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Happy 25th birthday, lovastatin (Mevacor)! What next?

Aug 31, 2012 12:30 EDT


As we mark an important birthday of the first statin, it's good to celebrate the success of this class of drugs and ponder what the next big thing in prevention of cardiovascular disease will be.








Your comments
Happy 25th birthday, lovastatin (Mevacor)! What next?
# 1 of 12
September 3, 2012 10:51 (EDT)
Frances Makarova
I took Statins for just a few weeks, but I have spent years recovering from the agonising side effects, including one permanent side effect, damage to my frontal lobes, resulting in short term memory problems. I am just one of many thousands of victims of Statins.  I am now spending a lot of my pension money on buy suplements to help me overcome the various effects of Statins.
# 2 of 12
September 4, 2012 03:01 (EDT)
Peggy
I have never in my life felt as bad as when I was taking a statin.  I suffered from severe depression for the first and last time in my life. 
# 3 of 12
September 4, 2012 03:54 (EDT)
Clare
You sing the praises of this drug yet fail to even mention the dreadful side effects. My doctors had me on multiple statins and just about took away my functioning life. Could not walk, could not think, could not even remember names of people and places that were familiar and close to me. At age 46 I was told I was just getting old, and that ststins did not cause these kind of things! Wrong wrong wrong.... they most assuredly do.
# 4 of 12
September 5, 2012 01:16 (EDT)
Allie
My husband now has diabetes (no one else in his family does) and he has ALS.  He took statins for more than 15 years.  Read The Truth About Statins by Dr. Barbara Roberts, a cardiologist.
# 5 of 12
September 14, 2012 10:48 (EDT)
ira

i tried red yeast rice on my own and within ten weeks i developed problems with the muscles in my thighs. i am a very active bicycle rider (one to three hours a day).

under a cardiologist  i tried pravachol. after 8 weeks i developed problems in my thighs again.

i believe that it was appropriate for me to be on a statin. it just had an unfortunate side effect. i also believe that these side effects are more common than the literature reveals.

my brother was on statins for four years and he has had permanent effects on his muscles.  he is a four hour a week swimmer (for thirty years) who has had to cut the distance he swims in each session.

my mother-in-law had to be hospitalized for the effects of statins on her heart muscle. the emergency room doctor knew immediately the problem was due to the side effects of statins.

this is just for your consideration when analyzing the effects of statins on your patients.

i wish i was a candidate for the use of statins as it was effective in reducing the level of ldls which is high due to my family history. 

# 6 of 12
September 15, 2012 01:08 (EDT)
Joshua

I truly will never understand why this class of drugs has become so maligned. The sheer number of web pages devoted to describing the "horrors" and "dangers" of statins is mind-boggling. Anti-hypertensives, monoclonals, anti-depressants; none have been the recipient of so much vitriol. Even genetically engineered food is not deemed as evil as statins are.

While not minimizing the side effects that these other commentators have reported, they clearly only happen extremely rarely. 40-50million people are on statins, but the 1 million people who have had side effects (<2% of the total number of people on the drug) appear to have all authored books or web pages. 

This class of medicines has probably saved more lives than all other medications combined in the 25years of its use.

 They need a better PR campaign.  

# 7 of 12
September 16, 2012 05:22 (EDT)
DH
Lifestyle modification is about 3-4X as effective as statin therapy, provided the patient can be educated and the course of modification is followed up and reinforced. This will save many more lives than statins, although of course statins save a moderate amount of lives. In the Lyon Heart Trial, cardiovascular events and cancers were cut by more than half.
# 8 of 12
October 31, 2012 08:45 (EDT)
MH
My husband took a statin drug for many years.  I begged the doctor to take him off as it was destroying his memory, the doctor laughed in my face and said there is no evidence that statins cause memory loss, and he refused to take him off the drug.  My husband lost his job and I finally convinced my husband to stop the statin drug Crestor, but it was too late.  He has short term memory loss that has gotten worse over the past 9 months. This once, vibrant hardworking man cannot remember what he said 5 minutes ago and now I cannot work as I have to look  after him. The financial burden is overwelming.  Is there anything that you have done since stopping the statin that has shown some improvement in your memory?  My husband is now taking Coq10, fish oil, niacin, and acetyl L carnitine, but to date, nothing has helped.
# 9 of 12
October 31, 2012 10:51 (EDT)
Frances

