LDL Reduction: How Low Should We Go and is It Safe?
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High-dose statin therapy or combination statin treatment is necessary for most patients to achieve aggressive low-density lipoprotein cholesterol goals. Adding ezetimibe or bile acid sequestrants appears unlikely to increase the risk of myopathy. Although the combination of niacin or fenofibrate with moderate-dose statins appears to be reasonably safe, the safety of combination with high-dose statins has yet to be determined. To enhance patient outcomes, attention must be paid to characteristics that predict muscle and hepatic statin toxicity when considering using high-dose statin or combination statin therapy.
Piwowarczyk K, Kwiecien E, Sosniak J, Zimolag E, Guzik E, Sroka J Cancers (Basel). 2018; 10(10).
PMID: 30274176 PMC: 6210471. DOI: 10.3390/cancers10100363.