question-icon

Best medicine for LDL cholesterol, triglyceride and hdl?

default
Posted on Tue, 14 May 2013
Question: good morning what is the best medicine for
LDL cholestrol 182.9,
Hdl- 35.5,
Total cholestrol - 250 ,
Triglycerides - 158
doctor
Answered by Dr. Sukhvinder Singh (18 minutes later)
Dear Sir
Thanks for writing to XXXXXXX
The management of High cholesterol will depend upon the target levels for you. Please let me know
1. If you have diabetes
2. High blood pressure
3. Are you a smoker?
4. If you have a blood relation who has had heart attack or anginal heart disease? And, if yes, then at what age it started?
5. If you have /had stroke (paralysis), kidney disease, carotid blockage, anginal heart disease, claudication of limbs (pain in legs on walking).
6. If it is first time that your lipids were measured, if previously they were high too.
All these questions will let me know your target LDL level and then I will discuss management part with you.
I am waiting for your follow up question with relevant information.
Sincerely
sukhvinder

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Sukhvinder Singh (1 hour later)
iam a non smoker ,
no diabetes,
no High BP ,
alcohol very rarely
my father got Bypass done at the age of 60 and he is fine now .
i have checked previously a year back they were normal.
i have muscle pain in the upper back ( shoulders and down )due to heavy driving which i controlled now and i had started morning walk before taking this test.
since one year my physical activity is very low (sitting at office and home ) i think it is the culprit.

Regards
XXXXXX
doctor
Answered by Dr. Sukhvinder Singh (1 hour later)
Dear XXXXXX,

Thanks for the information you provided.

Your target LDL cholesterol is 160 mg% as per ATP III guidelines (which are the latest guidelines in force) and your actual level is only 22.9 higher than this value. Your HDL cholesterol is also lower, which should have been more than 40 mg%.

For this mush of higher levels, it is recommended that you start lifestyle modification for first 3 months and then remeasure your lipids. If they are out of target even after 3 months of lifestyle modifications then only medicines are recommended.

Life style measures include daily exercise in consultation with your physician, control of weight (body mass index of <25, ideally ~23 for Indians), low cholesterol, low saturated fat diet which is XXXXXXX in fruit and vegetables and fibres. Avoid too much of cereals also. You may consult a dietitian for the same.

If at all you will require a medicine in future (which you do not require right now), then it will be statins, which you must take in consultation with your doctor only.

I hope I answered your query. Please close the query if you are satisfied. If there is any other question, feel free to write.

Sincerely
sukhvinder XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Sukhvinder Singh (1 hour later)
hello Dr

thanks for the suggestion will follow.

Regards
XXXXXX
doctor
Answered by Dr. Sukhvinder Singh (36 minutes later)
You are welcome.

I would appreciate if you can close this discussion and review if you have no further questions.

Sincerely
Dr. Sukhvinder Singh
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

premium_optimized

The User accepted the expert's answer

Share on
Best medicine for LDL cholesterol, triglyceride and hdl?

Dear Sir
Thanks for writing to XXXXXXX
The management of High cholesterol will depend upon the target levels for you. Please let me know
1. If you have diabetes
2. High blood pressure
3. Are you a smoker?
4. If you have a blood relation who has had heart attack or anginal heart disease? And, if yes, then at what age it started?
5. If you have /had stroke (paralysis), kidney disease, carotid blockage, anginal heart disease, claudication of limbs (pain in legs on walking).
6. If it is first time that your lipids were measured, if previously they were high too.
All these questions will let me know your target LDL level and then I will discuss management part with you.
I am waiting for your follow up question with relevant information.
Sincerely
sukhvinder