Tuesday 14 July 2009

Hyperlipidaemia 6

A 51 years old man with type 2 diabetes and previous history of CHD present at annual review. currently he is taking metformin 500 mg BD,aspirin 75 mg OD,perindopril 4 mg OD and simvastatin 20 mg OD.his BP is 140/70 mmHg,he has background diabetic retinopathy and peripheral sensory neuropathy. Investigations reveal:

HbA1c 7.1%
Total cholesterol 3.9
Triglyceride 2.5
HDL-cholesterol 0.8
LDL-cholesterol 2.1

What is the most appropriate treatment for this man dyslipidaemia?

1) Colestyramine
2) Ezetimibe
3) Fenofibrate
4) no other treatment required
5) rosuvastatin

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