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Wang
Ning
THE APPROPRIATE
USE OF
CHOLESTEROL.LOWERING
DRUGS
"Bad cholesterol"
(e.9.,
low-
density lipoprotein or
LDL)
should
not
be high but "good cholesterol" (high-
density
lipoprotein
or
HDL)
should
not
be low. Relevant "risk tactors" are high
blood pressure, smoking, diabetes, the
elderly, the male sex and family history
of coronaries. These factors contribute
to
atherosclerosis (AS)
(arterial
hardening), and demand more aggres-
sive cholesterol
lowering.
ldeally, HDL
is
>40
mg/dl; triglyceride (TG), <150
mg/dl.
ForTG
of not
more than 360 mg/
dl,
lifestyle
changes
- low
fat,
low salt,
low calories, refraining from smoking
and/or excessive drinking and appro-
priate exercises are recommended. For
total
cholesterol
(TC)
>240
mg/dl; LDL
>160
(>220 TC;
>140
LDL when the
"risk
factors" are present;
for
those with
established AS, even lower reference
levels ot
TC
>200;
LDL
>120), your
doctor
may
well
recommend drug
treatment under
his
supervision
-
monitoring of the blood levels after 3-6
months
of
lifestyle changes (thence,
every
6-1
2
months); for
those
on drug
treatment,
monitoring
of the
blood
levels much sooner
- after
just
6
weeks
(thence, every 3-6 months) may
be
advised
by
your doctor. Throughout the
drug treatment period, your doctor may
well
scrutinize
your
blood liver
and
muscle enzyme levels
and,
whenever
appropriate, dose adjustment
or even
suspension of
the drug
may
also
be
advised.
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