My tot. Chol is 418, LDL 319. Have sle and CKD 3. I take 80 mgs Lipitor (atorvastatin) day. No one mentioned diet. Pls, what med is #1 on your go to list for chol? Ty

High cholesterol. My go to drug for high cholesterol (c) reduction is Crestor (rosuvastatin) and it needs to be given in reduced dosage in patients with chronic kidney disease. I would start you on a dose of 5 mg/day. That will likely not be enough to lower your levels significantly. You need to go to an endcrinologist (e) to see if the e can add other drugs you can take to lower your dangerously high c. Good luck.