Doctor insights on:
Statin Raising Sugar
I read that statins may cause diabetes in some folks? So if a pt's.able to safely stop statins, is there a chance their blood sugar could drop?
Several drugs exist which lower cholesterol by inhibiting an enzyme in liver cells (hmg-coa reductase) that is involved in cholesterol synthesis. These all have generic names that end in -statin, e.g. Atorvastatin (lipitor) and Simvastatin (zocor). Since nearly all of the meds in this class have been shown to have similar cardiovascular benefits, we often discuss them ...Read more
I've read that statins may cause diabetes in some folks? So if a pt. Is able to safely stop statins, is there a chance their blood sugar could drop?
Statins do raise the risk of diabetes slightly, however you should not discontinue the medication without consulting your doctor, You may discuss using a different statin. See this site for info.
http://www. Webmd. Com/cholesterol-management/news/20130523/could-statins-raise-diabetes-risk ...Read more
Astt 88 ALT 188 non smoker occasional drinker 50 yo female on statins. Any other cause for the elevation? Never been elevated before
Combination: It may be a combination of factors. Discuss with your pcp. He may suggest some other tests, including an ultrasound of your liver. ...Read more
FM50, what LFT test required before starting of statin for elevated lipid profile (to see whether statin is effecting liver)?
AST and ALT: Get what we call a chemistry panel - that will check your AST and ALT liver tests. We very rarely see liver problems and the FDA now does not recommend continuing periodic liver tests. You can get a liver function test soon after starting to take a statin or after switching to a new one. If everything is fine, no further liver test is needed unless a problem arises. ...Read more
My LDL is around 275. Age is 35. Suggest me way to reduce LDL without statin drugs. Does liver metabolism contribute in raising ldl.?
Careful: Your LDL is very high, the liver is involved in cholesterol metabolism, you should try diet, weight loss and exercise if this fails you need medications. Here are some example of cholesterol rich foods: red meat, butter, eggs, cheese, shellfish, shrimps, caviar and fast food in general. Vegetables, beans, salads, chicken, and fish rich in omega three are better alternatives. ...Read more
If im taking statin pills and my liver enzymes are elevated is it dangerous? What will it do in the long run?
It depends: Mild elevation of liver enzymes is common and usually not serious. However large elevations (which are rare) should prompt discontinuation of the drug. A review of your baseline cholesterol and your risk factors for coronary or other vascular disease is needed. Talk to your doctor! ...Read more
I have moderately elevated cholesterol levels, and am prescribe statin drugs. Which control it nicely, but cause erectile dysfunction. Alternatives?
Different dose or me: Compliance with medication is affected when problems arise, especially ed. Try switching to a different statin, lower the dose & combine with another cholesterol medication. Consider a stress test b/c ED and coronary artery blockage are connected. Decrease your animal fat including dairy and eat more plants. Add coq10 200mg to help with statin side effects and fish oil to help with triglyceride. ...Read more
Can stress be a cause of raising cholestrol. My blood pressure isn't too bad but I have heart disease early stages cholestrol 8.2' im on statins.
Follow your doctor's: Advice. It would help to quit smoking, lose weight, if you are overweight, reduce you intake of salt and change your life style to a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week, no more than one drink/day. ...Read more
Which statin is best for raising HDL and lowering triglycerides? [currently on 20mg Lipitor (atorvastatin) daily, was on simvistatin with previous doctor.]
Complicatatd: The aim-high study failed to show improved outcome with Niacin and results with tricor have been with modest and disappointing. If you have diabetes, good control will raise hdl. Exercise, eating fish, and fish oils raise hdl. O/w, the best outcomes have been assoc with crestor, lipitor, (atorvastatin) and Simvastatin regardless of HDL level. ...Read more
Cannot take statins due to muscle pain & slightly elevated ana. Current md wants me on Zetia or livalo (pitavastatin). I'm afraid of muscle pain again. Can I say no?
I have heart failure with ejection fraction 25% and on cyclosporin with elevated cholesterol and 3 vessel cad. Is it safe for me to take statin?
Yes: Statin medications used to treat high cholesterol are considered safe. As with all medications and medical procedures, we weigh the risks vs. The benefits. The risks of statins is very low (may adversely affect the liver but this is rare) and the benefits are great (significant reduction in heart disease and stroke.) discuss this with your doctor, in light of your individual medical conditions. ...Read more
Walmart: Lovastatin (mevacor), and pravastatin (pravachol) are available from walmart and many other pharmacies for $4 (for a month's supply). Simvastatin (zocor) is available generically but costs about $30 for a month's supply (20 mg). Atorvastatin (lipitor) has also become generic but I don't have access to the price. A double strength pill of any of the above cut in half will cut your cost in half. ...Read more
Yes-side effects: Statins have been studied for many years. They are the most effective means of reducing dangerous lipid levels. Side effects include benign muscular aches (10%) all the way up to rhabdomyolisis (1 in 5000). One percent show transient liver enzyme elevations of significance. Rarely these can lead to liver injury. Other side effects like memory/cognitive losses, GI or visual abnl occur also. ...Read more
Statins lower LDL: Hi. Statins are one of the most successful drug classes ever discovered. They lower LDL by increasing LDL receptor expression in the liver and clearing LDL out of the blood. This is a beautiful story in biology, and won the elucidation of this pathway the Nobel Prize, and paved the way for statins to become the mainstay of atherosclerosis treatment & prevention. ...Read more
Yes: Used to lower cholesterol, statins can sometimes irritate the liver. More often, they can cause muscle aches & weakness, rarely leading to rhabdomyolysis. More recently, fda changed labeling notifying of possible increase in blood sugars & possible memory impairment in those taking statins. Check out my thoughts at http://alvinblin. Blogspot. Com/2012/02/dark-side-of-statins-part-3-fda-steps. Html. ...Read more
Diet and weight loss: Most people have elevated LDL cholesterol (bad cholesterol) due to overeating, underexercising and being overweight. Reducing your calorie intake to less than 2000 calories/day and introducing more fruits and vegatables into your diet will lead to weight loss and a subsequent correction of you cholesterol panel. Adding exercise wil also help to increase your good cholesterol. ...Read more
Statins: At the present time we have no time limit to statin length of therapy. Some recent studies suggest there may be glucose intolerance associated with long term statin use but we don't know if this is significant. As long as no serious side effects in the individual patient, it appears they are long term safe. If significant side effects, we stop the agent. ...Read more