Hyperlipidemia
SX â claudication, angina, MI, stroke, pancreatitis, chylomicronemia (Trig > 2000), atherosclerosis.
PE â xanthomas.
Next Steps
DX â ⢠Fasting
Lipid Profile: Chol > 200 |
LDL > 100 | Trigs > 150. ⢠Also: CBC, CMP, U/A,
TSH/FT4, LFTs, CPK.
Health Tips
TX â diet, exercise, no alcohol, no smoking. ⢠Pravastatin 40mg QD. ⢠Ezetimibe 10mg QD. ⢠Ezetimibe/Atorvastatin 10/20 QPM. ⢠Niacin 250mg QD. More specific for Hypertriglyceridemia: ⢠Gemfibrozil 600mg BID. Fenofibrate 48mg or 145mg QD. Tx if patient has elevated LFTs: Ezetimibe 10mg QD. Cholestyramine start 4g QD. Dose 4-8g PO BID. Give before meals.