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Issues and evidence for the management of dyslipidaemia in primary care. Revised version accepted for publication on 17 December Given that multiple studies have documented that hypercholesterolemia increases the risk of developing CVD, its control has become a goal of physicians 1. Rev Salud Publica Bogota.

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Am J Manag Care. From a total of 8 patients in 10 cities, a random sample of was stratified according to dyslipidemia.

Unfortunately, dyslipidemia treatment meets the three conditions that acuerdp associated with poor adherence: ReadCube Visualizar o texto. LDL-C measurements taken in the 6 months prior to the study were available for cases Cholesterol control, medication adherence and illness cognition.

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A significant association was found between the rate of total-C control and the following variables: This is worrisome because the study sample was from a patient population with easy access to medication. The above findings support increasing the dose of the lipid-lowering therapy based on clearly defined objectives 16, Acuerdo de The main comorbidities and co-medications used to manage these and other risk factors are shown in Table 1.


Strategies for optimizing treatment outcomes. When life expectancy and income increase among a population, so does the prevalence of noncommunicable diseases NCDssuch as hypertension, obesity, dyslipidemia, and diabetes.

Lipid concentrations and the use of lipid lowering drugs: Am J Geriatr Pharmacother.

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None of the other three groups showed statistically-significant differences between doses of lovastatin. Controlled versus uncontrolled dyslipidemic patients For risk group 1, the average dose of lovastatin was higher in the controlled patients than in the uncontrolled 74 vs.

Colombia has adopted an essential drugs list into the Plan Obligatorio de Salud Mandatory Health Plan, POS ; initially it included three generic agents for dyslipidemia management: Dislipidemias; anticolesterolemiantes; enfermedades cardiovasculares; lovastatina; gemfibrozilo; Colombia. In this study the controlled patients received doses of lovastatin that were significantly higher than those administered to the uncontrolled patients, but all patients received DDDs lower than the recommended values, as has been reported elsewhere Fitzner K, Heckinger E.

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However, despite the guidelines and the evidence of treatment benefits and safety, numerous studies have shown that a small proportion of dyslipidemic patients regularly use lipid-lowering drugs, and an even smaller percentage of people treated have serum cholesterol levels within the range recommended by international protocols Most wcuerdo in the present study had other risk factors that increased the difficulty of dyslipidemia management and control, especially for asymptomatic diseases, such as hypertension, diabetes, and hypothyroidism; and the use of additional medications for each of cauerdo problems results in patients with polypharmacy, as reported by another study Dyslipidemias; anticholesteremic agents, efficacy; cardiovascular diseases; lovastatin; gemfibrozil; Colombia.


Controlled versus uncontrolled dyslipidemic patients.

Quality of diabetes care in U. Ministry of Health, Acjerdo. Additionally, the rate of triglyceride control was Send correspondence to Jorge Enrique Machado-Alba, email: However, with high doses of this drug, the values are quite close to the results of one study 6. The reasons for this discrepancy may include using a lower dose than recommended, problems acuerddo treatment adherence, and a lack of medical management goals 19, 24, This was a cross-sectional retrospective study of patients who were: The mean doses that were used were: Information on sociodemographic and anthropometric characteristics, risk factors, and pharmacological and laboratory variables were obtained from medical records.