High doses of rosuvastatin are superior to low doses of rosuvastatin plus fenofibrate or n-3 fatty acids in mixed dyslipidemia

dc.contributor.authorAgouridis, A. P.en
dc.contributor.authorTsimihodimos, V.en
dc.contributor.authorFilippatos, T. D.en
dc.contributor.authorTselepis, A. D.en
dc.contributor.authorElisaf, M. S.en
dc.date.accessioned2015-11-24T19:13:51Z
dc.date.available2015-11-24T19:13:51Z
dc.identifier.issn1558-9307-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21232
dc.rightsDefault Licence-
dc.subjectDyslipidemias/*drug therapy/*metabolismen
dc.subjectFatty Acids, Omega-3/*metabolismen
dc.subjectFemaleen
dc.subjectFenofibrate/*therapeutic useen
dc.subjectFluorobenzenes/*therapeutic useen
dc.subjectHumansen
dc.subjectHypolipidemic Agents/*therapeutic useen
dc.subjectMaleen
dc.subjectPyrimidines/*therapeutic useen
dc.subjectSulfonamides/*therapeutic useen
dc.titleHigh doses of rosuvastatin are superior to low doses of rosuvastatin plus fenofibrate or n-3 fatty acids in mixed dyslipidemiaen
heal.abstractThe aim of the study was to compare the efficacy of high-dose rosuvastatin, low-dose rosuvastatin plus fenofibrate and low-dose rosuvastatin plus omega-3 fatty acids with regard to the lipid profile in patients with mixed hyperlipidemia. The primary endpoint was changes in non-high density lipoprotein-cholesterol (non-HDL-C) levels. Study participants were randomly allocated to receive rosuvastatin 40 mg (n = 30, R group), rosuvastatin 10 mg plus fenofibrate 200 mg (n = 30, RF group) or rosuvastatin 10 mg plus n-3 fatty acids 2 g (n = 30, RN group). Non-HDL-C levels were reduced in all groups: in R group by 54%, in RF group by 42% and in RN group by 42%. Significant reductions in total cholesterol (TC), low density lipoprotein (LDL)-C and triglyceride levels were observed in all groups. The reductions in total and LDL-C were greatest in the R group while a more pronounced reduction of triglycerides in the RF group compared with that in the R and the RN group was observed. HDL-C levels were significantly increased only in the RF group. In conclusion, high doses of rosuvastatin and small doses of rosuvastatin plus either fenofibrate or n-3 fatty acids exhibit favorable effects on both LDL-C and non-HDL-C levels. However, rosuvastatin monotherapy more potently reduces these parameters. The combination of rosuvastatin plus fenofibrate leads to a greater decrease in triglyceride levels and a greater increase in HDL-C levels compared with the other two treatments. While awaiting the results of ongoing trials high doses of rosuvastatin may represent the treatment of choice in individuals with mixed dyslipidemia.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1007/s11745-011-3538-0-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21327725-
heal.identifier.secondaryhttp://www.springerlink.com/content/8145g0557336512l/fulltext.pdf-
heal.journalNameLipidsen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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