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A 50-year-old male comes to your pharmacy for cholesterol monitoring and medication management. His medical history is notable for hypertension, type 2 diabetes, and hypercholesterolemia. Social history indicates that he neither smokes nor uses alcohol. He has no known allergies. His medication history reveals that he occasionally takes acetaminophen for headaches and no other OTC medications or herbal products. Current medications include hydrochlorothiazide 25 mg/day and a new prescription today for pravastatin 10 mg/day. Your physical assessment reveals the following: BP 144/90 mmHg; pulse, 70 bpm; weight, 185 lb; height, 5 feet 9 inches. Other pertinent labs include an A1c of 7.3%. A fasting lipid panel today reveals the following: total cholesterol = 250 mg/dL, HDL = 40 mg/dL, and TG = 145 mg/dL. What medication changes, if any, are recommended for this patient? A. No change is necessary B. Change pravastatin to 40 mg daily C. Add ezetimibe 10 mg daily D. Add fish oil 2 g daily E. Switch pravastatin 10 mg to fluvastatin 20 mg daily.
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