What is the mildest statin to take?

According to a research review people who take simvastatin (Zocor) or pravastatin (Pravachol) may experience fewer side effects.

Which type of statin has least side effects?

In the analysis of 135 previous studies, which included nearly 250,000 people combined, researchers found that the drugs simvastatin (Zocor) and pravastatin (Pravachol) had the fewest side effects in this class of medications.

What is the best statin to start with?

However, in patients who do not achieve their LDL goals, atorvastatin and simvastatin may be the best choices for initial therapy. Statins also have antiproliferative effects on smooth muscle cells and antioxidant and anti-inflammatory effects, all of which may help to reduce coronary events.

What is the most gentle statin?

Which cholesterol-lowering drug is the safest? Overall, statins are safe as a class of drugs. Serious adverse events are very rare. Among the individual medications, studies have shown that simvastatin (Zocor^®) and pravastatin (Pravachol^®) seem to be safer and better tolerated than the other statins.

Which statin is least likely to cause muscle weakness?

Is muscle pain a side effect of all statins? Even though all statins are similar chemically, they have some minor differences that could impact how likely they are to cause muscle pain. Simvastatin is the most likely to cause muscle pain, and fluvastatin is the least likely.

Mayo Clinic Minute: Should You Take Statins?

How do you know if a statin is causing muscle pain?

Rhabdomyolysis or milder forms of muscle inflammation from statins can be diagnosed with a blood test measuring levels of the enzyme creatinine kinase. If you notice moderate or severe muscle aches after starting to take a statin, contact your doctor.

Which statin causes most muscle pain?

It's thought that simvastatin (Zocor) may be more likely to cause muscle pain as a side effect than other statins when it's taken at high doses. Change your dose. Lowering your dose may reduce some of your side effects, but it may also reduce some of the cholesterol-lowering benefits your medication has.

What to do if you can't tolerate statins?

Fibrates. Doctors often prescribe a fibrate for patients who can't take a statin. Like the statins, fibrates reduce the body's cholesterol production, but they are less effective in lowering LDL cholesterol levels.

What is the new cholesterol drug that is not a statin?

In studies, Nexletol also appears to reduce the risk of muscle pain, a common complaint of people on statins. Nexletol (bempedoic acid) is a new cholesterol-lowering drug.

Which statin is least likely to cause liver?

Adverse Effects and Hepatotoxicity

Simvastatin, lovastatin, fluvastatin, and atorvastatin are metabolized by cytochrome P-450, while pravastatin, rosuvastatin, and pitavastatin remain almost unaffected by any hepatic metabolic processes.

Can you get off statins once you start?

If you're taking a statin medication to lower your cholesterol, you will need to keep taking your prescription, or your cholesterol will likely go back up. Stopping your statin can put you at risk of having heart disease and other preventable health problems like stroke and heart attack from high cholesterol.

Which is safer Lipitor or Crestor?

Despite this, there was no significant difference between the two drugs in how well they decreased the volume of atherosclerotic buildup in the arteries. Both Crestor and Lipitor are generally well tolerated with a similar rate of side effects.

At what cholesterol level should you start statins?

Low-density lipoprotein (LDL) cholesterol.

The most important thing your doctor will keep in mind when thinking about statin treatment is your long-term risk of a heart attack or stroke. If your risk is very low, you probably won't need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L).

Which statin affects the liver the most?

Atorvastatin is the most common cause of clinically significant liver injury among statins with a reported incidence of 1/17 000 users.

Does joint pain from statins go away?

Some symptoms may go away as you continue to take the medication. If you're taking the statin preventively, your doctor may try to determine if your muscle pain symptoms are actually due to the statin by suggesting a brief holiday from the drug to see if they disappear when you're not taking it.

What is a natural alternative to statin drugs?

For patients who can't tolerate cholesterol-lowering statins, natural remedies like bergamot, garlic and green tea may be a useful alternative, based on a recent statement published in the Journal of the American College of Cardiology.

What is better than a statin?

There are many non-statin medications your doctor might prescribe: Bile acid-binding resins, like cholestyramine (Locholest, Prevalite, Questran), colesevelam (WelChol), and colestipol (Colestid) stick to cholesterol-rich bile acids in your intestines and lower your LDL levels.

Why would a patient not want to take statins?

Fear of side effects and perceived side effects are the most common reasons for declining or discontinuing statin therapy. Willingness to take a statin is high, among both patients who have declined statin therapy and those who have never been offered one.

Can I reduce my statin to every other day?

The cholesterol-lowering action of alternate-day statins is as effective as daily dosing in many individuals.

What is the first drug of choice for cholesterol?

Statins are the most common medicine for high cholesterol. They reduce the amount of cholesterol your body makes. You take a tablet once a day. You usually need to take them for life.

Is there a new drug to replace statins?

PCSK-9 inhibitors thus reduce cholesterol levels by maintaining higher levels of LDL receptors that remove cholesterol from the blood. Currently, PCSK-9 inhibitors are limited in use as they must be administered as shots. Further research into them could expand their use as an alternative to statins.

Why do statins make your legs ache?

According to the research, published in JACC: Basic to Translational Science, statins cause spontaneous and irregular leaks of calcium from storage compartments within muscle cells. Under normal conditions, coordinated releases of calcium from these stores make the muscles contract.

Do statin side effects go away?

In the vast majority of cases these symptoms will disappear, but you should not stop taking ayourstatin without speaking to your doctor first and trying a different type. They may suggest stopping the statin for a short time to see if the symptoms go away.

How do you know if you are statin intolerant?

The most common presentation of statin intolerance is muscle aches, pains, weakness, or cramps, often called myalgias; these can occur in up to 15% of treated patients. In most instances, the symptoms are mild and are rarely associated with muscle inflammation (myositis) and markers of muscle injury (creatine kinase).

What blood tests check for statin damage?

Your doctor will carry out a blood test to measure a substance in your blood called creatine kinase (CK), which is released into the blood when your muscles are inflamed or damaged. If the level of CK in your blood is more than 5 times the normal level, your doctor may advise you to stop taking the statin.