Symptom Finder - Treatment of Hypertriglyceridemia
HYPERTRIGLYCERIDEMIA
1. Treat mild elevations in obese patients with weight reduction, avoidance of free sugar, and regular exercise.
2. Avoid or give lower doses of drugs that increase triglycerides such as β-blockers, diuretics, and corticosteroids.
3. If there is combined elevation of triglycerides and cholesterol, atorvastatin (Lipitor): 10–40 mg daily or rosuvastatin (Crestor): 10–40 mg daily may be effective.
4. If only the triglycerides are elevated, gemfibrozil (Lopid) 600 mg bid or fenofibrate (TriCor) 160 mg daily may be effective. Nicotine acid (Niaspan): 1–12 g a day in divided doses may also be effective.
5. Omega 3 fatty acids: 3–4 capsules tid are sometimes useful.
6. Patients with triglycerides over 500 mg/dL should be treated aggressively to avoid pancreatitis
1. Treat mild elevations in obese patients with weight reduction, avoidance of free sugar, and regular exercise.
2. Avoid or give lower doses of drugs that increase triglycerides such as β-blockers, diuretics, and corticosteroids.
3. If there is combined elevation of triglycerides and cholesterol, atorvastatin (Lipitor): 10–40 mg daily or rosuvastatin (Crestor): 10–40 mg daily may be effective.
4. If only the triglycerides are elevated, gemfibrozil (Lopid) 600 mg bid or fenofibrate (TriCor) 160 mg daily may be effective. Nicotine acid (Niaspan): 1–12 g a day in divided doses may also be effective.
5. Omega 3 fatty acids: 3–4 capsules tid are sometimes useful.
6. Patients with triglycerides over 500 mg/dL should be treated aggressively to avoid pancreatitis
