Cholesterol and treatment medications Posted: 03-26-08 04:15am
I am 38 Years old. I hace Elevated Total
Cholestrol, Tryglyceride ,LDL and Uric
acid since 2003. I changed my food stlyle
and doing Exrcise as time permits.The
levels TC and others came to border line.
After some time again it will go up.
Recently I took Tonnac for one month ,
then tested Everything is normal except
SGOT and SGPT . They incresed above 100
and Doctor told me stop the medicene.
Then started EZENTIA. After 2 months again
I tested my blood. Results are TG is 730,
TC 238, HDL 40, LDL 50 and Uric acid 383
and all oters like sugar , sgot , sgpt are
normal. That measns TRiglyceride is very
high. I never had this much. So please
advice me what type of medicine ishould
take? Because all these LIPI... medicine
will affect my liver. How can I reduce my
TC and TG by exercise and diet.
|
DoctorAnswer
Doctor Answer
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High Blood Pressure, Hypertension, High Cholesterol Answer A3898 Posted: 04-08-08 20:35pm
When both cholesterol and triglycerides
are elevated, the medicine of choice is
from the group of statines (simvastatine,
pravastatin, lovastatin…). If
triglycerides are above 4,5 mmol/L a
combination of some statin and some
fibrate (gemfibrozyl, fenofibrate,
bezafibrate) is used. Unfortunately both
of these groups of medicines (statines and
fibrates) can cause liver damage.
Other medicines for treating the increased
blood fats are:
1. Rezines (cholestiramin and cholestipol)
– they don’t affect the liver but act
only on total cholesterol (TC) and LDL;
2. Guar-gum - it doesn’t affect the
liver but acts only on the TC and LDL;
3. Ezetimb (Ezentia) - prevents absorption
of the cholesterol in the intestines. Acts
on both cholesterol and triglycerides. It
does not affect the liver.
Diet and physical activities are
absolutely necessary and are the first
step in treating such disorders. You
should also check if you have diabetes or
hypothyroidism because they can also cause
increased blood fats.
You may want to consult an endocrinologist
about your case.
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