How can high triglyceride levels be managed?

Question

Hello doctor,

I am a 76-year-old male, and I have the following medical conditions:

Ischemic heart disease (IHD) for many years, with T-wave inversion.
Recently underwent TMT and 2D echo, both of which were negative.
Mild hypertension, which is under control.
Thyroid condition, which is under control.
Diabetes for five years, well-controlled.
Prostatomegaly for five years, stable and under control.

I am currently taking the following medications:

Carvedilol 50 mg.
Metformin 500 mg twice daily.
Atorvastatin 10 mg.
Amlodipine 10 mg.
Thyroxine 75 mcg.
Clopidogrel 75 mg.
Tamsulosin along with Dutasteride.

I have also attached my lipid profile. Although my cholesterol levels have decreased over the past two years, I have noticed a marked increase in triglycerides since last year. I have been taking Atorvastatin or another statin for 13 years. I believe the increase in triglycerides may be due to my recent habit of frequently consuming snacks like mixtures, sev, etc., along with two pieces of biscuits twice a day and some bakery products. Apart from this, I do not consume much fried food, nor do I take ghee or vanaspati. I walk regularly for 4 km at a stretch and maintain an active lifestyle. I do not smoke or drink alcohol.

My question is whether I should increase my statin dosage from 10 mg to 20 mg or if 10 mg is sufficient to manage my cholesterol and triglyceride levels. My attending doctor has not made any recommendations regarding this. Additionally, I have been taking Clopidogrel for two years. Should I continue it, or is it safe to stop? If I should continue, for how long?

Please advise on the use of Atorvastatin and Clopidogrel.

Answer 1

Hello,

Welcome to icliniq.com.

I have reviewed your explanation in detail. Your triglyceride levels are borderline, not high. There is no need to increase the statin dosage; what you need is to readjust your diet. Reduce your intake of snacks and focus on eating more vegetables and fruits. You should continue taking Clopidogrel, as it will reduce your risk of a heart event, so you cannot stop it. You may need to take it for as long as possible. Continue with Atorvastatin and Clopidogrel, provided you are not experiencing any adverse reactions. They can be adjusted or substituted, or the dosage can be increased if, after modifying your diet, your triglyceride levels continue to rise.

I hope this helps.