This small group meeting with a trained facilitator provides practices with a clinical update and an opportunity for interactive discussion with peers about the management of patients using lipid-modifying medicines. This includes discussion about the use of cardiovascular risk assessment, optimising statin therapy and the management of statin-associated muscle symptoms. Data from the NPS MedicineInsight program will be provided to help GPs and practice staff draw insights from current practice.
Relevance to General Practice
We have come a long way with lipid management in Australian general practice. The latest news and evidence can further enhance and reinforce patient care including:
* Who should be using lipid-modifying medicines
* How to optimise statin therapy
* What is true statin intolerance, particularly statin-associated muscle symptoms (SAMS) and how it can be assessed and managed
Guidelines continue to reinforce a cardiovascular risk approach to prescribing lipid-modifying medicines. Despite this, there is evidence that decisions to start therapy are being based on individual risk factors, or inaccurate risk estimates – leading to under or over prescribing of statin therapy.
An adequate trial of statin therapy before adding a second agent, including titrating to maximal tolerated dose and checking for adherence to medicines and lifestyle changes is recommended to optimise LDL-C lowering.
A systematic approach is recommended in guidelines to assess and manage true SAMS.
- Describe the role of absolute cardiovascular risk assessment before prescribing lipid-modifying therapy
- Use an adequate trial of statins to optimise lipid lowering before adding a second agent
- Identify the symptoms and risk factors of statin-associated muscle symptoms (SAMS) and apply a systematic approach to assessing and managing SAMS
- Discuss systems in your practice and prioritise areas for improvement in the management of patients using lipid-modifying medicines
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units
- Rural health
- Adult health
- Care of older people