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Heart disease affects an estimated 62 million Americans, more than any other illness. Laurie Anderson RN FNP MSN is here to share information and advice on heart disease, its symptoms, treatments, and prevention.

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WebMD Health News

Monday, December 11, 2006

News You Should Use: Don't Stop the Statins
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A recent report notes that approximately 7,000 Americans have unnecessary heart attacks annually because they stop taking prescribed statin drugs. These projections were made from a Dutch study of nearly 60,000 new statin users and their prescriptions over a two-year period, which found that about half the patients stopped taking the drugs during that time.

Statin medications lower blood cholesterol levels by inhibiting an enzyme that controls how much cholesterol the body is able to produce. The most commonly prescribed and effective statins (not in any particular order) are Lipitor (Pfizer), Zocor (Merck) and Crestor (AstraZeneca); they are very effective at lowering heart attack risk if they are taken they way they are supposed to be. The rate of hospitalization for heart attack in statin users is 30% less than it is in those who stop their prescribed statin.

If your health care provider has recommended a statin to you, it is not appropriate for you to accept that prescription and walk out the door intending not to fill it, which a full 25% of patients do. If you're not planning to take the prescription then say so, because at least your provider knows where you stand.

He or she may be able to answer your questions and relieve your concerns so that you change your mind about taking one of these life-saving medications. If you still choose not to take the medication, you'll at least be offered assistance with alternatives such as diet changes, or if you prefer them your provider may be able to discuss herbal alternative with you. You won't know if you don't try, but it is certainly cowardly not to speak your piece.

If you do accept the prescription and start taking it, please speak to the prescriber before you stop taking it. Again, he or she is concerned about your health and safety, and should be informed of your change in medication. This is especially true if you start to have side effects that make you stop taking it, because there are alternative medications. All statins aren't the same and a person who can't take one may be able to take another without a problem.

There are also non-statin medications that lower cholesterol, that while less effective are still one the market for a reason-they work to some degree. If you stop because of cost you should be aware that Zocor is now available in generic form, and that all the phamaceutical companies have drug assistance programs. Your health care provider's office can assist you to obtain the forms to apply for this assistance, but they can't do it if you don't ask.

Take care (and take your statin :>)

Laurie

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Posted by: Laurie Anderson, RNP at 6:44 PM

4 Comments:

Anonymous Anonymous said...

I've been on and off statins for a couple of years. The reason that I stop taking them is that the drug formulary for my insurance company keeps changing, so the "statin du jour" changes annually. And then I have to contact the doctor and get the prescription changed. I find changing medications to be disruptive and it interferes with compliance, at least for me.

Statins also involve follow up blood tests to check liver function and I learned the hard way this past year that my health insurer does not cover them because they are considered "routine screening" and not medically necessary. Never mind that mine came back slightly elevated and need to be rechecked--more out of pocket expense for me.

"Life saving medication" seems to me to be an overstatement of the importance of the statins. I know it's medical heresy to say that, but that's how I feel about them. BTW, I too am a nurse.

8:00 PM  
Anonymous Anonymous said...

I you decide to quite taking Lipator what side effects should I look for.

10:01 PM  
Anonymous Anonymous said...

I stopped taking statins because i was having severe muscle pains, i even tried red rice and after taking it for about a month I had to even stop that.
I just had my blood tested and my triglycerides (sp) was 589 not even sure what my cholesterol is, im headed back to dr to see about taking a non stain (zetia) perhaps, I also heard that there is another non statin on the market also.,
Anyone with any thoughts.
I was taking niacin, cq10 and fish oil but guess that did not help any.

2:31 PM  
Anonymous Anonymous said...

I am traveling thru the south (very hot) and I get not only dizzy, feeling near fainting , but muscle cramps, weak arms even to drive, I can't "see" the sun.
I am stopping Zocor for 2 or 3 weeks untill I get back home up north.
What shou;d I do?
Z.Z.

8:00 PM  

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