HomeAnswersMedical GastroenterologyfenofibrateIs Stanlip not recommended in allergic bronchitis patient?

Why am I asked to stop Stanlip after an allergic bronchitis episode?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At July 9, 2020
Reviewed AtAugust 16, 2023

Patient's Query

Hello doctor,

I was taking the tablet Stanlip 145 mg (to lower high triglycerides) along with my medication for ulcerative colitis. I am also taking the tablet Amlodac AT for the past nine years. I was admitted to a chest hospital due to breathing problems one and a half months back and I was diagnosed to be suffering from allergic bronchitis.

I was treated in the hospital by giving antibiotics, O2 inhalations, antacids, and nebulization. They also continued giving me ulcerative colitis medication and the tablet Amlodac AT but asked me to stop taking the tablet Stanlip 145 mg. After my discharge from the hospital also I was told not to take the tablet Stanlip145 mg. But yesterday, my triglyceride levels were 370 mg/dL when I checked. My question is whether to take Stanlip 145 mg or not. Kindly suggest.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

I can understand your concern.

Well, I feel sorry to hear about your recent admission to the hospital with an episode of bronchitis. I suggest you keep the tablet Stanlip (Fenofibrate) on hold. Because there are many other good brands available that can help control your triglycerides and also have little side effects.

You can start taking the tablet Rosuvastatin 10 mg at night daily after consulting with your physician. This is an anti-cholesterol medication, which will help control your triglyceride levels. It would also be helpful if you could share with me the complete lipid profile that you have done recently. And also, I want to know about your ulcerative colitis- is it in remission (control) and what medications are you taking for it?

I hope I have clarified your queries. Do get back if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I think ulcerative colitis is in remission. I was to visit my doctor three months back but have postponed it due to the COVID-19 situation. I last met the doctor eight months back. I have been taking ASA tablets for the last two years. I will attach the image of the lipid profile. Kindly check.

Answered by Dr. Ajeet Kumar

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Thanks for uploading the reports (attachments removed to protect the patient's identity). It is good that your UC (ulcerative colitis) is in remission. You should continue taking the tablet acetylsalicylic acid (5ASA). Your triglycerides are not more than 500 mg/dL, hence the tablet Fenofibrate (Stanlip) is preferred if someone has triglycerides in the range of 500-1000 mg/dL or above.

You should rather take the tablet Rosuvastatin which would decrease the triglycerides by 50 percent after consulting with your physician. Any level less than 150 or 200 mg/dL of triglycerides is optimal. You can start using Omega-3 (multivitamin) in capsule form. This would help control your triglyceride levels without risking unnecessary side effects.

I would want to see a liver function test and lipid profile after two weeks after the start of the above medication. Keep me posted so I can follow up on your results and would guide you further regarding your health issues.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I did not take either the tablet Stanlip 145 mg or Rosuvastatin 10 mg as my chest physician stopped me from taking these medicines for one month. Now, my recent lipid profile shows triglycerides at 400 mg/dL and LDL cholesterol at 29 mg/dL. Now, shall I start taking these medicines? Kindly suggest.

Answered by Dr. Ajeet Kumar

Hello,

Welcome back to icliniq.com.

Well, I think you should use either of the above medications. I prefer that you should take the tablet Rosuvastatin 10 mg (anti-cholesterol) at night daily for regular use, because it is relatively safe, and can be used for the long term. You have a triglyceride level of 400 mg/dL, and the desirable level is less than 150 mg/dL. Let me know what you think about it.

Do get back if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

My LDL cholesterol is only 29 mg/dL. Is it fine to take either of these medicines? Kindly suggest.

Answered by Dr. Ajeet Kumar

Hi,

Welcome back to icliniq.com.

Yes, you can and you should take the tablet. Also, include Omega 3 oil twice daily. These are for raised triglyceride levels, and having a low LDL level is not a contraindication. The lower the LDL (low-density lipoprotein) levels, the more will this benefit you.

I hope I have resolved your queries. Do get back if you have any further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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