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[7] [21] When nicotinic acid is used as a medicine to treat elevated cholesterol and triglycerides, daily doses range from 500 to 3,000 mg/day. [24] [25] High-dose nicotinamide does not have this medicinal effect. [21]
Acipimox (trade name Olbetam in Europe) is a niacin derivative used as a lipid-lowering agent.It reduces triglyceride levels and increases HDL cholesterol. It may have less marked adverse effects than niacin, although it is unclear whether the recommended dose is as effective as standard doses of niacin.
Nicotinic acid, like fibrates, is also well suited for lowering triglycerides by 20–50%. It may also lower LDL by 5–25% and increase HDL by 15–35%. Niacin may cause hyperglycemia and may also cause liver damage. The niacin derivative acipimox is also associated with a modest decrease in LDL.
Medical practitioners prescribe recommended doses up to 2000 mg per day of niacin in either immediate-release or slow-release formats, to lower plasma triglycerides and low-density lipiprotein cholesterol. [25] Vitamin B 5: None: No toxicity known. Vitamin B 6: US UL = 100 mg/day; EU UL = 25 mg/day: See Megavitamin-B 6 syndrome for more ...
Pharmacologic (1- to 3-gram/day) niacin doses increase HDL levels by 10–30%, [62] making it the most powerful agent to increase HDL-cholesterol. [ 63 ] [ 64 ] A randomized clinical trial demonstrated that treatment with niacin can significantly reduce atherosclerosis progression and cardiovascular events. [ 65 ]
Fortunately, high triglycerides can be addressed with diet changes, such as eating more fiber and omega-3 fatty acids, while limiting excess dietary fat and added sugars. And that’s where canned ...