How can I control my high triglycerides safely?

Question

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.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Based on your reports, there is an increase in the level of cholesterol along with high triglyceride levels (316 mg/dL), and it is very significant considering the fact that you have coronary artery disease and previous stenting.

Given that you are already on Ecosprin AV 75/20 (Aspirin (75 mg) & Atorvastatin (20 mg)) and Concor 2.5 (Bisoprolol Fumarate), it might be necessary for your physician to check once again if your current statin dosage is adequate or if you require any other therapy for high triglyceride levels.

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.