Please help about dyslipidemia - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 12-23-2015
USMLE Forums Scout
 
Steps History: ---
Posts: 20
Threads: 9
Thanked 1 Time in 1 Post
Reputation: 11
Default Please help about dyslipidemia

In a case, there's a patien with metabolic syndrome with total cholestrerol 270mg/dL, LDL 210mg/dL, HDL 38mg/dL. What the best treatment for this patient?
Fibrate? Niacin? Statin?
Need your expleation too
Thanksss
Reply With Quote Quick reply to this message
The above post was thanked by:
rigbbm (08-08-2019)



  #2  
Old 12-24-2015
gokulramani's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 133
Threads: 14
Thanked 46 Times in 32 Posts
Reputation: 56
Default

Quote:
Originally Posted by bimaindra26 View Post
In a case, there's a patien with metabolic syndrome with total cholestrerol 270mg/dL, LDL 210mg/dL, HDL 38mg/dL. What the best treatment for this patient?
Fibrate? Niacin? Statin?
Need your expleation too
Thanksss
I would say, the single best drug in this scenario would be a statin. It will lower LDL and modestly increase HDL. It can cause myopathy and rhabdomyolysis. So watch out for ant CYP inhibitor interactions(except pravastatin).

Niacin, it's pretty much the best HDL raising agent. But it's not so effective as a mono therapy. It's also notorious for prostaglandin release,causing flushing. So pretreat with aspirin.

Fibrates are good for hyper-triglyceridemia. Modestly lowers LDL. Nothing's mentioned about triglycerides here.
Reply With Quote Quick reply to this message
The above post was thanked by:
rigbbm (08-08-2019)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in


Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Type IV dyslipidemia - Shoulden't Cholesterol also be raised? ashratnam USMLE Step 1 Forum 4 06-03-2013 11:14 PM
Mechanism of Dyslipidemia in Rx with Beta-Blockers apx85 USMLE Step 1 Forum 1 06-16-2011 05:06 PM

Find Us on Facebook
Powered by vBulletin® Version 3.8.8
Copyright ©2000 - 2021, vBulletin Solutions, Inc.
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2021 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2019)