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Fibric streep derivatives (gemfibrozil, fenofibrate) may be combined with a statin in patients with mixed hyperlipidemia disorders. Three and viagra and nitrates treatment for strep weeks after starting combination therapy, creatinine phosphokinase (CPK) and alanine aminotransferase (ALT) levels should be monitored and the lipid levels repeated at 6 weeks. Once missviagra mfc stable dose is maintained and the CPK and ALT are below three times the upper limit of normal, frequent monitoring becomes unnecessary. When hypertriglyceridemia is the primary lipid abnormality (TG levels gt;200 mg per dL with or without low HDL levels), a fibric acid derivative is the drug of choice. Gemfibrozil reduces TG levels, usually with small decreases in HDL-C.

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