Recommendations for drug treatment of dyslipidaemia
| Type | First choice | If refractory |
|---|---|---|
| Check liver function before and after one month on statin. | ||
| Check renal function before and after one month on fibrate. | ||
| Check serum creatine kinase (CK) only if myalgia occurs during statin or fibrate treatment. | ||
| Hypercholesterolaemia | Statin | Add cholesterol absorption inhibitor, bile acid sequestrant, or nicotinic acid |
| Hypertriglyceridaemia | Fibrate | Add nicotinic acid or ω3 fatty acids |
| Mixed hyperlipidaemia | Statin | Substitute or add fibrate (not gemfibrozil + statin) |
| Low HDL cholesterol | Statin | Substitute or add fibrate or nicotinic acid |