Lipid Lowering therapies

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People living with CKD are more likely to develop heart disease or strokes. The lower their eGFR, the higher this risk.

Offer lipid lowering therapy for primary prevention of CVD.

  • Offer Atorvastatin 20 mg for the primary prevention of cardiovascular disease in all patients with CKD, irrespective of their serum lipid levels.
  • Increase the dose if there is <40% reduction in non-HDL cholesterol and eGFR is > 30 ml/min/1.73m², particularly for secondary prevention of cardiovascular disease.
  • Optimise lipid lowering therapies e.g. statin dose adjustment, addition of ezetimibe or other lipid lowering therapies according to national guidelines and local formularies.