Fenofibrate plus simvastatin (fixed-dose combination) for the treatment of dyslipidaemia

dc.contributor.authorFilippatos, T. D.en
dc.contributor.authorElisaf, M. S.en
dc.date.accessioned2015-11-24T19:16:00Z
dc.date.available2015-11-24T19:16:00Z
dc.identifier.issn1744-7666-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21599
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectCardiovascular Diseases/epidemiologyen
dc.subjectDiabetes Complications/blood/drug therapy/metabolismen
dc.subjectDrug Combinationsen
dc.subjectDrug Monitoringen
dc.subjectDyslipidemias/blood/*drug therapy/metabolismen
dc.subjectFenofibrate/*administration & dosage/adverse effects/therapeutic useen
dc.subjectHumansen
dc.subjectHydroxymethylglutaryl-CoA Reductase Inhibitors/*administration & dosage/adverseen
dc.subjecteffects/therapeutic useen
dc.subjectHypertriglyceridemia/blood/drug therapy/metabolismen
dc.subjectHypolipidemic Agents/*administration & dosage/adverse effects/therapeutic useen
dc.subjectLipoproteins/blooden
dc.subjectRisk Factorsen
dc.subjectSimvastatin/*administration & dosage/adverse effects/therapeutic useen
dc.titleFenofibrate plus simvastatin (fixed-dose combination) for the treatment of dyslipidaemiaen
heal.abstractINTRODUCTION: Statin use results in a significant reduction of cardiovascular disease (CVD) risk. However, patients still have residual CVD risk, even if they are receiving optimal statin treatment. AREAS COVERED: This review, based on a Pubmed/Scopus search, discusses the available evidence regarding the use of a fixed-dose fenofibrate plus simvastatin combination. This combination is useful for patients with mixed dyslipidaemia because it improves the overall lipoprotein profile. Although in clinical trials the rate of adverse events was not significantly greater than monotherapy, patients who receive combination treatment should be monitored carefully. Furthermore, in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Study, this combination did not result in a significant reduction of CVD events compared with simvastatin monotherapy. However, a possible benefit in this trial was observed in the subgroup of patients with high triglyceride and low high-density lipoprotein cholesterol levels. EXPERT OPINION: The fixed-dose fenofibrate plus simvastatin combination treatment produces additive results and is safe when patients are properly monitored. Existing evidence appears to support the addition of fenofibrate to simvastatin treatment for the reduction of residual CVD risk in patients with atherogenic dyslipidaemia. However, this combination did not lead to better clinical outcomes in the absence of dyslipidaemia.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1517/14656566.2011.593509-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21736529-
heal.identifier.secondaryhttp://informahealthcare.com/doi/abs/10.1517/14656566.2011.593509-
heal.journalNameExpert Opin Pharmacotheren
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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