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High Cholesterol Message Board

High Cholesterol Board Index

Low Dose Niacin
Feb 7, 2005
I'm a niacin flusher BIG TIME. There's no way I can take even 500 mg. even after 650 mg. aspirin and a big meal.

I have been experimenting to see what I CAN tolerate in addition to my 10 mg. daiily Lipitor. I want to get my HDL up as high as I can without any alcohol. My LDL hovers around 80 and my HDL around 40 but I have heart disease (gosh, that's hard to type!)

I break 500 mg. tablets into 4 equal pieces and I can JUST tolerate the flush from each piece. I am taking one piece with each meal without much difficulty other than a pincushiony itch and a red chest and face about 1/2 hour after the dose that lasts 1/2 hour.

Now the GOOD NEWS:
I found this Medscape article:
It spells out the very modest but real benefits of a tiny amout of niacin in addition to statin therapy. They used 50 mg. twice a day and got +2.1 mg/dL in HDL. I'm hoping that my 3 X 125mg. dosing gets a little more than that.
My HDL has always been my weak point and stays up ONLY when drinking...Catch 22: too much drinking has been a problem for me and frequent long periods of teetotalling is my most workable control method!

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