I wish that I could say yes that I have found something to help stop the short term memory loss, but it is about 2 years now since I took the Statins (Lipitor) and my memory is getting worse not better.   I also have problems with cognitive probems, I put things down, and then 5 mins later I have no idea where to find it.  When I do find whatever it is that I misplaced, it is usually virtually right under my nose, and I didn't see it.  I have to write myself notes to remind myself about things, I even have to leave messages on my cell phone, and set the alarm to remind me to do stuff as well.  The muscle pain caused by statins has been helped by me taking regular doses of over the counter supplements, I found that Carnitine used by body builders has helped rebuild my damaged muscles.  I am currently taking 10 different supplements every day now for the rest of my life.  At least I am walking again, when I thought I would end up in a wheelchair.  I can also dress myself again without incurring pain. And I am able to lift my arms up above my head which was impossible within a few weeks of taking Lipitor! 

 

# 10 of 12
October 31, 2012 11:01 (EDT)
Frances

Ira there are email and web based groups where the VICTIMS of Statins are sharing their experiences.   There are even doctors getting on board about the dangers of Statins.    I recommend a book written by Dr. Barbara H. Roberts, "The Truth About Statins."   Dr. Roberts is a cardiac doctor.  She is just one of many doctors who are waking up to the damage caused by Statin.

COULD STATIN DRUGS ACTUALLY HARM YOU?

Despite the rosy picture painted in the ads of a miracle cure for high cholesterol and its attendant heart disease, the reality of taking statins may be far less pretty. Dr. Barbara H. Roberts, director of the Women’s Cardiac Center at the Miriam Hospital in Rhode Island, discusses both the benefits and health risks of these popular drugs in this comprehensive guide that finally reveals the questionable science behind the research studies. This honest, patient-friendly appraisal of the most widely used medications in the world may shock you, but it may also save your life.

Offering clear-cut, easy-to-understand information in an easily accessible fashion, Dr. Roberts explains how to take the best possible care of your heart, including:  *The keys to maintaining cardiovascular well-being.

* How to interpret your cholesterol numbers

* The frightening adverse effects of popular drugs

It is time to take charge of your heart health. Learn the facts behind the hype so that you can make informed decisions on a subject vital to your continued health. If you or someone you love either takes a statin or is considering doing so, you need to read this book.

 Includes recipes for a delicious and heart-healthy diet, including Wasabi-Roasted Salmon, Pasta with Avocado Sauce, and Lemon-Pineapple Breakfast Muffins.

http://www.amazon.com/The-Truth-About-Statins-ebook/dp/B005GG0MWY

# 11 of 12
October 31, 2012 12:13 (EDT)
MH

Thank you for your response.  I am sorry that nothing has helped your memory problem.  My husband is the same way, I have to remind him many times and write notes.  I am glad that you have regained muscle function.  I am a nurse and this is so frustrating for me to not be able to find something to help my husband.  I had done so much research in the past relatied to statin side effects and my husband's family physician and cardiologist pretty much told me I was crazy and of course my husband listened to them and continued taking Lipitor, then Crestor. Again, thank you for your response I will continue to search for answers.   MH

# 12 of 12
November 10, 2012 08:47 (EST)
EddieVos


"This class of medicines has probably saved more lives than all other medications combined" .. Well, here are the facts:

1: Lovastatin's 2 big studies ended with more dead on statin [EXCEL, TexCAPS]. 


2. 4S ended with 3 more dead female heart patients on the statin and NO statin study EVER has shown a mortality benefit in women.


3. PROSPER, showed no mortality benefit in 75.4 +/-5 year olds and, finally, there are


4. ZERO studies ever done with atorva, ceriva, fluva and, as said, lova that has ever ended with a mortality benefit for anybody.

Statin proponents may argue that the statistics by CTT, that blenderized patients, genders and statins, found "statistical" RR benefit but they have never published NNTs for anybody or group and they hide the lack of all-cause mortality benefit for women by avoiding the topic [as found in HPS and CTT 2005]. No amount of statistical gimmickry can alter the lack of mortality benefit cited above.

Finally we have the factoid in the preamble to the Women's Guidelines that state that CHD mortality for women dropped by 2/3rds from 1980 to 2007.  That partially may be smoking but it cannot be statin or any other drug compared with placebo. 

That leaves the known drop in homocysteine in the American population [see CDC&P] and the re-introduction of omega-3 from soybean and canola oils, if not the use of fish oil pills.  Granted, multivitamins and any kind of pills do not CURE / REVERSE the architectural calamity that is atherosclerosis, but there are about 20 pathways linking homocysteine [and the B-vitamins] causally to the dramatic drops in stroke and heart disease mortality.


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About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.