Patients will ask if they should stop niacin (Niaspan, etc)

Patients will ask if they should stop niacin (Niaspan, etc)...due to all the press about lack of benefit and possible harm.

We know that niacin ADDED to a statin doesn't improve CV outcomes more than a statin alone when LDL is around 1.8 mmol/L.

In fact, adding niacin or fenofibrate to a statin to raise HDL is falling out of favour because it doesn't seem to improve outcomes.

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