Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Should I Do To Lower The Cholesterol Level?
Question: 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
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
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
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 :
Dr. Chakravarthy Mazumdar
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
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
Hi
You mean atocor? (not afocos)
Yes - The tablet is preferably taken at bed time
All the best
You mean atocor? (not afocos)
Yes - The tablet is preferably taken at bed time
All the best
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
