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LDL reduction: How low should we go and is it safe?

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Abstract

High-dose statin therapy or combination statin treatment is necessary for most patients to achieve aggressive lowdensity lipoprotein cholesterol goals. Adding ezetimibe or bile acid sequestrants appears unlikely to increase the risk of myopathy. Although the combination of niacin or fenofibrate with moderate-dose statins appears to be reasonably safe, the safety of combination with highdose statins has yet to be determined. To enhance patient outcomes, attention must be paid to characteristics that predict muscle and hepatic statin toxicity when considering using high-dose statin or combination statin therapy

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Correspondence to Jennifer G. Robinson.

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Robinson, J.G. LDL reduction: How low should we go and is it safe?. Curr Cardiol Rep 10, 481–487 (2008). https://doi.org/10.1007/s11886-008-0076-3

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