Drug therapy should be initiated at the same time as therapeutic lifestyle change (TLC) only in patients who
a. have severe hypercholesterolemia.
b. are not using other prescription medica-tions.
c. have a family history of coronary heart disease.
d. are unwilling to implement therapeutic lifestyle change.
A
Drug therapy should only be initiated at the same as TLC in patients with severe hypercholeste-rolemia, who are unlikely to be able to decrease LDL cholesterol to desirable levels using TLC alone. The need for cholesterol-lowering medications is not related to use of other medications. Family history is one of many risk factors for coronary heart disease and does not necessitate immediate drug therapy.
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