Patient's Query
Hello doctor,
My reports are as follows:
C-reactive protein: 0.7 mg/L.
Cholesterol: 214 mg/dL.
Triglycerides: 316.2 mg/dL.
VLDL: 63 mg/dL.
Which medicine would be best for me?
I am already taking Ecosprin AV 75/20 (Aspirin (75 mg) and Atorvastatin (20 mg)) and Cilacar 2.5 (Nebivolol (2.5 mg) and Cilnidipine (10 mg)). I had a stent placed three years ago.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have gone through your query and understand your concern.
Your reports show elevated cholesterol and particularly high triglycerides (316 mg/dL), which is important because you already have coronary artery disease and a prior stent.
Since you are already taking Ecosprin AV 75/20 (Aspirin (75 mg) and Atorvastatin (20 mg)) and Concor 2.5 (Bisoprolol Fumarate), your doctor may need to reassess whether your current statin dose is strong enough or whether additional treatment for triglycerides is needed. This may include increasing the statin dose, adding Fenofibrate, or prescribing omega-3 fatty acids, depending on your full lipid profile, liver function, diabetes status, and kidney function.
A C-reactive protein level of 0.7 mg/L is not particularly concerning. Along with medicines, strict dietary control is very important. Avoid sweets, sugary drinks, alcohol, fried foods, excess rice, and refined carbohydrates. Continue regular walking and maintain healthy weight control.
Because you already have a heart stent, you should follow up with your cardiologist rather than starting new medicines on your own, as they may want stricter LDL (low-density lipoprotein) cholesterol targets for secondary prevention.
Latest guidelines suggest that if you have a heart stent, your LDL cholesterol, commonly known as bad cholesterol, should ideally be less than 55 mg/dL.
Your treatment, especially your statin therapy, may need to be revised by your treating physician.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
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Answered byDr. Abid Saeed
Medically reviewed byiCliniq medical review team
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