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Took Tonact Tg For High Tri Glyceride Level. Suggest Some Proper Cure And Medication

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Posted on Sun, 18 Nov 2012
Question: my tri glyceride was very high and i am adviced by a doctor to take one tonact tg daily. I am using it since last year but with discontinue and getting other medicine , I am suffering by the previous problem. Pl advice me
XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan (39 minutes later)
Hi XXXXXXX

1) The triglyceride is greatly influenced by diet. Weight reduction, low carbohydrate diet and exercise help to reduce it to some extent.
2) It is also manufactured in the liver - and this is determined by heredity. (genes derived from parents) - over which we have no control.
So for a long life, you have to take medicine life long.
It is like putting petrol for the car - if you stop putting petrol, the car will not run. If you stop taking medicine, triglyceride will stop coming down and will go back to old levels.
So medicine is must for ever.
I hope you know the next step now.
Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (57 minutes later)
I AM TAKING TONACT TG FOR A LONG TIME AND I AM WELL BUT DOCTOR CHANGES THE MEDICINE. THEN I AM SUFFERING FROM SLEEPLESSNESS AND MUSSEL PAIN.SO PL SUGGEST WHETHER TONACT TG MAY CONTINUE OR NOT AND INFORM ME ABOUT SIDE EFFECT OF TONACT TG
doctor
Answered by Dr. Anantharamakrishnan (6 hours later)
Hi XXXXXXX

There are two medicines in your tablet (Tonact TG)- Atorvastatin AND Fenofibrate
Atorvastatin can cause muscle pain - especially calf muscle - especially in higher doses. The dose you are taking is not high.
If only the triglyceride is high and the cholesterol is normal, as you say - you can STOP THE STATIN.
Take ONLY THE FIBRATE - it does not cause muscle pain.
Re-check the level after 6 weeks - if it is normal, continue as before. If on the higher side, add nicotinic acid.
Get prescription from your doctor - and follow it up.
Everything will be well. It is a question of time.

Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (5 hours later)
Dear Sir,
This is the first time in this site, so I was not sure about the reply of this site but now I am very satisfied about your feed back. I have enclosed the present blood report of mine . Pl check the report and suggest based on the HDL Cho level. Presently I am taking TONACT TG only.
doctor
Answered by Dr. Anantharamakrishnan (21 minutes later)
Hi
Sorry that the attachment is not opening - it says invalid image! You can email the image to YYYY@YYYY and write "Attention to Dr Ananthramakrishnan" in the subject line
HDL cholesterol is 'good' cholesterol - more the merrier.
So be happy, if it is high
If it is low, general lifestyle measures and exercises help.
Good luck
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Anantharamakrishnan (5 hours later)
sir, I HAVE SENT THE REPORT THROUGH MAIL ALSO. PL ADVICE ME IN DETAILS
doctor
Answered by Dr. Anantharamakrishnan (13 hours later)
Hi,
Thanks for sending in the details.
1) The total cholesterol (123) is NORMAL.
2) LDL (70) is excellent - it is the bad cholesterol.Less is better.
3) VLDL (22) / Triglyceride (127) are also NORMAL
4) The only variation is HDL (31) it  is just below normal.  It is the good cholesterol.  Nothing to worry.   There are no drugs for this... Regular exercise is the only thing that will raise it.   Use Unsaturated oils - Olive oil is best.   Sunflower oil is OK. Omega3 fatty acids available commercially are also good.
Avoid coconut oil, palm oil,  butter, cheese and full cream milk
Repeat the test after 2 months
All the best
Good luck

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Anantharamakrishnan (15 hours later)
Sir,
Then I continue Tonact TG daily. Pl advice
doctor
Answered by Dr. Anantharamakrishnan (14 minutes later)
Hi
If the level was initially high, as you say - now it is well controlled - because of the drug.
You have to continue the drug
If you have calf muscle pain, omit statin / take only fibrate
If you don't have muscle pain, continue both (Tonact TG)
Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (4 days later)
Thank you very much for your elaborate suggestion. Pl reply the following two question-
1) I am now forty but looks like 60 and above
2) Skin problem like dandruff is havoc.

Pl inform is it for any drug side effect or for high cholesterol and discuss remedies elaborately because I am not a medical expert. expecting your good suggestion.
doctor
Answered by Dr. Anantharamakrishnan (6 hours later)
Dear friend
The most common side effects of 'cholesterol drugs' involve liver (increase of enzymes) / Muscle (myositis - pain). There are some less common ones - drug interactions (especially fibrates) and so on.. In the initial stages, Liver function is checked in a month or two; and the examining doctor will assess and advice.
The two new questions - dandruff and appearance - should be directed to a dermatologist (skin specialist).
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (3 hours later)
sir,
Then refer it to a dermatologist.
doctor
Answered by Dr. Anantharamakrishnan (31 minutes later)
Hi
You have to see a dermatologist near your place of residence.
Any big hospital near your place will have the facility.
Good luck
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Took Tonact Tg For High Tri Glyceride Level. Suggest Some Proper Cure And Medication

Hi XXXXXXX

1) The triglyceride is greatly influenced by diet. Weight reduction, low carbohydrate diet and exercise help to reduce it to some extent.
2) It is also manufactured in the liver - and this is determined by heredity. (genes derived from parents) - over which we have no control.
So for a long life, you have to take medicine life long.
It is like putting petrol for the car - if you stop putting petrol, the car will not run. If you stop taking medicine, triglyceride will stop coming down and will go back to old levels.
So medicine is must for ever.
I hope you know the next step now.
Good luck