TherapyTriglyceride reduction (%)LDL-C increase/reduction (%)HDL-C increase (%)Possible side effects
Statins20 to 4018 to 55 reduction5 to 15Myopathy, rhabdomyolysis, elevated liver enzyme levels
Atorvastatin (Lipitor), 10 to 80 mg daily
Fluvastatin (Lescol), 20 to 80 mg daily at bedtime
Lovastatin (Mevacor), 10 to 80 mg daily at bedtime
Pravastatin (Pravachol), 10 to 80 mg daily
Rosuvastatin (Crestor), 5 to 20 mg daily
Simvastatin (Zocor), 5 to 80 mg dailyat bedtime
Fibrates40 to 605 to 30 increase15 to 25Rhabdomyolysis, especially with a gemfibrozil/statin combination
Fenofibrate (Tricor), 48 to 145 mg daily
Gemfibrozil (Lopid), 600 mg twice daily
Niacin30 to 505 to 25 reduction20 to 30Flushing; worsening glycemic control; elevated liver enzyme levels, especially with OTC sustained-release niacin
OTC immediate-release niacin, 0.5 to 2 g two or three times daily
OTC sustained-release niacin, 250 to 750 mg once or twice daily
Prescription niacin, 500 mg to 2 g daily at bedtime
Fish oil, 2 to 4 g total EPA/DHA daily30 to 505 to 10 increase5 to 10Fishy aftertaste, gastrointestinal upset
OTC omega-3 fatty acid capsules
Prescription omega-3-acid ethyl esters (Omacor), 1 to 2 g twice daily