I have increased triglycerides and was prescribed Rosuvas 20 mg for 30 days. Should I continue it?

Hello,

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You have to modify your lifestyle, or it will return to its previous state after the medication is stopped. So important thing is you do lifestyle modifications like reducing intake of oily fried food, increasing intake of salads and green vegetables, avoid egg yellow and meat (if non-vegetarian), having a light dinner, have toned milk, avoid ghee, avoid additional oil in the food, do regular exercises like brisk walking for at least 30 minutes a day. Also, you should achieve some more weight loss. Now you should recheck your cholesterol level after 30 days of medications. If it is normal, then a dose of tablet Rosuvas (Rosuvastatin) should be reduced to 10 mg for another month (consult with a specialist doctor, talk with him or her and take medicines with their consent). You will again need to retest after one month of dose reduction to confirm that it is not rising again. If testing shows reasonable control and you can achieve a good healthy lifestyle, we can try stopping it later. So, it would help if you focused on healthy lifestyle modifications and calorie restriction and should undergo a repeat lipid profile to see the response. Subsequently, the dose of Rosuvas probably is reduced. I hope this helps you. Please get back if you have any doubts or more information to share.

Hi,

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From the reports attached (attachment removed to protect the patient's identity), your triglycerides have come down to 233 mg/dL from 533 mg/dL, but LDL (low density lipoprotein) has reduced (not a major issue). I suggest (consult with a specialist doctor, talk with him or her and take medicines with their consent) Fenofibrate 145 mg once daily at bedtime after dinner. This medicine is specifically given for triglycerides. Take this for six weeks and repeat the lipid profile after six weeks to see whether it is under control or not. As I mentioned earlier, dietary modifications and regular activities are must be followed. All the best.

Hi,

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From the reports attached (attachment removed to protect the patient's identity), triglycerides are still mildly elevated. Tablet Fenofibrate alone is unlikely to control it completely. So I suggest (consult with a specialist doctor, talk with him or her and take medicines with their consent) tablet Rosuvas F (Rosuvastatin) 10/145 mg at bedtime. You should repeat the lipid profile after eight weeks. The likely cause for raised triglycerides is genetic. I guess that you must have made lifestyle changes like avoiding an oily fatty diet and having regular exercise. With genetic cause, one has to be on long-term medications. Once the medications are stopped, triglycerides will start rising. So continue taking medications as mentioned above and make some significant lifestyle changes so as to reduce dependence on medications. All the best.

Hi,

Welcome back to icliniq.com.

I suggest (consult with a specialist doctor, talk with him or her and take medicines with their consent) tablet Lipirose-F10 (Rosuvastatin 10 mg and Fenofibrate 145 mg). You can continue taking it for 6 to 8 weeks and repeat the lipid profile after that. Meanwhile changing diet and lifestyle to a healthy one is important. We would want triglycerides to be less than 200 mg/dL for a good outcome, although triglycerides are not as important as LDL cholesterol. All the best.

Hello,

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Yes, it can be related to tablet Diane 35 (Cyproterone and Ethinyl estradiol). You should discuss with the treating gynecologist to discontinue this medicine. It can cause severe hypertriglyceridemia and increase the risk of pancreatitis. With these, it is better to visit a nearby cardiologist as the level is severely elevated and emergency purposes. You should continue the same medications tablet Lipirose-F10 (Fenofibrate and Rosuvastatin) till the level reaches below 1000 mg/dL and subsequently, medicines need to be modified. However, besides discontinuing tablet Diane 35, the most important thing is the dietary restriction of fats, both good and bad. Restrict fat intake (oils and fried products). Also, reduce sugar intake. Repeat lipid profile after three days of vigorous dietary modifications, and lipid profile should be done in fasting state.

Hello,

Welcome back to icliniq.com.

The report (attachment removed to protect the patient's identity) is fine. Triglycerides are under control now. You may stop tablet Liprose F10. However, a healthy lifestyle should be continued, as it can rise again. You should recheck your lipid profile after four weeks to confirm that it is under control. All the best.

Hello,

Welcome back to icliniq.com.

Regarding the cause for elevated triglycerides, it may be due to genetic component or PCOD and some contribution might be from the current medications. You should consult an ayurvedic specialist to get more information regarding the side effects of these medicines. However, since these are also hormonal preparations, they can have this side effect as well. If you have adequately changed your lifestyle then you will need to be on long term medications (till disease activity goes down). As of now, as tablet Lipirose-F 10 worked well in you, you should have it, and continue it for atleast few months. You again need to repeat lipid profile after six weeks. You also need to have aggressive dietary modifications and regular physical activities. For low hemoglobin, you can have tablet Orofer XT (Ferrous ascorbate and Folic acid) twice daily after some food. This also needs to be continued on long term. Hemoglobin is mildly low. And you will also need some treatment to control blood loss, so consult a gynaecologist as well. You should get ECG (electrocardiogram) to ascertain the cause to be gastric rather than cardiac.

Hello,

Welcome back to icliniq.com.

From the reports attached (attachment removed to protect the patient's identity), triglycerides level is acceptable now. The genetic component is probably playing more roles in the elevation of triglycerides. Tablet Lipirose-F 10 is working well, so it can be continued. Once more you can give a trial of a healthy lifestyle along with diet modifications. Stop tablet Lipirose-F 10 for four weeks and repeat the lipid profile. If triglycerides goes back to the previous range then that confirms the cause is genetic and it will require life long medications, which can be tablet Lipirose-F 10, later can be changed to tablet Fenofibrate 160 mg (consult with a specialist doctor, talk with him or her and take medicines with their consent). You should continue to take all dietary precautions and continue exercises. However, these medicines need to be stopped before pregnancy.