Hyperlipidemia
Conditions
Brief summary
People who follow a low-carbohydrate diet typically experience a decrease in triglycerides and increase in HDL-C level, but fail to lower their LDL cholesterol (LDL-C). Such patients may require lipid-lowering therapy. Statins may not be the most effective strategy for patients on this diet, since they typically consume a greater amount of saturated fat and cholesterol. Absorbed cholesterol may contribute more to their circulating plasma LDL-C. We hypothesize that patients following a low carbohydrate diet would experience a significantly greater decrease in LDL-C by taking ezetimibe 10 mg, a drug that blocks cholesterol uptake in the intestine, in addition to simvastatin 20 mg, when compared to taking simvastatin 20 mg alone.
Interventions
see protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* Moderately obese with hyperlipidemia
Exclusion criteria
* Recent unstable heart or lung condition * Current use of other lipid modifying drugs * Hepatic disease * Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| LDL cholesterol | 8 weeks of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Other lipid measures | 8 weeks of treatment |
| Safety and tolerability | 8 weeks treatment |