Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Show references Cholesterol medications. American Heart Association. Accessed Jan. Rosenson RS. Statins: Actions, side effects, and administration. Ferri FF. In: Ferri's Clinical Advisor Elsevier; Kellerman RD, et al. In: Conn's Current Therapy Adhyaru BB, et al. Safety and efficacy of statin therapy.
Nature Reviews — Cardiology. High blood cholesterol. National Heart, Lung, and Blood Institute. Listen to your heart: Learn about heart disease.
Grundy SM, et al. Journal of the American College of Cardiology. Thanassoulis G, et al. A long-term benefit approach vs standard risk-based approaches for statin eligibility in primary prevention. JAMA Cardiology. Statin intolerance. Mayo Clinic; Lopez-Jimenez F expert opinion. Mayo Clinic. See also After a flood, are food and medicines safe to use? Arcus senilis: A sign of high cholesterol?
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Niacin is a B vitamin that limits the production of blood fats in the liver. Take this only if your doctor has prescribed it. It lowers triglycerides and has mild LDL-lowering action. Niacin side effects may include flushing, itching and upset stomach. Your liver functions may be closely monitored because niacin can cause toxicity.
Nonprescription immediate-release forms of niacin usually have the most side effects, especially at higher doses. Niacin is used cautiously in diabetic patients because it can raise blood sugar levels.
Niacin comes in prescription form and as a dietary supplement. Dietary supplement niacin must not be used as a substitute for prescription niacin because of potentially serious side effects. Dietary supplement niacin is not regulated by the Food and Drug Administration and may contain widely variable amounts of niacin — from none to much more than the label states. The amount of niacin may even vary from lot to lot of the same dietary supplement brand.
Consult your doctor before starting any niacin therapy. These are derived from fish oils that are chemically changed and purified. Commonly referred to as omega-3 fish oils or omega-3 fatty acids, are used in large doses to lower high blood triglyceride levels.
They help decrease triglyceride secretion and clear triglycerides. The amount of marine-derived omega-3 PUFAs needed to significantly lower triglyceride 2 to 4 g is hard to get from a daily diet alone, so supplementing with capsules may be needed.
These can include increased bleeding, hemorrhagic stroke and reduced blood sugar control in diabetics. Negative interactions with other medications, herbal preparations and nutritional supplements are also possible. People with allergies to fish, shellfish or both may have a severe adverse reaction to using these supplements.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
About Cholesterol. Causes of High Cholesterol. Prevention and Treatment of High Cholesterol. Cholesterol Tools and Resources. If those efforts are unsuccessful over time, doctors will introduce treatment with statins to benefit the arteries and prevent further damage.
Being prescribed statins is no longer simply a result of having poor cholesterol numbers. Instead, doctors use a variety of ways to identify high-risk patients. These include examining all of your heart-health measures including blood pressure, blood glucose and body-mass index as well as the results of tests that assess plaque build-up, such as a coronary calcium scan. Are statins safe? For most people, the answer is a resounding yes , according to a Johns Hopkins meta-analysis of 20 years worth of published research.
It showed that the risks of long-term use of statin drugs are low and the potential benefits are very high. Researchers combed through hundreds of papers that had studied statins since to determine the evidence of side effects. Their review, published in British Medical Journal, found an increase in the risk of muscle aches.
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