Chances are that you will have high cholesterol levels that are usually a result of well-known factors like genetics, diet, lack of exercise, age and gender. But in some cases, high cholesterol levels can be caused by other diseases or widely prescribed drugs.
Known as secondary or acquired hyperlipidemia, this condition is usually the result of another disorder that changes a patient's lipid profile. But the risks of high cholesterol levels -- stroke, heart attack and cardiovascular disease -- are the same, and high cholesterol levels need to be managed regardless of their origin.

In addition to the risks just noted, the link between primary and secondary causes of hyperlipidemia is especially important when high triglyceride levels occur .Most side effects with amitriptyline are minor and require little or no treatment. Among the common side effects are increased sweating, confusion, and dizziness. Also, people who suddenly stop taking amitriptyline may experience withdrawal side effects, which can include nausea, headache, irritability, and sleep problems. Amitriptyline side effects that you should report to your healthcare provider include changes in heart rhythm, seizures, and hallucinations.with certain cases of acquired hyperlipidemia.propanolol or amitripyline donot do this.