*Lipikind F = Atorvastatin 10mg + Fenofibrate 160mg*
- Atorvastatin lowers
LDL / Total Cholesterol
- Fenofibrate lowers mainly
Triglycerides
This combination is given when Triglycerides are very high + LDL is high.
Important points for you:
*1. Normal
lipid after stopping does NOT always mean cured*
Lipids can stay normal for few months after stopping because of diet control, but in most people with true dyslipidemia they will rise again in 6-12 months. That's why you checked 2-3 times in last 1 year and it was OK - that's a good sign.
*2. Lifelong or not depends on WHY it was started:*
- If you had only borderline high lipids with no
diabetes, no BP, no smoking, no family history of heart attack at young age - then it may be stopped with lifestyle + regular monitoring.
- If you have diabetes, hypertension, high ASCVD risk, family history of early heart disease, LDL was >190 initially, or Triglycerides >500 - then guidelines recommend long-term statin, often lifelong, with dose adjustment.
At 39, we calculate *10-year ASCVD risk* before deciding lifelong.
*3. Should you restart now on your own? No.*
Do NOT restart Lipikind F just like that without a fresh lipid profile +
LFT + KFT + blood
sugar. Fenofibrate can increase
creatinine and muscle pain in some, so LFT/KFT is needed before restart.
What to do now:
1. *Get these tests* - Fasting Lipid Profile,
HbA1c, LFT, KFT,
TSH, and share old lipid report (before starting medicine 2 years ago) with your doctor. That old baseline is most important to decide.
2. *Continue lifestyle strictly* - This is what is keeping your report OK now:
- Low oil, low fried, low sweets, avoid alcohol and smoking
- Daily 30-40 min brisk walk / exercise
- Weight control, plenty of water - important for
kidney stone prevention also
3. *Follow up with your physician* - Take all 2-3 recent lipid reports + old USG reports. Doctor will decide if you need only Atorvastatin alone, only lifestyle, or combination again.
*About kidney stone:* Lipikind F does not usually cause kidney stones. Good that stone is now cleared. For prevention, keep hydration >2.5L/day, less salt, less cola. Fenofibrate can raise creatinine slightly, so kidney function should be monitored.
Homeopathy does not dissolve kidney stones by evidence - small stones often pass on their own with water. Please keep a USG KUB follow up once.