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.


Why are some doctors against statins?

Statin use has been linked to a higher risk of developing diabetes because the medication can fuel mild glucose elevations in predisposed individuals — an effect that can often be countervailed by exercise and losing as little as a few pounds.

Who should not be prescribed a statin?

People at an increased risk of side effects
  • being over 70 years old.
  • having a history of liver disease.
  • regularly drinking large quantities of alcohol.
  • having a history of muscle-related side effects when taking a statin or fibrate (another type of medicine for high cholesterol)


When are statins not recommended?

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).

Why can't some people take statins?

Yes. Studies show that about 5 percent to 10 percent of people are unable to tolerate statins, largely because of muscle aches and related side effects, including potential muscle damage.


Study Confirms What Many Patients Taking Statins Have Said for Years | NBC Nightly News



What is an alternative to statin drugs?

Ezetimibe. Ezetimibe is a tablet that lowers cholesterol. It may be prescribed if statins cannot be taken, or alongside a statin for extra cholesterol-lowering. It's a 'cholesterol absorption inhibitor' that limits the absorption of cholesterol in the small intestine.

What are the cons of taking statins?

As with all drugs, statins may have adverse effects; these include musculoskeletal symptoms, increased risk of diabetes, and higher rates of hemorrhagic stroke.

Why are statins not recommended in the elderly?

Compared to younger adults, older adults are more likely to suffer serious side effects from using statins. Statins can cause muscle problems, such as aches, pains, or weakness. Rarely, there can be a severe form of muscle breakdown.


What are the pros and cons of taking statins?

By reducing blood cholesterol levels, statins also lower the risk of heart attacks, strokes, and chest pain, also called angina.
...
Minor side effects can include:
  • pins-and-needles sensations.
  • bloating.
  • a rash.
  • a headache.
  • nausea.
  • abdominal pain.
  • diarrhea.


How can I lower my cholesterol without statins?

A few changes in your diet can reduce cholesterol and improve your heart health:
  1. Reduce saturated fats. Saturated fats, found primarily in red meat and full-fat dairy products, raise your total cholesterol. ...
  2. Eliminate trans fats. ...
  3. Eat foods rich in omega-3 fatty acids. ...
  4. Increase soluble fiber. ...
  5. Add whey protein.


Are statin drugs worth the risk?

If you have high cholesterol and are at high risk for cardiovascular disease, you should consider statins. That's because the benefits of statins greatly outweigh the risks. Statins reduce the risk of serious cardiovascular events like heart attack or stroke by up to 25%, and death by 10%.


Should statins be prescribed with no evidence of heart disease?

The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are aged 40 to 75 years; (2) they have ...

What is the most tolerated statin?

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

What is the controversy over statins?

Statins do not address the underlying cause of heart disease: Chronic inflammation. Statins may lower cholesterol, but they do not address the underlying cause of heart disease, which is typically chronic inflammation (some people are genetically predisposed to cardiovascular disease).


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.

Do doctors make money off statins?

Researchers found that physicians who didn't receive industry money prescribed brand-name statins at a rate of almost 18 percent. Those who did take money prescribed brand-name drugs at a rate of almost 23 percent.

Do statins increase the risk of dementia?

In total, a pooled analysis of 36 studies found that statins were associated with a decreased risk of dementia (OR 0.80 (CI 0.75-0.86). For Alzheimer's disease, the association with statins based on 21 studies, was also reduced (OR 0.68 (CI 0.56-0.81).


Can you stop taking 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.

Should an 80 year old woman take statins?

Do not start a statin in patients ages ≥ 75 years who do not have known vascular disease or type 2 diabetes; start or continue a statin in all patients ages 75 to 84 with type 2 diabetes to prevent cardiovascular events and mortality; and start or continue a statin in patients ages > 75 years who have known vascular ...

Do statins help people over 70?

Statins are used to prevent heart attacks, strokes, and other life-threatening events associated with heart disease. Because strong evidence from clinical studies show the benefits of statins for adults up to age 75, doctors often prescribe them.


Is there a detriment to stopping statins in the elderly?

Discontinuing statins was associated with a significantly increased risk of hospital admission for heart failure of about 24%, other cardiovascular outcomes by 14%, and death from any cause by 15%.

What is the most popular medication for high cholesterol?

Statins. 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.

What is the new treatment for high cholesterol?

Federal regulators have approved the new drug Leqvio to be used to help lower cholesterol levels in some people. The medication is designed to be taken along with statins and a balanced diet. Leqvio is designed to be taken twice a year, which experts say should help people adhere to a medication schedule.


What is the best natural statin?

6 statin alternatives
  • Fibric acid.
  • Bile acid sequestrants.
  • Ezetimibe.
  • Omega-3 fatty acids.
  • Niacin.
  • Red yeast rice extract.
  • Summary.


What is the lowest statin you can take?

For the purposes of this definition, the lowest daily starting doses of statins are proposed as rosuvastatin 5 mg, atorvastatin 10 mg, simvastatin 20 mg, lovastatin 20 mg, pravastatin 40 mg, fluvastatin 40 mg, and pitavastatin 2 mg.