When both cholesterol and triglycerides are elevated, the medicine of choice is from the group of statines (simvastatine, pravastatin, lovastatin…). If triglycerides are above 4,5 mmol/L a combination of some statin and some fibrate (gemfibrozyl, fenofibrate, bezafibrate) is used. Unfortunately both of these groups of medicines (statines and fibrates) can cause liver damage.
Other medicines for treating the increased blood fats are:
1. Rezines (cholestiramin and cholestipol) – they don’t affect the liver but act only on total cholesterol (TC) and LDL;
2. Guar-gum - it doesn’t affect the liver but acts only on the TC and LDL;
3. Ezetimb (Ezentia) - prevents absorption of the cholesterol in the intestines. Acts on both cholesterol and triglycerides. It does not affect the liver.
Diet and physical activities are absolutely necessary and are the first step in treating such disorders. You should also check if you have diabetes or hypothyroidism because they can also cause increased blood fats.
You may want to consult an endocrinologist about your case.
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