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Have high cholesterol. Suggest medication?

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Practicing since : 1966
Answered : 4506 Questions
I have high cholesterol for last 6 months. Please advice best medication. Below is my blood test result.

Cholesterol - 276 mg/dl
Triglyceride - 139 mg/dl
LDL - 208 mg/dl
HDL - 59 mg/dl
Vldl - 28 mg/dl
Posted Tue, 5 Nov 2013 in Cholesterol
Answered by Dr. Anantharamakrishnan 25 minutes later
Brief Answer:
Life style changes AND drugs are necessary

Detailed Answer:
Hi friend,
Welcome to Health Care Magic

There are subdivisions of cholesterol – LDL, HDL and so on.
LDL (& non-HDL) is bad cholesterol – lower, the better.
HDL is good cholesterol – higher, the better.
In the absence of any other risk factor, LDL of 100 is ideal. [130 was allowed before.] In the presence of ischemia, 70 should be the aim.

     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.

     Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity.

Some start drugs straight away, as in your case – Your LDL is rather high
Statin is the first choice - Atorvastatin is the most commonly prescribed statin. You can start 20 mg at night / Repeat the test in 6 weeks / If still high, you may add Ezetimibe 10 mg…

Discuss with your doctor
The treating doctor can suggest further based on his assessment of the situation.

Take care     
Wishing all well
God bless
Good luck
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