Prescribe high intensity statin (consider high or moderate intensity if >75yo)
Indication: Clinically stable ASCVD
High intensity statins: Atorvastatin 40 mg Atorvastatin 80 mg Rosuvastatin 20 mg Rosuvastatin 40mg Calculate 10-year ASCVD risk (link in menu) Follow up Lipid panel in 4-12 weeks Goal LDL reduction: High intensity statin: >50% |
Next visit: If repeat LDL is still >70 mg/dL: add ezetimibe 10 mg daily -Reassess Lipid panel in 4-12 weeks If repeat LDL <70: monitor every 3-12 months |
If patient is >75 years old, high or moderate intensity statin is reasonable: Moderate intensity statins: Atorvastatin 10, 20mg Rosuvastatin 5, 10 mg Simvastatin 20-40mg Pravastatin 40, 80mg Follow up Lipid panel in 4-12 weeks Goal LDL reduction: Moderate intensity statin: >30% |