Can we stop taking medication after normal blood lipids?
In the treatment of hypertension, when blood pressure is stable for a long time, you can try to reduce the dosage and types of medications, in order to maintain the target blood pressure with the minimum amount of drugs and as low a dose as possible.
However, there is currently no evidence to demonstrate the feasibility of reducing or stopping lipid-lowering drugs after achieving target lipid levels. Encouraging results from long-term large-scale clinical trials are based on fixed doses or gradually increasing doses.
Additionally, clinical observations have shown that reducing the dose after achieving target levels often leads to a rebound in blood lipids, while also potentially shaking patients’ confidence in continuing lipid-lowering treatment, adversely affecting long-term efficacy.
Therefore, unless there are special circumstances, such as the occurrence of severe or intolerable adverse reactions, dosage reduction should not be performed. As long as LDL-C is not too low (13 mmol/L), lipid-lowering drugs should continue to be used.
