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

Resolved question:
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.

Submitted: 4 Days
Category: Internal Medicine Specialist

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

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.

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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.


Expert:  Dr. Jaydeep Tripathy replied 3 Days.

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.

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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


Expert:  Dr. Jaydeep Tripathy replied 2 Days.

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.

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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.


Expert:  Dr. Jaydeep Tripathy replied 1 Day.

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

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