Aim. To compare efficacy and tolerance of polycosanol vs besafibrate in pat
ients with hypercholesterolemia (HCE).
Material and methods. A multicenter controlled double blind randomised tria
l entered 113 patents with HCE. After 5 weeks of diet the patients were ran
domised into two groups. 59 patients of group 1 received polycosanol (10 mg
/day), 54 patients of group 2 were given besafibrate (400 mg/day) for 8 wee
ks.
Results. The 8-week course of treatment was completed by 103 patients (91%)
: 57(97%) patients of group 1 and 46(85%) patients of group 2. In group 1 t
otal cholesterol diminished by an average of 15%, LDLP cholesterol fell by
18%, triglycerides by 15%, while in group 2 a respective decrease was 8, 11
and 6%. Side effects in group 1 were mild.
Conclusion. A hypolipidemic effect of polycosanol in a daily dose 10 mg is
superior to that of besafibrate in a daily dose 400 mg.