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What medicines will I take for high cholesterol?

Medications Statins are the most effective and widely used medicines to treat high cholesterol. Evidence shows that statins can reduce the risk for heart attack, stroke, and death. 7 Other medicines also lower cholesterol, and some may be used to lower triglycerides or raise HDL. Some people can try diet and exercise for at least 3 months before medicines are started. However, people who have coronary artery disease (CAD) should start taking medicines immediately. 1 Other people who may need to start taking medicine as soon as possible include those who have a strong family history of early CAD, those who have inherited forms of high cholesterol, and those who have peripheral arterial disease or diabetes or who have had a previous heart attack or stroke.

Should I take statins for high cholesterol?

Your doctor may follow NCEP and American Heart Association medicine guidelines in deciding whether you should take medicine to lower your cholesterol. The guidelines base treatment on your LDL level and your risk for CAD. Cholesterol treatment guidelines will continue to evolve as experts learn more about how best to treat heart disease. However, everyone can benefit from eating a balanced low-fat diet, getting regular exercise, and reducing other heart disease risks, such as smoking.

Statin medicines

Brand names

Generic names

How they work

Lipitor, Mevacor, Pravachol, Zocor, Lescol, Crestor, Altocor

atorvastatin, lovastatin, pravastatin, simvastatin, fluvastatin, rosuvastatin Reduce how much cholesterol your liver makes

Your doctor may prescribe other medicines. Some are used with a statin.

Drugs that may be combined with or used with a statin

Brand names

Generic names

How they work

Zetia

Ezetimibe Lower how much cholesterol your body can absorb

Vytorin

ezetimibe with simvastatin Lower how much cholesterol your liver makes and affect how your body absorbs cholesterol.

Caduet

atorvastatin with amlodipine Lower how much cholesterol your liver makes and lower blood pressure

Questran, Colestid, Welchol

cholestyramine, colestipol, colesevelam Affect how your body removes cholesterol

Lopid, Tricor

gemfibrozil, fenofibrate Lower triglycerides and can raise good HDL cholesterol. LDL may go up slightly.

Niacor, Niaspan, Nicolar

niacin Raise good HDL cholesterol and lower triglycerides and LDL

Advicor

niacin with lovastatin Raise good HDL cholesterol

What to Think About Men younger than 35 and women who have not reached menopause are at lower risk for heart disease and often can try lifestyle changes before medicines. Medicine is always added to a diet and exercise plan (Therapeutic Lifestyle Changes), not substituted for it. Doctors may also prescribe aspirin therapy if you have had a heart attack or have a high risk for heart attack.

  • ********* Always CONSULT YOUR DOCTOR AND DIETICIAN first ********

 


 

 


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