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Statins and Statin Combinations for High Cholesterol


Table of Contents


Statins and Statin Combinations for High Cholesterol

Examples

Statins

Generic NameBrand Name
atorvastatinLipitor
fluvastatinLescol
lovastatinAltoprev, Mevacor
pitavastatinLivalo
pravastatinPravachol
rosuvastatinCrestor
simvastatinZocor

Statin combinations

Generic NameBrand Name
atorvastatin and amlodipine, a calcium channel blocker for high blood pressureCaduet
lovastatin and niacin (nicotinic acid)Advicor
simvastatin and ezetimibe, a cholesterol absorption inhibitorVytorin
simvastatin and niacin (nicotinic acid)Simcor

How It Works

Statins block an enzyme the body needs to produce cholesterol. As a result, LDL ("bad") cholesterol levels in the blood go down, thereby lowering total blood cholesterol levels.

Statins may be taken alone or taken with other cholesterol medicines such as fibric acid derivatives, bile acid sequestrants, or nicotinic acid. Statins may also be combined with other types of medicines into one pill.

Why It Is Used

Statins are used to lower LDL cholesterol. Statins can help lower the risk of heart attack, stroke, and death in people who are at high risk of a heart attack or stroke.

Decision Points focus on key medical care decisions that are important to many health problems. High Cholesterol: Should I Take Statins?

How Well It Works

Statins and statin combinations can:

Side Effects

All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.

Here are some important things to think about:

Call 911 or other emergency services right away if you have:

Call your doctor right away if you have hives.

Call your doctor right away if you have symptoms of a rare muscle problem called rhabdomyolysis:

Statins don't cause side effects in most people. When side effects happen, they tend to include minor problems like:

These common side effects may be bothersome but are not serious. Serious side effects are rare. These include liver and muscle problems, diabetes, and temporary memory problems.3

The side effects of statin medicines are more likely when higher doses are used.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Before taking this medicine, tell your doctor all of the medicines you are taking, including over-the-counter medicines, vitamins, or supplements.

If you have muscle aches when you start this medicine, tell your doctor. The aches may go away with time. Or you might be able to try a lower dose or a different statin medicine.

Be active and eat a cholesterol-lowering diet in addition to taking this medicine. Ask your doctor for advice on a diet that can help lower cholesterol. An example is the Therapeutic Lifestyle Changes (TLC) diet. For more information, see:

Actionsets help people take an active role in managing a health condition. High Cholesterol: Using the TLC Diet

Taking medicine

Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.

There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.

Advice for women

Do not use this medicine if you are pregnant, breast-feeding, or planning to get pregnant. If you need to take this medicine, talk to your doctor about how you can prevent pregnancy.

Checkups

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Complete the new medication information form (PDF) to help you understand this medication.

References

Citations

  1. Drugs for lipids (2011). Treatment Guidelines From The Medical Letter, 9(103): 13–20.

  2. Grundy SM, et al. (2001). Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA, 285(19): 2486–2497.

  3. Statin label changes (2012). Medical Letter on Drugs and Therapeutics, 54(1386): 21.

Credits for Statins and Statin Combinations for High Cholesterol

By Healthwise Staff
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Robert A. Kloner, MD, PhD - Cardiology
Specialist Medical Reviewer Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology
Last Revised June 29, 2012

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