Levothyroxine, drug coupons, low cholesterol and heart disease, and hypertension

This week's topics include deprescribing levothyroxine, drug manufacturer coupon use, how low should cholesterol be targeted in those with heart disease, and hypertension in low-income patients.

Program notes:

0:36 How low should cholesterol be targeted in secondary prevention?

1:40 33% reduction with target to 55

2:36 Able to do it with statin and other drugs

3:03 Deprescribing levothyroxine

4:06 Were able to discontinue in many 

5:05 Thyroid not as responsive with aging

6:05 Barriers to deprescribing?

6:31 Treatment of HTN in low-income patients

7:31 75% unemployed

8:31 Patient participates

9:06 Manufacturer coupon use

10:10 Annual patient use of coupons

11:18 Used to drive people to use drugs that are expensive

12:33 End