modifying agents |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Cardiac failure congestive | 123.5 |
| Rhabdomyolysis | 116.1 |
| Myalgia | 116.0 |
| Myocardial infarction | 87.0 |
| Synovitis | 82.3 |
| Infusion related reaction | 80.3 |
| Off label use | 79.6 |
| Cerebrovascular accident | 79.5 |
| Systemic lupus erythematosus | 77.9 |
| Pericarditis | 72.2 |
| Blood glucose increased | 69.5 |
| Atrial fibrillation | 67.0 |
Chemical structure
| Molecular formula | C24H36O5 |
|---|---|
| Molecular weight | 404.55 g/mol |
| CAS number | — |
| InChIKey | PCZOHLXUXFIOCF-BXMDZJJMSA-N |
| PubChem CID | 53232 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Lovastatin used for?
DrugCentral lists the following indications for Lovastatin: Arteriosclerotic vascular disease, Familial hypercholesterolemia - heterozygous, Hypercholesterolemia, Hyperlipidemia, Hypertriglyceridemia, Hypoalphalipoproteinemia, Mixed hyperlipidemia and Myocardial Infarction Prevention and others.
How does Lovastatin work?
Lovastatin is classified as Hydroxymethylglutaryl-CoA Reductase Inhibitors; its molecular targets in DrugCentral include Hmgcr, HMGCR (inhibitor), Hmgcr and HCAR2.
When was Lovastatin first approved?
Lovastatin was first approved by the FDA in 1987.
What drug class does Lovastatin belong to?
Lovastatin is in the HMG-CoA Reductase Inhibitor class.
What is the chemical formula of Lovastatin?
Lovastatin has the molecular formula C24H36O5 and a molecular weight of 404.55 g/mol.
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Sources
- DrugCentral drug card 1612 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL503 — compound record and bioactivity
- PubChem CID 53232 — chemical identifiers
- DrugBank DB00227 — drug record
- FDA UNII 9LHU78OQFD — substance identity
- DailyMed: FDA labels for Lovastatin — current prescribing information (label search)
- UniProt P04035 (HMGCR) — target protein
- UniProt Q8TDS4 (HCAR2) — target protein
- UniProt P49019 (HCAR3) — target protein
- UniProt O75469 (NR1I2) — target protein
- UniProt Q01959 (SLC6A3) — target protein
- UniProt P23975 (SLC6A2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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