Statins
Are Fish Oil supplements safe?!
As a nutrition support pharmacist, patients are asking whether fish oil supplements are safe. Some fish contain contaminants like mercury, PCBs, or dioxins. But most fish oil supplements are mercury-free since mercury accumulates in the meat more than the oils. And a large amount of other toxins are removed during manufacturing. But to be safe, direct patients to pro…
قراءة المزيد
Statins
Evaluate the need for NON-statins
As a hospital pharmacist, you will continue to see LESS use of non-statins (niacin, etc) for dyslipidemia due to limited evidence of CV benefit. Consider discontinuing non-statins when patients are admitted if there's no good reason for the patient to be on them. Use these tips to evaluate the need for non-statins... Save non-stati…
قراءة المزيد
Statins
How to manage HYPERtriglyceridemia
Questions will come up about how to manage high triglycerides, due to recent guidance from the American College of Cardiology . We know that a fasting triglyceride level of 150 mg/dL or higher is a marker for cardiovascular (CV) disease. But using medications specifically to lower triglycerides isn’t proven to reduce CV events or to prevent pancreatitis, even in pati…
قراءة المزيد
Statins
How to deal with statin interaction?
Statin INRERACTION alerts continue to cause confusion. We know to watch for the more problematic statins: simvastatin, lovastatin, or atorvastatin since they're metabolized by CYP3A4 the most. But be familiar with some of the less cut-and-dried interactions... Are all azole antifungals a big problem? No. Fl…
قراءة المزيد
Social Plugin