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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Rozavel Instead Of Lipanthyl To Lower Triglyceride Level Advisable?

we have checked lipid profile for my uncle. In the reports we found tht his triglycerides level is 290. Doctor has prescribed him to take lipanthyl 200 he is taking the medicine however he feels weak whenever he takes that tablet. Plz suggest. Can I give him rosavel f20 instead of lipanthyl 200?
Thu, 29 Sep 2022
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Anesthesiologist 's  Response
Hello,

Hypertriglyceridemia or excess triglycerides in body is treated first by lifestyle modification like cessation of smoking and alcohol, daily physical exercise for 45 min/day at least 5 days a week, avoidance of fatty foods, having foods rich in fiber like fruits, nuts, oats etc., cutting down the carbohydrates and weight reduction which helps a lot in decrease in triglycerides.

Pharmacological therapy or medicines are indicated when the LDL cholesterol levels are as follows:
* Patients with low risk, 190 mg/dL or greater
* Patients with moderate risk, 160 mg/dL or greater
* Patients with moderately high risk, 130 mg/dL (option 100 mg/dL) or greater
* Patients with high risk, 100 mg/dL (option 70 mg/dL) or greater

Because of the possibility of adverse effects, many physicians use drugs to reduce the triglyceride level only when the level exceeds 500 mg/dL. Patients with triglyceride concentrations greater than 1000 mg/dL should receive diet and drug therapy and be closely monitored to prevent pancreatitis.

Drugs used to treat hypertriglyceridemia are Fibric acid derivatives, Omega 3 fatty acids, Niacin and statins in high doses. So, you can use Rosuvastatin 40 mg and it can help in reducing triglycerides up to 50%. You can also use Niacin and Omega 3 fatty acids if your uncle can't tolerate fenofibrate.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Is Taking Rozavel Instead Of Lipanthyl To Lower Triglyceride Level Advisable?

Hello, Hypertriglyceridemia or excess triglycerides in body is treated first by lifestyle modification like cessation of smoking and alcohol, daily physical exercise for 45 min/day at least 5 days a week, avoidance of fatty foods, having foods rich in fiber like fruits, nuts, oats etc., cutting down the carbohydrates and weight reduction which helps a lot in decrease in triglycerides. Pharmacological therapy or medicines are indicated when the LDL cholesterol levels are as follows: * Patients with low risk, 190 mg/dL or greater * Patients with moderate risk, 160 mg/dL or greater * Patients with moderately high risk, 130 mg/dL (option 100 mg/dL) or greater * Patients with high risk, 100 mg/dL (option 70 mg/dL) or greater Because of the possibility of adverse effects, many physicians use drugs to reduce the triglyceride level only when the level exceeds 500 mg/dL. Patients with triglyceride concentrations greater than 1000 mg/dL should receive diet and drug therapy and be closely monitored to prevent pancreatitis. Drugs used to treat hypertriglyceridemia are Fibric acid derivatives, Omega 3 fatty acids, Niacin and statins in high doses. So, you can use Rosuvastatin 40 mg and it can help in reducing triglycerides up to 50%. You can also use Niacin and Omega 3 fatty acids if your uncle can t tolerate fenofibrate. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist