The Truth About Statins
BusinessWeek And CBS News Examine Whether Statins Are Over-Prescribed
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The Truth About Statins
More than 18 million Americans fight cholesterol with a popular class of drugs called statins. But concerns are mounting about their safety and effectiveness. Dr. Jon LaPook reports.
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Are Statins Over-Prescribed?
Only On The Web: Dr. Jon LaPook speaks to Dr. Christopher Cannon of Brigham and Women's Hospital about the effectiveness of cholesterol-lowering statins.
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Architect David Mullican lowered his cholesterol the old-fashioned way: with diet and exercise. (Business Week/CBS)
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As an architect, David Mullican specializes in unique designs for beachfront homes. So when his doctor told him to take lipitor to treat his high cholesterol, he had a better idea.
"I didn't want to do a prescription medicine so I was going to try to figure out a way around it," Mullican said. "I took the prescription home with me but I never filled it."
Instead, he chose to lower cholesterol the hard way - through diet and exercise, CBS News medical correspondent Dr. Jon LaPook reports.
Our national obsession with cholesterol numbers has led to us to depend on statins as the easy way to fight heart disease - and why not?
It's hard to ignore ads. One advertisement is for Lipitor, the most popular statin on the market. But if you look into where this number - the 36 percent reduction in heart attacks comes from - you'll find out that benefit may not be as dramatic as you think.
The study in the ad split people into two groups. For over three years, one group took Lipitor, the other took a placebo. For every 100 people in the placebo group, there were three heart attacks; in the Lipitor group there were two. That means that 100 people had to take Lipitor for more than three years to spare just one person from a heart attack.
Statins do one thing extremely well. They lower cholesterol - especially bad cholesterol - and the science tells us there's one group of people who definitely should be taking it.
"In people with known heart disease, this has become a standard of care, that you really need to be on a statin," said Chris Cannon.
But what about the millions of people with elevated cholesterol who are taking statins but have no heart disease or other risk factors? Here's where the controversy heats up.
"We have no evidence that taking a cholesterol-lowering medication like a statin will prevent them from getting heart disease," said Elizabeth Nabel, director of the National Heart, Lung, and Blood Institute. Dr. Nabel oversaw government guidelines that say don't consider statins in patients with low risk factors unless their bad cholesterol is over 160. That hasn't stopped the statin craze.
Even though guidelines say don't use statins in patients with low risk factors unless their bad cholesterol goes over 160, in the real world, many doctors prescribe statins anyway.
FYI: How to lower cholesterol without medication.
BusinessWeek: Do Cholesterol Drugs Do Any Good?
"We have been perhaps driven too quickly into this sort of assumption and this model, that it's all about the cholesterol number and if we can just lower that number, everything is better," Dr. Howard Brody said.
But statins have side effects and cost money. What's more, they may give a false sense of security. Statin users may be tempted to neglect other risk factors, like high blood pressure, lack of exercise, and poor diet.
"Doesn't a guy like me want to believe that I can have a greasy cheese burger with fries, extra fries, and then if I swallow this pill everything will be great," Brody said.
David Mullican's approach paid off. He lost 30 pounds and lowered his cholesterol, without a pill.
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FYI: How to lower cholesterol without medication.



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See all 65 CommentsMerck''s 1992 Mevacor Statin/CoQ10 patent
http://patft1.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=5082650.PN.&OS=PN/5082650&RS=PN/5082650
"Any pharmacological treatment, any drug treatment such as the clinical administration of MEVACOR to reduce hypercholesterolemia which reduces blood levels of CoQ.sub.10 and thereby reduces the energy coupling and other roles of CoQ.sub.10 can be clinically detrimental such as to cardiac function and even life itself."
http://www.healthsentinel.com/org_news.php?event=org_news_print_list_item&id=124
"Merck Pharmaceuticals has been sitting on a patent for combining Lovastatin and CoQ10 in the same capsule for 15 years, and I can''t understand why they don''t launch this product. I hope that as more studies show that higher dose statins, used over extended periods, are associated with greater side effects that include carcinogenicity [ability of a substance to cause cancer] and cardiomyopathy [weakening of the heart muscle], Merck will feel political pressure to act on these patents and create a product combining CoQ10 and Lovastatin at last."
Joel M. Kauffman, Ph.D. Professor of Chemistry Emeritus
http://www.laleva.org/eng/2004/04/statin_drugs_a_critical_review_of_the_riskbenefit_clinical_research.html
"Besides cancer, the other side effects of statins listed were incomplete, and should have included constipation, myalgia, myopathy, polyneuropathy, liver and kidney damage, congestive heart failure and amnesia. Side-effects are usually said to affect 2-6% of patients. In fact, a recent meta-analysis noted side-effects in 20% of patients above the placebo rate (65% vs. 45%), and no change whatever in the all-cause death rate for atorvastatin. The PROSPER trial on pravastatin showed no change in the all-cause death rate, and increased cancer and stroke rates. Statins are commonly used at a dose to lower TC to 160 mg/dL, a level noted in the report of a NHLBI
conference to be associated with higher cancer rates.... Statins decrease the body''s production of the essential coenzyme Q-10 and dolichol, among other
things. Low Q-10 levels are strongly associated with congestive heart failure."
The Harvard University Gazette
http://www.news.harvard.edu/gazette/2007/11.29/11-statinpain.html
"Statins, the popular class of drugs used to lower cholesterol, are among the most commonly prescribed medications in developed countries. But for some patients, accompanying side effects of muscle weakness and pain become chronic problems and, in rare cases, can escalate to debilitating and even
life-threatening damage."
By Byron J. Richards, CCN
http://www.newswithviews.com/Richards/byron44.htm
"Considering that tens of millions of Americans now take statins to lower cholesterol, the following headline was conspicuously absent from the major media this month: "Statins Found to Turn On Gene that Causes Muscle Damage." It''s now a fact of science; a new study shows that taking statins destroys your muscle to a greater or lesser degree. And let''s not forget that the heart is a muscle."
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Dangers of Statin Drugs: What You Haven''t Been Told About Popular Cholesterol-Lowering Medicines
Sally Fallon and Mary G. Enig, PhD
http://www.westonaprice.org/moderndiseases/statin.html
The Geriatric Times
by Beatrice A. Golomb, M.D., Ph.D.
http://www.cmellc.com/geriatrictimes/g040618.html
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Docs often write off patient side-effect concerns
Source: Drug Safety, 2007; 30: 669-75
http://www.msnbc.msn.com/id/20479490/
"In a survey of 650 patients, taking cholesterol-lowering drugs called statins, who reported having adverse drug reactions, many said their physicians denied that the drug could be connected to their symptoms, Dr. Beatrice A. Golomb of the University of California at San Diego and her colleagues found."
The first formulation of Vioxx contained CoQ10... they took it out...show d*mn good and well they knew about the depletion problem and decided tens of thousand dead Americans would be good for the undertaking business...''help "grow" the economy...''
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Posted by swwils at 08:25 PM : Jan 17, 2008
-I doubt it! Specialists (Speakers) do, in order to influence the General Practitioners. Obviously Pharma do clinical research, with Placebo in place. When a clinical research has been proven positive (with the active ingredient-medication) in the first significant perido of time, the study is stopped pretending harm to be avoided to those patients taking the placebo and they are given the active medication.
The initail conception of the study often needs a certain time before significant differences in trends are observed. What if heart medication were similar to antibiotics (which are developed resistence by germs), may develop a tolerence to disease, past this period of time... heart diseases being a continuous process in which the heart functions worsen with time and ageing, despite medications!
Most patients will muscle pain from statins can take OTC Co-enzyme Q10 ~150-200mg and get all the benefit of statin without the side effect.
The anti-inflammatory benefit of statins is likely to be the main thing that provides protection, NOT the absolute cholesterol number change. Many patients who have never had a heart attack, but have diabetes, increased carotid intimal thickness or other "markers" for coronary disease NEED to be on statin. Be sure YOUR statin has OUTCOME data that it makes plaques shrink and that it reduces heart attacks and strokes. It could be actively dangerous to stop a statin - TALK to your health care provider before even considering doing so. BTW, contrary to one post, physicians do NOT make money on drugs they prescribe.
Check out "The Cholesterol Myths" by Uffe Ravnskov. I got my copy on Amazon.
In "The Great Cholesterol Con" Colpo presents very clear data that shows that saturated fats have never been a problem - polyunsaturated fats of the Omega 6 variety and transfats are a couple of fat culprits and these come mostly from grain based oils (e.g. corn, safflower, sunflower, soy seed oil) which are widely used in the fast food industry.
This book also discusses what the actual known causes of heart disease are: stress, high blood pressure, lack of exercise, overweight, high insulin levels, etc. Most of these can be corrected without any help from Big Pharma.
If Statins give you muscle pain, try taking Co-Q10 IN ADDITION TO THE STATIN to get the benefit.
This entire issue is media created hype. READ the data, not what people looking to get their name in the news say, which may not be what you think they said. Example: There is now clear evidence that people with heart failure also do better on statins - these people may, or may not, have coronary artery disease. We know if a patient has "acute coronary syndrome" they will do better WITH a statin, than without, REGARDLESS of their cholesterol.
Eating a low fat diet and doing aerobic exercise most days WILL lower LDL and raise HDL. A statin should NEVER, EVER be prescribed in PLACE of these. A statin should be prescribed IN ADDITION TO these. We now know that narrowing in the carotid and coronary arteries are IMPROVED by achieving LDL 60. Almost no one can do this without a statin. PLEASE SEE YOUR DOCTOR BEFORE YOU STOP A STATIN!! This is as close to a cure for vascular disease as we have!!
If you have ANY vascular disease and are NOT on a statin, PLEASE see a doctor. If you are a diabetic and not on a statin, SEE YOUR DOCTOR.
These are VERY safe and effective drugs, regardless of the hype. I have prescribed statins since they were still research drugs - I have never, ever seen a dangerous side effect except in ONE heart transplant patient - one of the first ever treated with statins - and he did fine with treatment.
You are correct that Red Yeast Rice is effective in lowering cholesterol, since it contains lovastatin, which is the generic form of Mevacor. The problem is that it contains only about 1-2 mg of the drug per dose, whereas a dose of at least 20 to 40 mg is necessary to get the LDL cholesterol down enough to have a significant influence on risk. This has been demonstrated in numerous scientific studies. I realize that many laymen have an inherent fear and mistrust of prescription meds, but this is a case of simple misunderstanding. In order to get the benefit and risk reduction, you need to get the LDL level down to at least below 100, if not lower. Many people simply mistrust, but don''t really know what they are talking about. This is my field - I''m a cardiologist.
Any interference with these vital biosynthetic pathways (the way statins work) cannot be free of harmful side-effects.
Also, another med she takes has warning now NOT to be prescribed for elderly. Dr. says, oh no, dose is low so "probably" won''t be an issue (talking potential for heart attack and stroke) so keep taking it. Drs. now only know what the glossy flyer the BIG PHARMA rep handed them says...they apparently don''t study anymore. BIG PHARMA time and time again alters the results of studies and yet the american public blindly follows whatever their Drs. say to swallow.
I have predicted that in the next 5-10 years statins, as well as lots of anti-depressants, sleep aides, so-called bone-building drugs (another HUGE scam with dangerous, long term side effects) and other drugs will be off the market.
Why does it take so long for these harmful drugs to get the boot? The FDA DOES NOT work for the good of the public. The FDA gets huge amounts of $$$$$ from BIG PHARMA...so are they going to bite the hand that feeds them?
THis is to be Mercks big cash cow getting ready for their 48million dollar lawsuit on FARCE-A-MAX.
I wouldn''t give that vaccine to my dog!
The dangers of inhibiting CoQ10 have already been established. According to Merck''s own 1992 patent, referenced in my last post, "administration of MEVACOR (statin) to reduce hypercholesterolemia which reduces blood levels of CoQ.sub.10 and thereby reduces the energy-coupling and other roles of CoQ.sub.10 can be clinically detrimental such as to cardiac function and even life itself."
Again, according to MERCK, the depletion of CoQ10 "can be CLINICALLY DETRIMENTAL SUCH AS TO CARDIAC FUNCTION AND EVEN LIFE ITSELF." Sixteen years after this patent was approved and there is still no statin black box recommendations concerning CoQ10 depletion, and no combination statin/CoQ10 drug on the market. This is a case bordering on certain criminal negligence.
Again, CoQ10 is the very conversion source of the body''s (ATP) energy requirements. The heart requires VAST amounts of ATP for proper function. So let''s add congestive heart failure to our concerns. We already seen the recent study demonstrating an activation of the atrogen-1 gene by statins, which in turn produces muscle atrophy and wasting. What researchers fail to warn us about is how everyone possesses this atrogen-1 gene.
I haven''t even mentioned how important the HMG-CoA enzyme (or cholesterol itself) is for basic human life. It''s involved in almost function in the human body: energy, metabolism, immunity, hormonal activity, stress tolerance, and general brain function. In other words, statins could be deemed a pro-oxidant, general toxicant, carcinogen, general agent of mitochondrial dysfunction, and plain anti-life. That is just for starters.
Don''t believe me? Go back and click the LAST page and read the links provided by me. They are all from credible sources, doctors, chemists, medical journals and institutions etc.
Believe me and now realize you, or a loved one, suffer statin side-effects?
http://www.spacedoc.net/board
http://img259.imageshack.us/img259/4706/statinslx8.jpg
This is the way corporate American works and they are teaching the rest of the world why am I not surprised.
I don''t mind that people are ignorant on these sorts of issues, but try not to have such strong opinions while remaining in this state of ignorance!
It''s not that hard to show that statins SAVE LIVES. You take a group of 15,000 patients with high cholestorol. Give 1/2 of them Lipitor and the other 1/2 a placebo. See how many heart attacks and deaths occur in each group. The patients in the placebo group will be more likely to die, period. Thousands of studies have shown that statins work.
I agree that they are overprescribed, but statins have saved countless lives in this country.
Of course they have side effects; that is true for almost any medication. The question is always: do the benefits outweigh the side effects?
If you have high cholesterol, exercise and proper diet should always be the first line of treatment; however, if that still doesn''t get your LDL down to a safe level, medication is the next logical step. Yes there are side effects, but the side effect of not getting your high cholesterol under control is an increased risk of dying.
So, I just can''t take it. Anyone else have this problem?
I hope you never suffer these life altering side effects.
Talk about having your head in the sand!
Yes, we need to eat better, exercise more, watch our weight..but to think that a pill is magically going to cure one thing and over long term use not damage something else is total ignorance.
This is why Drs. and BIG PHARMA have done such a great job brainwashing folks into thinking these pills are "wonder" drugs...like VIOXX or ZELNORM...oh wait, those are pulled from the market. Too many folks were injured or died!
If you think the tests are not altered, results not slanted and all these drugs are safe, then where are all these 1000''s and 1000''s of folks getting these side effects from?
Why is it so hard to think that medicine has evolved to be about writing prescriptions, getting kickbacks and supporting the BIG PHARMA corporate giants. The FDA is NOT about protecting the little guy. It is about taking loads of contributions from BIG PHARMA''s and rubber stamping new MONEY MAKERS! NOT pills that cure...this is about ONE THING! PROFIT.
If there are millions and millions of dollars involved, people will DIE! Greed wins out over helping others.
Wake up!
We are being scammed...very creative marketing has brainwashed us into thinking there is a pill to fix it all! THERE IS NOT.
Enjoy life, learn to eat well, exercise and throw these poisions in the trash!
We need to send a message to BIG PHARMA that we aren''t going to be their guinea pigs anymore.
How do these corporate big-wigs sleep at night? Must use lunesta!
good luck.
also: www.medications.com
and www.askapatient.com
see the side effects others have suffered from these meds.
I am not defending the FDA -- they do nothing but waste taxpayer dollars and provide a false sense that every drug is 100% safe. That will never be the case.
I am defending the ability of statins to save lives. The compound atorvastatin (Lipitor) has been studied more than any other medication, even aspirin. If all of these studies have been simultaneously rigged, that is one hell of a conspiracy!
Just recently Pfizer was developing a new drug called torcetrapib that raises HDL; however, in Phase III clinical trials they learned that it did not lower the risk of heart attack / death. Pfizer cancelled the project and lost almost $1 billion in the process. If your conspiracy theories were true, Pfizer would have covered up the evidence and pushed torcetrapib onto the market anyway. It''s all about money, not efficacy, right?
Statins are used because mountains of SCIENTIFIC EVIDENCE demonstrate that they SAVE LIVES.
There are definitely some side effects, but most people would rather live with side effects than die without them.
Again I say, read: www.spacedoc.com
These drugs are NOT safe. Even if I believed that they are prevening anything, they are NOT safe...so should not be used.
Maybe people shoul dsign waivers saying they won''t sue when they end up with muscle issues, cant remember what they had for lunch, or are convined to a wheelchair (but have low cholesterol). I guess from what I have seen first-hand, you''d have to hold a gun to my head and I still would not swallow this garbage.
I''ll bet my former pastor who is now convined to a wheelchair, can hardly speak and can only slightly move his arms wishes he read about the dangers (real, serious ones, not RARE!) before going on Lipitor.
I hope this *** is banned soon. I hope this investigation opens up the whole statin can of worms and it all gets pulled.
People will be better off. Look at the studies...so few heart attacks were supposedly prevented compared to the placebo. NOT worth the risks in my warped mind.
ANY MEDICAL TREATMENT CAN HAVE ADVERSE EFFECTS. A story like "I know this one guy who started taking Zocor and died the next week" is not scientific evidence. Try reading some of the thousands of controlled, scientific studies on these medications and then form an opinion.
As you''ll notice, Dr. Graveline himself has fairly impressive credentials.
Lipitor: Thief of Memory
by Dr. Duane Graveline
ISBN-10: 1424301629
ISBN-13: 978-1424301621
"When Dr. Duane Graveline, former astronaut, aerospace medical research scientist, NASA flight surgeon, and family doctor is given Lipitor to lower his cholesterol, he temporarily loses his short-term memory. Urged a year later to resume the drug at half dose, he lost both short-term and retrograde memory and was finally diagnosed in a hospital ER as having transient global amnesia (TGA). This is the "scary, appealingly written" account of his search for answers that his medical community didn''t have -- the how and why of his traumatic experience, and what needs to be done to prevent the devastating side effects to body and mind from the escalating use of the statin drugs."
That being said, however, it''s appalling that drugs like these are approved by the FDA with so little regard to the side effects and effects of long term use. The word of the FDA is absolutely no comfort to patients, since they have long since become nothing but a marketing arm for pharmaceutical companies.
The perversion of government agencies by big business has been coming on for a long time, we''re just all starting to be hit in the face by how far they''ve fallen. FDA, EPA, FCC, doesn''t matter, they''ve all quit doing the jobs they were created for.
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