115) A 44-year-old HIV-infected man with a CD4 count of 280cell/mm3 presents to your office for regular follow up. His viral load is undetectable. His HIV medications include tenofovir, lamivudine and Ritonavir for the past one year. On examination, he has features of lipodystrophy. A fasting lipid panel reveals Total cholesterol 270 mg%, LDL cholesterol 200mg%, Triglycerides 150mg% and HDL 40mg%. He is advised to start low fat diet and exercise. The most important next step in controlling this patient’s hyperlipidemia.
A) Add Niacin
B) Add Simvastatin
C) Add Pravastatin
D) Add Lovastatin
E) Hold HAART therapy until lipids normalize