Dosing type |
High intensity |
Moderate intensity |
Low intensity |
Aim |
On average lowers LDL C by more than 50% |
On average lowers LDL C between 30% and 50% |
On average lowers LDL C less than 30% |
Choice of drugs |
Include atorvastatin (40-80 mg) rosuvastatin (20-40 mg) |
Include atorvastatin (10-20mg) rosuvastatin (5-10 mg) |
-- |
Choice of drugs |
-- |
Simvastatin (20-40), pravastatin (40-80), lovastatin (40 mg), fluvastatin (80 mg), pitavastatin (2-4 mg) |
Simvastatin (up to 10 mg), pravastatin (up to 20 mg), lovastatin (up to 20 mg), fluvastatin (up to 40 mg), pitavastatin (up to 1 mg) |
Indications |
If LDL C > 190 |
First choice if age below 75 years |
If unable to tolerate high dose or age >75 years |
If unable to tolerate a moderate dose |
If atherosclerosis ACS/stroke/vascular procedures |
First choice if age below 75 years |
If older than 75 years or unable to tolerate a high dose |
Only if unable to tolerate a moderate dose |
Diabetics |
First choice in diabetics with ASCVD risk >7.5% |
First choice in diabetics with ASCVD risk less than 7.5% |
If unable to tolerate the moderate dose |
Nondiabetics |
First choice if ASCVD risk >7.5% |
Optional consider if ASCVD risk <7.5% |
If unable to tolerate |