Hello,Mr.Ranga Rao,i have gone through your reports.your dose of atorvastatin is 10 and fenofibrate is 145,just for sake of correction.secondly you have not mentioned about level of triglycerides,because fenofibrate is given for controlling triglycerides.since you have started atorvastatin you will have to repeat your lipid profile after 4 weeks of atorvastatin.your target should be to lower cholesterol to less than 150mg and LDL below 100.you must also continue diet control and exercise.If you dont attain this target you may switch over to rosuvastatin 10 mg which is more potent that atorvastatin.regularly check for liver function test to look for effect of statin on liver.remember you need to continue medicine life long.Use of aspirin is justified in your case only if you have associated Diabetes /hypertension/family history .....high risk situation.
My best wishes.

Hello, Ranga Rao. Thank you for your question and welcome to HCM. I understand your concern.

Fenofıbrate is used to lower trıglyceride levels. Are they high as well? I am assuming you are taking atorvastatin 10 mg. The cholesterol figures, in your case, are high. Also, the LDL-fraction. Both of these components are ındependent risk factors for coronary heart disease. Your age would be a great help in the strategy of treatmen. Nevertheless, I would recommend you to be out on atorvastatin 20 mg a day and a series of diet and lifestyle changes should be undertaken:
- 60 minutes of physical activity every day, gym, swimming, walking, jogging, biking
- no animal fat, only olive oil
- more fish and poultry, a maximum a week thoroughly cooked red meat, not raw.
- green or dark green leafy vegetables and fruit, up to 300 grams a day
- the white of the egg, not the red.
Three months after you have been adherent to this regime, measuring total cholesterol, LDL and HDL fractions and triglycerides, also AST and ALT, would be in order.

I hope I was helpful with my answer. Take care. Best regards.

Dr. Meriton