You "MAY" want to look into cinnamon as an alternative, and also low dose, low flush niacin, but PLEASE speak with your personal physician prior to changing or getting off any medication...also, never take medication with grapefruit juice as that alters the metabolism rates of most meds fyi.......I take cinnamon caplets now as I am unable to ingest pharma meds and my levels are great as well as the blood cleansing and blood pressure effects from the cinnamon which is what they have used in India since the beginning of time for this purpose...