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Raised CHOLESTROL, LDL, VLDL, TRIGLYCERIDE levels on ROSUVAC. Treatment?

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Dear Sir I had done lipid profile on 26.02.2015,the result is Serum Cholesterol - 197 mg/100ml. HLD - 26,LDL-123, VLDL- 48, Triglycride- 309. The doctor had advised me to take a one (1). tab- Rosumac-10mg daily after dinner for 4 months. I had taken this medicine continue for 4 months. After 4 months i have further tested my lipid profile and result is Serum Cholesterol - 209, HLD- 34,LDL- 143,VLDL-32,Triglycride - 203. Please advice me what should right now- the Rosumac-10mg to be continued or another tab. to be continued ? any further advice.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 20 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
I need to know your height, and weight and also your occupation before that.
If you have a sedentary lifestyle, just increasing the dose is not going to help.
Also, mention your dietary history in the follow-up.
Regards.


Patient replied :

My Height is - 5' 7" - and weight is 71 kgs, occupation - service, i have mentained usual lifestyle, i have no - Dibetes,Hypertention,Allergies,Surgeries,Smoke,Consume Alcohol daily.


Your BMI is not too high, but you did mention about daily alcohol consumption, which itself can cause rise in the TG levels.
No matter how many medicines you take, it won't come down.
So, you need to limit your daily alcohol consumption to 1-2 drinks per week, and also incorporate 30-40 minutes of brisk walking everyday.
You should also increase the dose to 20 mg, and check your values again after 3 months.


Patient replied :

Dear sir,
I am not alcohol consumption, I am doing Gym regular basis last 4 months.
So can i increase the dose to 20 mg or not.but on 26.02.2015 LDL report is 123 but after 4 months LDL is 143 ( Refence range is <100mg/100ml. ) and ask - VLDL is 48 now 32 ( Ref. range <40mg/100ml).
Please clareify


Yes, based solely on TG reports as well as slight increase in LDL, you should increase your dose to 20 mg as I advised.
I got confused about your alcohol consumption because in first follow-up you mentioned ' Consume Alcohol daily '
Regards.


Patient replied :

Yes, based solely on TG reports as well as slight increase in LDL as well as total cholesterol levels you should increase your dose to 20 mg as I advised.
I got confused about your alcohol consumption because in first follow-up you mentioned ' Consume Alcohol daily '
It has to come down further.
Regards.


No problem.
Take 20 mg, and walk daily for 30-45 minutes.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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