Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable change in therapy would be to:

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Continuing the statin and adding in ezetimibe would be the most appropriate change in therapy for Phil. This would help to further lower his LDL level, while also addressing his elevated triglycerides. Discontinuing the statin and changing to a fibric acid derivative may be effective for lowering triglycerides, but would not address his high LDL level. Discontinuing the statin and changing to ezetimibe would also be an option, but this would leave Phil without a medication to address his high LDL level. Referring him to a specialist may be appropriate if his hyperlipidemia is particularly complex or difficult to manage, but is not necessary at this point.

Phil Is a 54-Year-Old Male with Multiple Risk Factors Who