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.
Takedown request   |   View complete answer on ahajournals.org


Why are doctors against statins?

While statins are highly effective and safe for most people, they have been linked to muscle pain, digestive problems and mental fuzziness in some people who take them and may rarely cause liver damage.
Takedown request   |   View complete answer on mayoclinic.org


When would you not give a statin?

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).
Takedown request   |   View complete answer on mayoclinic.org


What are the risks of not taking statins?

Some 8.5% of them had a cardiovascular event, such as a heart attack or stroke, within four years – versus 7.6% of those who continued taking statins. And 6.6% of patients who stopped taking statins died of all causes, versus 5.4% of those who kept taking them.
Takedown request   |   View complete answer on cnn.com


When should statins be stopped in elderly?

Adults age 75 and older may not need statins.

Many older adults have high cholesterol. Their doctors usually prescribe statins to prevent heart disease. But for older people, there is no clear evidence that high cholesterol leads to heart disease or death.
Takedown request   |   View complete answer on choosingwisely.org


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



Why do cardiologists push statins?

Because many factors are involved, your cholesterol numbers may be considered normal and yet you may still be found to be at an elevated risk for heart problems. As a result, statin medications are now used to lower the risk of heart disease and heart events in most anyone found to be at high risk.
Takedown request   |   View complete answer on hopkinsmedicine.org


What is the new cholesterol drug that is not a statin?

Bempedoic acid (Nexletol) and bempedoic acid/ezetimibe (Nexlizet) are the ATP citrate lyase (ACL) inhibitors that are currently available. These are newer medications approved to lower LDL cholesterol in a different way than other cholesterol medications.
Takedown request   |   View complete answer on goodrx.com


What is an alternative to statins?

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.
Takedown request   |   View complete answer on bhf.org.uk


What is a natural alternative to statin drugs?

For patients who can't tolerate cholesterol-lowering statins, natural remedies like bergamot, garlic and green tea may be a useful alternative, based on a recent statement published in the Journal of the American College of Cardiology.
Takedown request   |   View complete answer on cardiosmart.org


Can you reduce cholesterol without statins?

Eat less fatty food

To reduce your cholesterol, try to cut down on fatty food, especially food that contains a type of fat called saturated fat. You can still have foods that contain a healthier type of fat called unsaturated fat. Check labels on food to see what type of fat it has in it.
Takedown request   |   View complete answer on nhs.uk


Why did Europe ban statins?

The controversy in the United Kingdom started in 2013 when the British Medical Journal (BMJ) claimed statins were being overprescribed to people with low risk of heart disease, and that the drugs' side effects were worse than previously thought.
Takedown request   |   View complete answer on utswmed.org


Are statins absolutely necessary?

If your 10-year risk of having a heart attack or stroke is greater than 10 per cent, you will be asked to consider taking a statin. Most doctors also recommend statins for people who have diabetes. The risks, as with all medicines, include possible side effects.
Takedown request   |   View complete answer on bhf.org.uk


Who should not be prescribed statins?

Statins should not be taken if you have liver disease or if blood tests suggest that your liver may not be working properly. This is because statins can affect your liver, and this is more likely to cause serious problems if you already have a damaged liver.
Takedown request   |   View complete answer on nhs.uk


Can you get off 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.
Takedown request   |   View complete answer on goodrx.com


Can statins weaken the heart?

Context: Heart failure (HF) is rapidly increasing in incidence and is often present in patients receiving long-term statin therapy.
Takedown request   |   View complete answer on pubmed.ncbi.nlm.nih.gov


Are statins hard on your heart?

Statins don't just lower cholesterol levels but also reduce the risk of fatty plaques breaking off from walls of your arteries, reducing the risk of heart attack and stroke.
Takedown request   |   View complete answer on bhf.org.uk


What are the pros and cons of statins?

Lowering high cholesterol reduces the risk of serious conditions, such as heart disease and stroke. Most people tolerate statins well. However, some people can experience side effects.
...
Statin side effects
  • muscle aches and pain.
  • cramps and stiffness.
  • muscle weakness.
  • joint or bone pain.
  • memory problems.
  • tiring easily.
Takedown request   |   View complete answer on medicalnewstoday.com


Are statins more harmful than helpful?

Researchers warn that unless a patient is at high risk of suffering a heart attack or stroke, statins may cause more harm than good'.
Takedown request   |   View complete answer on wchh.onlinelibrary.wiley.com


Should I be afraid to take statins?

There is no reason to be afraid of taking statins if you are at high risk for heart attack or stroke. What's really scary is the amount of inaccurate information out there that keeps so many people from getting the protection they need!
Takedown request   |   View complete answer on utswmed.org


What happens if you have high cholesterol and don't take medication?

High amounts of cholesterol can build up inside your arteries. This can clog and narrow your arteries so blood can't flow easily. Blood clots can form, break away, and cause a stroke or heart attack. Low-density lipoprotein (LDL), or “bad cholesterol.” If your LDL level is too high, you're at greater cardiac risk.
Takedown request   |   View complete answer on webmd.com


Can you live with high cholesterol without medication?

Most people can lower high cholesterol with lifestyle changes, like prioritizing heart-healthy foods, quitting tobacco products, exercising regularly, and sleeping enough. Making changes to lower your cholesterol might mean you don't need to take cholesterol medication anymore (or deal with the side effects).
Takedown request   |   View complete answer on goodrx.com


What foods immediately lower cholesterol?

Oatmeal, oat bran and high-fiber foods

Soluble fiber is also found in such foods as kidney beans, Brussels sprouts, apples and pears. Soluble fiber can reduce the absorption of cholesterol into your bloodstream. Five to 10 grams or more of soluble fiber a day decreases your LDL cholesterol.
Takedown request   |   View complete answer on mayoclinic.org


What to do if you don't want to take statins?

7 cholesterol-lowering alternatives to statins
  1. Fibrates. Mostly used for lowering triglyceride levels in patients whose levels are very high and could cause pancreatitis. ...
  2. Plant stanols and sterols. ...
  3. Cholestyramine and other bile acid-binding resins. ...
  4. Niacin. ...
  5. Policosanol. ...
  6. Red yeast rice extract (RYRE) ...
  7. Natural products.
Takedown request   |   View complete answer on bhf.org.uk