Mar 28, 2012
I have been on ART for 3 years (Truvada and Isentress) and doing fine. I have been undectable since starting the medication and completelty adherent. My CD4 count is constantly above 800 (started medication at a count of about 500). By all counts, doing realy well. My cholesterol counts, however, have been less than stellar. My latest readings are: Total Cholesterol - 626mmol/L LDL - 413mmol/L HDL - 1.01mmol/L Tryglicerides - 2.4mmol/L
My doctor has prescribed Lipitor and I am hesitant to start this treatment. I have no rational excuse for my resistance to taking the meds (more pills/another medical "condition" etc.). I have 3 Questions: In the absence of any current lifestyle reasons for my high cholesterol (other than a family history of heart disease, hypertension and diabetes), is it poossible that the high cholesterol is a direct consequence of the medication I am taking ? If so, would you suggest a different regimen? ( I have no resistance) Do you think Lipitor (or any other statin) is the right prescription for someone with the cholesterol numbers as reflected above?
Thank you for your kind assistance.
| Response from Dr. Henry
Your HIV regimen generally is viewed (and data and experience supports) as a fat/lipid friendly regimen that usually contributes little to cholesterol problems. Atorvastatin is a good choice for a potent statin that likely will improve cholesterol parameters. It seems unlikely that a change in HIV meds would results in significant improvement (most other regimens would likely have a worse effect on lipid levels). Performing a Framingham or other risk assessment may help make decidions about your overall risk for heart disease and whether treatment seems warranted now. KH
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