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From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Bell Ewan (NHS DUMFRIES & GALLOWAY)
Sent: 13 June 2011 15:50
To: [log in to unmask]
Subject: To Lipidologists
Hi
I have a 53 year old male with a cholesterol of 10, normal trigs and HDL. He has hypertension but no vascular history. He has no family history. LFTs, UEs, TFTs all normal with negative ACR.
He has been on lowest dose simvastatin, pravastatin, atorvastatin, rosuvastatin, which he can't tolerate due to myositis (indeed on rosuvastatin his CK went up to 1,500). Fibrates and ezetimibe weren't tolerated. Tredaptive was tolerated but didn't work (cholesterol still 10).
What do I do next?
Thanks for your help,
Ewan
Dr Ewan Bell
Clinical Director - Diagnostics
NHS Dumfries and Galloway
UK
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