High Cholesterol (cont.)
Medical Treatment: Statins
If following a low-saturated fat, low-cholesterol diet, increasing physical activity, and losing weight have not lowered
the risk for developing coronary heart disease after about 3 months, your doctor may consider prescribing a cholesterol-lowering medication. If your doctor prescribes medicine, you must still:
- follow your cholesterol-lowering diet;
- be more physically active;
- lose weight if you are overweight; and
- control or stop all of your other coronary heart disease risk factors (including
controlling high blood pressure and diabetes, and quit smoking).
Taking all these steps together may lessen the amount of medicine a person needs or make the medicine work better, which reduces
the risk for developing coronary heart disease. The doctor may prescribe medication from the following categories:
Statins: Statins lower
LDL cholesterol levels more than other type of drug. They lower cholesterol by slowing down the production of cholesterol and by increasing the liver's ability to remove the LDL cholesterol already in the blood.
- Studies using statins have reported 20%-60% lower
LDL cholesterol levels in people taking them. Statins also reduce high
triglyceride levels modestly, and produce a mild increase in HDL
- Results from statin medications are seen after several weeks. After 6-8 weeks,
a patient's doctor may recheck blood tests. A second measurement of LDL cholesterol level must be averaged with the first to help adjust medication dosing.
- Statins are well tolerated, and serious side effects are rare. Rarely, widespread muscle breakdown, known as
rhabdomyolysis, may occur. The symptoms include diffuse muscle pain, weakness, and dark colored urine.
This may signal a medical emergency: if you develop these symptoms, stop taking the statin medication and contact your health care
- Other side effects may include an upset stomach, gas,
abdominal pain or cramps. These symptoms are usually mild to moderate and
generally go away as your body adjusts to the medication.
- Monitoring of
function by blood tests is usually ordered in patients taking statins.
- There are many statin drugs (available by prescription). The choice made by the health care
practitioner and patient will depend upon the clinical situation. Examples
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