Fat free diet. Avoid Ghee, Ground nut oil. (To reduce cholesterol intake)

Use sunflower oil. (To substitute saturated fat by unsaturated fat)

Isovac z 1-2 tsp in water x bd (Psyllium Husk fibre to reduce lipid absorption)

If LDL and Cholestrol levels are high:

Tab. ATORVA 10mg x 1-2 tabs x after dinner or

Tab. SIMVOTIN 10mg x 1-2 tabs x after dinner.

Isovav 1-2 tsp in water x bd (to retard fat absorption)

Questran 9gm sachet x tds (Cholestryamin)

If Triglyceride and VLDL levels are high:

Cap. LIPICARD 200mg 1 daily or

Tab. Normilip 300mg 1-2 bd x 30min before meals.

If not controlled addd-

Tab. Nialio 500mg 1-2 OD x after Lunch.

High LDL and Cholestrol= Statins

High Tryglycerida= Fibric acid derivatives + Nicotinic acid.

Both are high = Statin + F.A.D (e.g. Sinvotin + LIPICARD)

Isovav

Questran 9gm sachet

Tab. Normilip

Life style modification of great importance and repeatedly stressed in educating the patient on cessation of smoking, minimizing alcohol intake, achievement and maintenance of ideal body weight, aerobic exercise, Yoga, meditation and relaxation exercises.

The importance of controlling lipid levels in preventing atherosclerosis and its dangerous sequelae.

Cessation of smoking, regular exercise, and strict disciplined adherence to diet prescribed.

The necessity for regular checks on serum lipids.

The impotance of monitoring Liver function (those on Statins, and nicotinic acid), and blood glucose and uric acid (those on Nicotinic acid)

Lipid levels to be assessed 2-4 times a year depending on nature of lipid disturbance and drugs being used.

Primary, and secondary as detailed above. (See chapter on Post Myocardial infarction)