Save Niacin for Special Situations

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 70 mg/dL.

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

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