newsprompt.coMAGNESIUM SIDE EFFECTS
Physicians often prescribe statins for people with high cholesterol to lower their total cholesterol and reduce their risk of a heart attack or stroke. While statins are highly effective, they have been linked to muscle pain, digestive problems and mental fuzziness in some people and may rarely cause liver damage.
Statins include atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor).
Having too much cholesterol in your blood increases your risk of heart attacks and strokes. Statins block a substance your liver needs to make cholesterol. This causes your liver to remove cholesterol from your blood.
Statin Side Effects are as follows :
Muscle pain and damage
One of the most common complaints of people taking statins is muscle pain. You may feel this pain as a soreness, tiredness or weakness in your muscles. The pain can be a mild discomfort, or it can be severe enough to make your daily activities difficult.
Oddly enough, most randomized controlled studies of statins indicate that people taking statins develop muscle pain at the same rate as people taking placebo. But up to 29 percent of the people who start taking statins report muscle pain and many discontinue statins because of it. Many of these people do well when they are switched to a different variety of statin.
Very rarely, statins can cause life-threatening muscle damage called rhabdomyolysis (rab-doe-my-OL-ih-sis). Rhabdomyolysis can cause severe muscle pain, liver damage, kidney failure and death. The risk of very serious side effects is extremely low, and calculated in a few cases per million of patients taking statins. Rhabdomyolysis can occur when you take statins in combination with certain treatments or if you take a high dose of statins.
Liver damage
Occasionally, statin use could cause an increase in the level of enzymes that signal liver inflammation. If the increase is only mild, you can continue to take the treatment. Rarely, if the increase is severe, you may need to try a different statin.
Although liver problems are rare, your physician may order a liver enzyme test before or shortly after you begin to take a statin. You shouldn’t need any additional liver enzyme tests unless you begin to have signs or symptoms of trouble with your liver.
Contact your physician immediately if you have unusual fatigue or weakness, loss of appetite, pain in your upper abdomen, dark-colored urine, or yellowing of your skin or eyes.
Increased blood sugar or type 2 diabetes
It’s possible your blood sugar (blood glucose) level may increase when you take a statin, which may lead to developing type 2 diabetes. The risk is small but important, a warning has been issued on statin labels regarding blood glucose levels and diabetes.
Statins prevent heart attacks in patients with diabetes, so the relevance of the mild increase in sugar values with statins observed in some patients is unclear. The benefit of taking statins likely outweighs the small risk to have the blood sugar level go up. Talk to your physician if you have concerns.
Neurological side effects
The FDA warns on statin labels that some people have developed memory loss or confusion while taking statins. These side effects reverse once you stop taking the treatment. There is limited evidence to prove a cause-effect, but talk to your physician if you experience memory loss or confusion while taking statins. There has also been evidence that statins may help with brain function in patients with dementia, for example. This is still being studied. Don’t stop taking your statin treatment before talking to your physician.
Who’s at risk of developing statin side effects?
Not everyone who takes a statin will have side effects, but some people may be at a greater risk than are others. Risk factors include:
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Taking multiple treatments to lower your cholesterol
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Being female
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Having a smaller body frame
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Being age 65 or older
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Having kidney or liver disease
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Drinking too much
Treatments and food that interact with statins
Grapefruit juice contains a chemical that can interfere with the enzymes that break down (metabolize) the statins in your digestive system. While you won’t need to eliminate grapefruit entirely from your diet, ask your physician about how much grapefruit you can have.
What causes statin side effects?
It’s unclear what causes statin side effects, especially muscle pain.
Statins work by slowing your body’s production of cholesterol. Your body produces all the cholesterol it needs by digesting food and producing new cells on its own. When this natural production is slowed, your body begins to draw the cholesterol it needs from the food you eat, lowering your total cholesterol.
Statins may affect not only your liver’s production of cholesterol but also several enzymes in muscle cells that are responsible for muscle growth. The effects of statins on these cells may be the cause of muscle aches.
How to relieve statin side effects
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Take a brief break from statin therapy. Sometimes it’s hard to tell whether the muscle aches or other problems you’re having are statin side effects or just part of the aging process. Taking a break can help you determine whether your aches and pains are due to statins instead of something else.
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Switch to another statin treatment. It’s possible, although unlikely, that one particular statin may cause side effects for you while another statin won’t.
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Change your dose. Lowering your dose may reduce some of your side effects, but it may also reduce some of the cholesterol-lowering benefits your treatment has. Another option is to take the treatment every other day.
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Take it easy when exercising. Unaccustomed vigorous exercise might increase the risk of muscle injury in people taking statins. It’s best to make changes in your exercise routine more gradually. Exercise causes muscle pain too, so it is sometimes difficult to know if the pain comes from the statin or the exercise in someone who just started an exercise program.
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Consider other cholesterol-lowering treatment.Although statins are the most effective oral treatment for lowering your cholesterol, other types of antibiotics also are available. Sometimes, taking a combination of cholesterol treatments can provide the same result with lower doses of statins.
Weigh the risks and benefits
Although statin side effects can be annoying, consider the benefits of taking a statin before you decide to stop taking your treatment. Remember that statin treatment can reduce your risk of a heart attack or stroke, and the risk of life-threatening side effects from statins is very low.
Even if your side effects are frustrating, don’t stop taking your statin treatment for any period of time without talking to your physician first. Your physician may be able to come up with an alternative treatment plan that can help you lower your cholesterol without uncomfortable side effects.
