Table 3

 Recommendations for drug treatment of dyslipidaemia

TypeFirst choiceIf 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.
HypercholesterolaemiaStatinAdd cholesterol absorption inhibitor, bile acid sequestrant, or nicotinic acid
HypertriglyceridaemiaFibrateAdd nicotinic acid or ω3 fatty acids
Mixed hyperlipidaemiaStatinSubstitute or add fibrate (not gemfibrozil + statin)
Low HDL cholesterolStatinSubstitute or add fibrate or nicotinic acid