9/20/2023 0 Comments Triglycerides normal range child![]() OTC sustained-release niacin, 250 to 750 mg once or twice daily OTC immediate-release niacin, 0.5 to 2 g two or three times daily Rhabdomyolysis, especially with a gemfibrozil/statin combinationįlushing worsening glycemic control elevated liver enzyme levels, especially with OTC sustained-release niacin Simvastatin (Zocor), 5 to 80 mg dailyat bedtime Pravastatin (Pravachol), 10 to 80 mg daily ![]() Lovastatin (Mevacor), 10 to 80 mg daily at bedtime Myopathy, rhabdomyolysis, elevated liver enzyme levelsĪtorvastatin (Lipitor), 10 to 80 mg dailyįluvastatin (Lescol), 20 to 80 mg daily at bedtime Statins, fibrates, niacin, and fish oil (alone or in various combinations) are effective when pharmacotherapy is indicated. ![]() Treatment of very high triglyceride levels (i.e., 500 mg per dL or higher) is aimed at reducing the risk of acute pancreatitis. Patients with borderline-high serum triglyceride levels (i.e., 150 to 199 mg per dL ) and high serum triglyceride levels (i.e., 200 to 499 mg per dL ) require an overall cardiac risk assessment. Patients also should be screened for metabolic syndrome and other acquired or secondary causes. Initially, patients with hypertriglyceridemia should be counseled about therapeutic lifestyle changes (e.g., healthy diet, regular exercise, tobacco-use cessation). If serum triglyceride levels are high, lowering these levels can be effective at reaching non–high-density lipoprotein cholesterol goals. Secondary goals should include lowering non–high-density lipoprotein cholesterol levels (calculated by subtracting high-density lipoprotein cholesterol from total cholesterol). Although the management of mixed dyslipidemia is controversial, treatment should focus primarily on lowering low-density lipoprotein cholesterol levels. Along with lowering low-density lipoprotein cholesterol levels and raising high-density lipoprotein cholesterol levels, lowering triglyceride levels in high-risk patients (e.g., those with cardiovascular disease or diabetes) has been associated with decreased cardiovascular morbidity and mortality. Hypertriglyceridemia is associated with an increased risk of cardiovascular events and acute pancreatitis.
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