, Volume 5, Issue 5, pp 403-410

Toxicity of antilipidemic agents: Facts and fictions

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Dyslipidemias, particularly elevated low-density lipoprotein and low high-density lipoprotein cholesterol, are associated with increased cardiovascular morbidity and mortality and frequently require the use of lipid-lowering drugs to reduce risk. These drugs include statins, fibrates, niacin, and intestinal-acting drugs such as bile acid resins and ezetimibe, which can be used as monotherapy or in combination. Short- and long-term safety concerns often influence the selection of a lipid-altering medication. A balance of efficacy with a favorable safety and tolerability profile is necessary for optimal therapeutic benefits. Recent evidence suggests that there may be differences in the adverse event potential among the available lipid-altering drugs, even within the same class. Awareness of clinically relevant adverse events with monotherapy may assist in the safe selection of individualized lipid-lowering therapy regimens, as well as the potential for drug-drug interactions that may pose a unique challenge in selecting combination drug regimens.