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What should I do to lower the cholesterol level?

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Practicing since : 1966
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Dr
I AM 46 YEARS OLD-MALE NON DIABETIC. HEIGHT =5.4FT WEIGHT 64 KGS,
REGULARY GO FOR 1 HOUR MORNING WALK, NO FAT FOODS, ON DIET CONTROLL
HERE ARE MY CHOLOSTROL LEVELS


TC-289, HDL-39,LDL-203, TRIG-316
I HAVE BEEN USING ATOCOR20 FOR THE PAST 3 MONTHS , BUT MY CHOLOSTROL LEVELS ARE NOT COMMING TO NORMAL LEVELS
PLS GIVE ME YOUR ADVISE TO CONTROLL THE CHOLOSTROLL

XXXXXXX
Posted Sun, 18 Nov 2012 in Cholesterol
 
 
Answered by Dr. Anantharamakrishnan 2 hours later
Dear Mr XXXXXXX
Welcome to Health Care Magic

LDL (& non-HDL) is bad cholesterol – lower, the better.
HDL is good cholesterol – higher, the better.
LDL value of 203 is very high. In the absence of any other risk factor 100 is ideal. [130 was the limit before]. In the presence of ischemia, 70 should be the aim.
TG (Triglyceride) also is high

Your 3–step approach is proper.
Exercise – walking 1 hour is good.
Diet – you say is controlled....
Drug – Statin, you are already taking.

Probably, there is a strong genetic basis, leading to this high level and not coming down.

     Since the TG is also high, you can add Fibrate – Fenofibrate 160 mg (micronised) will be the first choice. You can get it separately or in combination with atorvastatin. The combination can cause or worsen (calf) muscle pain – Beware. Hopefully, it will come down.

     Repeat in 6 weeks (Strict 14-hour fasting is necessary for TG). If LDL is still high, step up atorvastatin to 40 mg. (The maximum dose of atorvastatin is 80 mg.). Most likely, it will settle down

     Repeat in 6 weeks again – if still high add Ezetimibe 10 mg. All will be well


Take care
Wishing you speedy recovery
God bless
Good luck
Above answer was peer-reviewed by
 
Follow-up: What should I do to lower the cholesterol level? 1 hour later
DOCTOR
THANKS FOR YOUR QUICK ADVISE,
SHALL I START TO TAKE ONE TAB AFOCOS 20 AT BED TIME
AND 1 TAB FENOFRIBATE 160 AT BED TIME

OR ANY OTHER TIME, PLS CONFIRM

THANKS
XXXXXXX
 
 
Answered by Dr. Anantharamakrishnan 1 hour later
Hi

You mean atocor? (not afocos)
Yes - The tablet is preferably taken at bed time

All the best
Above answer was peer-reviewed by
 
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