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May 15, 1967

Treatment of Hypercholesterolemia

Author Affiliations

Long Beach, Calif

JAMA. 1967;200(7):651. doi:10.1001/jama.1967.03120200129038

To the Editor:—  I wish to congratulate you for the editorial "Preventive Therapy for Atherosclerosis" (199:578, 1967), which effectively and succinctly presented the concept that hypercholesterolemia should be treated, that more attention should be given to preventive therapy for atherosclerosis, and that the judicious use of drugs that lower the serum cholesterol level might be expected to aid in this regard.Since you only mentioned one drug which might be used for this purpose, I should like to add two others.The old standby, niacin (nicotinic acid), which has now been used for a decade or more, still probably has a place, providing the physician is aware of the side-effects which occasionally occur with its use and will take the necessary safeguards. Also, the patient must be willing to tolerate the flushing and itching which are part of the normal effect of niacin.Another drug, which we feel may