10 doctors weighed in:
I'm taking trilipix (135mg) and lovaza....They're fairly expensive...Can I substitute them with OTC niacin and OTC fish oil pills? Thanks!
10 doctors weighed in

Dr. Liviu Klein
Internal Medicine - Cardiology
4 doctors agree
In brief: Not really
They are not equivalent: trilipix is a fibrate - different than niacin; lovazaa contains very selected and precise quantities of fatty acids that are not found in otc supplements.
If you want to go inexpensive to lower your triglycerides try to loose weight (7-10% of your current body weight), eat less sugars, exercise 45-60 min/ day x 5-7 days a week, and eat fish.

In brief: Not really
They are not equivalent: trilipix is a fibrate - different than niacin; lovazaa contains very selected and precise quantities of fatty acids that are not found in otc supplements.
If you want to go inexpensive to lower your triglycerides try to loose weight (7-10% of your current body weight), eat less sugars, exercise 45-60 min/ day x 5-7 days a week, and eat fish.
Dr. Liviu Klein
Dr. Liviu Klein
Thank
Dr. Stephen Daquino
Sports Medicine
3 doctors agree
In brief: Not really
Lovaza is a highly refined fish oil and it works much better than the over the counter stuff.
Trilipix also works much better than otc Niacin or fish oil. It is very specific for triglycerides. The over the counter stuff may help a bit, but not as much. Watch your diet and get regular aerobic exercise daily, as it will help no matter what your taking. Talk to your doc about your best option.

In brief: Not really
Lovaza is a highly refined fish oil and it works much better than the over the counter stuff.
Trilipix also works much better than otc Niacin or fish oil. It is very specific for triglycerides. The over the counter stuff may help a bit, but not as much. Watch your diet and get regular aerobic exercise daily, as it will help no matter what your taking. Talk to your doc about your best option.
Dr. Stephen Daquino
Dr. Stephen Daquino
Thank
Dr. Dean Giannone
Internal Medicine
In brief: Pretty good choice.
If price is an issue, which is nearly always is these days, Niacin in 2000-3000mg daily undivided doses along with a similar amount of fish oil daily (no more) may improve your numbers sufficiently.
We have to be realistic these days - medications are expensive, and prescription coverage mostly stinks. Patients have to do what they must. This may work.

In brief: Pretty good choice.
If price is an issue, which is nearly always is these days, Niacin in 2000-3000mg daily undivided doses along with a similar amount of fish oil daily (no more) may improve your numbers sufficiently.
We have to be realistic these days - medications are expensive, and prescription coverage mostly stinks. Patients have to do what they must. This may work.
Dr. Dean Giannone
Dr. Dean Giannone
Thank
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