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Niacin vs Statins?
Dec 29, 2004

On Sustiva/Truvada with great response, but high LDL (194) & tri (189). HDL (42). I have read some studies that because statins are processed by the same enzyme as nnrti's, they may reduce effectiveness of each other. Is niacin a better option and if so, how much?

Response from Dr. Henry

That is true. Some patients have had good results with niacin but good prospective data is lacking. The ACTG is finishing a study looking at the effectiveness/safety of Niacin in situations like yours-results should be available fairly soon. Diet and exercise is still worth adding to the long term approach to managing cardioavascular risk as well. KH



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