A Patient Who Has Hyperlipidemia Has Been Taking Atorvastatin (Lipitor)60

A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6 months.The patient's initial lipid profile showed LDL of 180 mg/dL,HDL of 45 mg/dL,and triglycerides of 160 mg/dL.The primary care NP orders a lipid profile today that shows LDL of 105 mg/dL,HDL of 50 mg/dL,and triglycerides of 120 mg/dL.The patient reports muscle pain and weakness.The NP should:

A) order liver function tests (LFTs) .
B) order a creatine kinase-MM (CK-MM) level.
C) change atorvastatin to twice-daily dosing.
D) add gemfibrozil (Lopid) to the patient's medication regimen.

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