DEAR DR. GOTT: I am writing concerning the letter a gentleman wrote regarding his wife’s high triglyceride level. He said that when she started with a niacin regimen, her triglyceride level was lowered considerably. He did not mention whether she was on any prescription medication during this time.
I take Lipitor for high cholesterol and high triglyceride levels and would like to try this approach. However, since niacin can cause side effects, I don’t want to try it until I know it will not adversely interact with the Lipitor. Any thoughts on this?
DEAR READER: Don’t make any changes in your medication unless your doctor has approved of them. Niacin doesn’t work for every body and it has the unpleasant side effect of flushing. Non-flushing niacin does not produce the flushing but may not have the outstanding results of standard niacin.
There are no harmful drug interactions between Lipitor and niacin (a vitamin) to my knowledge. You could certainly try the combination, but — once again — run this by your primary care physician. He or she may prefer you stop the Lipitor while trying the niacin. This will better gauge whether your cholesterol and triglyceride levels will decrease with niacin. If it does not work for you, continue with the Lipitor. If it has minimal effects, it may be best paired with the Lipitor or perhaps you could try flaxseed oil or omega-3 fish oil. You may even be lucky enough to have dramatic results and not need to go back on the Lipitor.
To give you related information, I am sending you a copy of my Health Report “Understanding Cholesterol”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.
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