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. 2019 Aug 7;8(2):78–131. doi: 10.12997/jla.2019.8.2.78

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.