Table 10. Drug selection according to dyslipidemia treatment standard (primary goal: LDL-C, secondary goal: non-HDL-C).
Dyslipidemia classification | Order | Type of drug | Method of administration | Strength of recommendation | Level of evidence |
---|---|---|---|---|---|
Hypercholesterolemia | Basic drugs | Statin | Adjust dose according to CVD risk to meet target LDL-C (when meeting target is difficult for high-risk and very high-risk groups, adjust dose to lower LDL-C by >50% of the baseline) | I | A |
Other drugs | Bile acid sequestrant, ezetimibe | IIa | B | ||
Combination therapy | Statin+ezetimibe | IIa | B | ||
Statin+bile acid sequestrant | IIb | C | |||
Statin (±ezetimibe)+PCSK9 inhibitor | Statin (±ezetimibe) for very high-risk group when target LDL-C is not met even with statin monotherapy or statin/ezetimibe therapy | IIb | A | ||
Hypercholesterolemia+hypertriglyceridemia | Monotherapy | Statin | I | A | |
Combination therapy | Statin+fibrate | IIa | A | ||
Statin+gemfibrozil | III | B | |||
Statin+omega-3 fatty acid | IIa | C | |||
Hypertriglyceridemia | Basic drugs | Fibrate | I | B | |
Omega-3 fatty acid | IIa | B | |||
When drug therapy is considered for hypo-HDL cholesterolemia | Basic drugs | Statin, fibrate | IIb | B |
LDL-C, low density lipoprotein cholesterol; HDL-C, high density lipoprotein cholesterol; CVD, cardiovascular disease; PCSK9, proprotein convertase subtilisin/kexin type 9.