Med/Psych Update

How to assess and manage high cholesterol in patients with mental illness

Author and Disclosure Information

 

References

Bottom Line

High cholesterol is a leading risk factor for cardiovascular disease, including heart attack and stroke, which contribute to increased morbidity in psychiatric patients. Consider using online tools to evaluate your patients’ 10-year risk of cardiovascular events. Reducing total cholesterol, often with the help of statin medications, significantly reduces the risk of subsequent events in adults at extremely high risk of cardiovascular disease.

Related Resources
• American College of Cardiology. Dyslipidemia. www.acc.org/clinical-topics/dyslipidemia.
• Koch J, Thomas CJ. Using lipid guidelines to manage metabolic syndrome for patients taking an antipsychotic. Current Psychiatry. 2016;15(7):59,62-66.

Drug Brand Names
Aripiprazole • Abilify
Atorvastatin • Lipitor
Ezetimibe • Zetia
Fluvastatin • Lescol
Haloperidol • Haldol
Lisinopril • Prinivil, Zestril
Lovastatin • Mevacor, Altoprev
Olanzapine • Zyprexa
Pravastatin • Pravachol
Pitavastatin • Livalo
Pravastatin • Pravachol
Risperidone • Risperdal
Rosuvastatin • Crestor
Simvastatin • Zocor
Tramadol • Ultram
Valproic acid • Depakote, Depakene
Ziprasidone • Geodon

Pages

Recommended Reading

Psychosis in treated neurosyphilis: Is now the time to stop his antipsychotic?
MDedge Psychiatry
When to adjust the dosing of psychotropics in patients with renal impairment
MDedge Psychiatry
Adjusting the dosing of antipsychotics and other psychotropics in renal disease
MDedge Psychiatry
Pimavanserin for psychosis in patients with Parkinson’s disease
MDedge Psychiatry
Pregnant nearly a year? The patient has symptoms but evidence is lacking
MDedge Psychiatry
Pseudobulbar affect: When patients laugh or cry, but don’t know why
MDedge Psychiatry
High-value intervention: Providing colorectal cancer screening
MDedge Psychiatry
Take steps to relieve ataxia in patients with alcohol use disorder
MDedge Psychiatry
Ataxia due to alcohol abuse
MDedge Psychiatry
Consider Rx metformin to prevent metabolic syndrome
MDedge Psychiatry