Lipids Flashcards
1
Q
Who to screen with lipid panel?
A
Men >= 40, women >= 50 or postmenopausal (consider earlier in SE Asians, First Nations)
or
smoker, DM, HTN, Fam hx premature CVD/hyperlipidemia, ED, CKD, inflammatory disease, HIV, COPD, atherosclerosis/AAA, BMI > 27
2
Q
How often to repeat lipids?
A
FRS <5%: Q3-5 years
FRS >= 5%: Q1 year
6
Q
Other lipid-lowering drugs
A
- ezetemibe: inhibits cholesterol absorption, may add on to statin, check LFT’s more freq
- fibrates: fenofibrate (Lipidil), best to lower TG. May add on to statin but watch for myopathies
- niacin: raises HDL
- cholesterol binders & resins: cholestyramine, may add on to statin. Do not use if high TG