 |
 |
What about the triglycerides level? Ali -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Robert Lord Sent: 24 June 2011 14:32 To: [log in to unmask] Subject: SUSPECT: Possibly need to measure statin in blood? Comments / advice appreciated - Have been seeing a 29 year old male for the past 21 yrs for FH. Chol = 11 off treatment Was on rosuvastatin 30mg in 2005, Chol = 4.0. Discharged. Re-referred 2010 due to chol increasing to 6.1 on rosuvastatin 40mg / ezetimibe 10mg. Tried simvastatin 80 mg and also atorvastatin 80mg since then. Can't get chol < 7. Niaspan doesn't work. Assures me he is compliant with medication - confirmed by mother in clinic today! No other medication - no OTC meds or drugs of abuse Diet = ok. No weight loss. No evidence of malabsorption U+E/LFT/Glucose/TFT/FBC = normal. Any ideas? Should I measure the statin level in his blood to check compliance - can this be done? Check for malabsorption even though clinically unlikely? Anything else!? Many thanks Rob ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/