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Liptor dosage and beta blockers to treat high cholesterol - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Cholesterol
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   hi, how can i help you
Doctor :   please provide your age,gender
Doctor :   are you there ?
User :   hi doctor, I am having familial hyper lipidimia and on LIPITOR TO REDUCE CHOLESTROL, i was advised to take daily 10 mg lipitor tablet.but i have observed that if i will take 15 tablet a month that is enough for me to maintain healthy lipid profile so should i take lipitor on alternate day or i should take 15 days with 15 days gap. i am doing regular exercise and using low fat diet also age 50 bmi normal weight 60 kg 5-5inch.
User :   male
Doctor :   i will help you in this
Doctor :   can i ask few questions.
User :   BP normal no diabetes no family history
Doctor :   ok
User :   yes go ahead
Doctor :   its good to hear that your BMI in normal
Doctor :   and you enjoy a healty wt for your ht
User :   yes
Doctor :   when was the last lipid profile done
User :   last month done after using lipitor result total 140 ldl90 then i stopped lipitor for one month then it came toatl 206 ldl142
Doctor :   ok
Doctor :   wat about HDL and LDL cholestrol levels
Doctor :   and triglycrides
User :   hdl remains 33 and trig also with in limit even after stopping lipitor
Doctor :   was the lipid profile testing done after 8- 10 hrs of fasting
User :   after 12hours of fasting
Doctor :   thats good
Doctor :   as per the reports
Doctor :   your total cholestrol and LDL is on the boderline
Doctor :   regarding HDL which is a good cholestrol is on the little lower side
Doctor :   so you have good control on diet and exercise
User :   yes
Doctor :   which is the primary treatment for high chlolestrol
Doctor :   yu can go for an alternate Lipitor 10 mg dose
Doctor :   and check the lipid profile after 45 days of this regime
User: Doctor i have checked many times alternate day lipitor 10 mg will give AAAAAAA good result of low lipid level
Doctor :   its good enough for yu to stick to this regime
Doctor :   of alternate LIPITOR 10 mg dose
Doctor :   diet in high cholestrol
Doctor :   Total fat- Less than 30% of calories
Doctor :   Saturated fat- Less than 7% of calories
User :   That whats i wanted to confirm doctor thanks for your advise.
Doctor :   Polyunsaturated fat- Less than or equal to 10% of calories
Doctor :   Carbohydrates (complex) - 50-60% of calories
Doctor :   are yu there
User :   yes
Doctor :   ok
Doctor :   foods to avoid
Doctor :   Fatty (saturated)foods- butter, cheese, curd, ghee and others
Doctor :   Junk foods (oily and spicy foods) and carbonated drinks
Doctor :   Red meat (lamb and beef) and yellow portion of boiled egg
Doctor :   Foods to be consumed :
Doctor :   Green leafy vegetables and others (carrot, pumpkin, garlic, and others)
Doctor :   Whole wheat bread, corn, cereals, whole grains
Doctor :   Fat free skimmed milk
Doctor :   Low fat or non fat yogurt
Doctor :   Vegetable oil- canola, olive and sunflower oil for cooking
Doctor :   White meat fish- herring, sardine and others
Doctor :   Chicken or turkey skin removed
Doctor :   is that fine
Doctor :   do yu have any doubts regarding diet
User :   yes doctor happy with your advice thanks a lot
Doctor :   wat type of exercise are yu doing
User :   brisk walking 3km
Doctor :   thats right
Doctor :   you are on the right path
User :   thanks
Doctor :   brisk exercise is the ideal exercise for high cholestrol
User :   ok
Doctor :   how many hrs do yu do
Doctor :   how many times in a week
User :   daily 45 min
Doctor :   good
User :   can i ask one more question
Doctor :   brisk exercise reduce the bad cholestrol and increases the good cholestrol levels
Doctor :   please proceed
Doctor :   i am there to help u
User :   i am working dubai airport and having job pressure , 2 day duty and two offs. can i use some anti anxiety tablet for two days when i am going for job like beta blocker
Doctor :   are more stressed and tensed
User :   yes too much job pressure
Doctor :   how many hours do yu sleep per day
User :   8 hours
Doctor :   ok
Doctor :   wat your age
User :   50
Doctor :   ok
Doctor :   beta blockers are mainly antihypertensive
User :   yes when i am getting ready for job my bp will be 135/90
Doctor :   do yu have increased heart rate
Doctor :   at the time of stress
User :   heart rate remain 60-72
Doctor :   ok
Doctor :   do yu have sweating and tremors
Doctor :   at the time of stress
User :   never
Doctor :   ok
Doctor :   yu can go for beta blockers
Doctor :   but it should be low dose
User :   ok
User :   ok
Doctor :   yu need to go for non selective beta blockers
Doctor :   or cardio selective betablockers
User :   like indiral or conquer
Doctor :   Inderal is non selective
Doctor :   its good
User :   ok
Doctor :   helps to redcue the bp and also the
Doctor :   stress and anxiety
User :   k
Doctor :   but has fewer side effects
User :   ok
Doctor :   Is there any thing i can help yu with
User :   doctor thanks a lot for ur patience and help thanks
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