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Doctor insights on: Statins

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Statins (Overview)

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 as a group: statins.


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Husband cholesterol is 9 what statin should he take?Am amazed cause he doesn't eat a lot of fatty foods

Husband cholesterol is 9 what statin should he take?Am amazed cause he doesn't eat a lot of fatty foods

Agree: Agree with dr koch. You correctly pointed out that cholesterol has more to do with heredity than diet. The choice of statin medication is not as important as the lowering of ldl. All of them are good. ...Read more

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Statins (Overview)

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 as a group: statins.


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What exactly is coq10, a substance the body loses in the presence of statins?

What exactly is coq10, a substance the body loses in the presence of statins?

Statin-myalgia: Muscle pain due to statin has different mechanisms, some are genetic factors, toxic effect of the drug on mitochondria, others due to coenzyme q10 or vit d deficiency taking vit d or coenzyme q10, lowering the dose of statin or changing to another drug can help some people with their myalgia. ...Read more

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Taking Statins (Tip)

Taking Statins

Ask about cost vs expected effects for the statins being considered for you, lots of choices. ...See more

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Taking Statins (Checklist)

Consider nighttime dosing to decrease effects of cramping during day
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Get routine labs to monitor your progress and eat well, too!
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Are statins safe?

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

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I have moderately elevated cholesterol levels, and am prescribe statin drugs. Which control it nicely, but cause erectile dysfunction. Alternatives?

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

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Taking Statins (Tip)

Taking Statins

Most statins should not be taken with grapefruit juice. It's a good idea to take CO-Q10. ...See more

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Please advise on someone with the following lipid panel being prescribed a statin: hdl=136, ldl=108, triglyc=50 total cho=248 I am 58, female, nonsmoker.

Please advise on someone with the following lipid panel being prescribed a statin: hdl=136, ldl=108, triglyc=50 total cho=248 I am 58, female, nonsmoker.

If : If those are your levels before taking any medication and there is no premature heart disease in your family and you have no high blood pressure or diabetes or heart disease or history of stroke you do not need treatment. Some people have a high HDL cholesterol and still get heart problems. But in general, an HDL level above 60 is associated with a lower risk of heart disease. Most experts do not use ratios now but look at non-hdl cholesterol (total minus the hdl) and the levels of LDL cholesterol. You appear to not need any lipid therapy with those levels. ...Read more

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What side effects will I have when I start to use statins for lowering cholesterol?

Statin side effects: Hopefully you will have none! most people do not. I find zocor (simvastatin) or Simvastatin to have the most. Leg cramps are common with this one along with muscle aches. Sometimes coq 10 helps these side effects. Grapefruit juice should be avoided since it can increase blood levels of some of the statins. You should really have a discussion with your doc since many of the statins are now generic and cheap. ...Read more

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Taking Statins (Tip)

Taking Statins

Don' stop it without consulting your doctor and please do take it if you have cad. ...See more