OBJECTIVE: To evaluate the hypolipidemic effect of Semecarpus anacardium Linn nut milk extract (SA) in high cholesterol fed hyperlipidemic rat model. METHODS: Rats were divided into four groups which included control animals, hypercholesterolemic animals, hypercholesterolemic animals treated with SA (200 mg/kg body weight dissolved in olive oil), and drug control rats. Lipid levels in serum and liver, and lipid metabolising enzymes were determined after treatment. RESULTS: High cholesterol diet significantly (P<0.05) increased the lipid levels in serum and liver and altered the activities of lipid metabolising enzymes. Significant decrease (P<0.05) in plasma and liver lipid levels were observed whereas the drug ameliorated the activities of lipid metabolising enzymes in drug treated groups. CONCLUSIONS: SA demonstrated remarkable hypolipidemic activity in high cholesterol fed hypercholesterolemic rats. The potential antihyperlipidemic action is plausibly due to its underlying antioxidant role.