A member asked:

Which statins offer cardiac help when there is cad with normal cholesterol that you recommend to ur patients: pravastatin, simvastatin or atorvastatin?

6 doctors weighed in across 3 answers
Dr. Elden Rand answered

Specializes in Cardiology

If a patient has documented coronary artery disease and the total cholesterol and the LDL cholesterol are in therapeutuic range numbers, the options are open, and i may typically recommend Simvastatin or atorvastatin. Overall, pravastatin would have a lower expected efficacy, and so would tend to prefer agents which would have an increased expected effect.

Answered Feb 4, 2016



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Dr. Milton Alvis, jr answered

Specializes in Preventive Medicine

Simva, atorva, prav, in this order of efficacy for both measured LDL nmo/l particle conc. (not cholesterol: made by every cell ; wrong issue) ; measured large-hdl μmol/l. See NMR particle test. Normal does not mean healthy; only common; i.E within central 96% of usual, nothing to do with excellence of health. Cost-wize: splitting Rosuvastatin 40+1/2 tab ezetimibe usually most bang for buck ; safest.

Answered Jun 24, 2014


Dr. Joseph Woods answered

Specializes in Pathology

You've got a normal cholesterol and a condition of being overweight. Depending on the extent of your cad, it would be smart to talk to your doctor about a reasonable exercise program first. This and diet would help control the CAD without statins which have many side effects and seem to just lower cholesterol. If diet and exercise fail, then drug therapy should be carefully considered.

Answered Oct 16, 2016



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