Heart UK has more on medicines for high cholesterol. Page last reviewed: 15 April Next review due: 15 April Medicines for high cholesterol - High cholesterol Contents What is high cholesterol? Section Navigation. Facebook Twitter LinkedIn Syndicate. Cholesterol-lowering Medicine. Minus Related Pages. The body needs bile acids and makes them by breaking down LDL cholesterol. Niacin, or nicotinic acid Niacin is a B vitamin that can improve all lipoprotein levels.
Nicotinic acid raises high-density lipoprotein HDL cholesterol levels while lowering total cholesterol, LDL cholesterol, and triglyceride levels.
And when it comes to high cholesterol, could you actually break that down for us? You know, genetics do play a role in your cholesterol set point. So, in other words, the amount of cholesterol that the liver makes and reabsorbs from your bloodstream is primarily determined by your genetics. However, statin and other lipid lowering medications can alter how your liver handles cholesterol and drive down bad cholesterol to very low levels. Now, there are some genetic diseases associated with very high levels of cholesterol, such as familial hyperlipidemia, or FH, that can cause premature development of heart disease, heart attacks, and death.
And those diseases which are, you know, genetic diseases can run in families and are very dangerous. So, Doctor, you have the last say here.
What would you like to say to everyone out there listening who might be on the fence about statins? What is your argument? So, I would say, you know, talk to your doctor, see a preventive cardiologist, if you're concerned. We can address all of your questions.
We can, you know, help you understand the risks and the benefits of taking medicines like statins as well as other medications to prevent heart disease and stroke. And it's really important to have the correct information and to feel comfortable in understanding what it means to take a statin. It also is important to understand, you know, what the myths are out there and what are the truths. And the only way to really do that is to, you know, sit down with someone who has expertise in these areas and really find out the nitty gritty of what you need to know.
And it's, as always, it's important to check your numbers. So, many people don't know they have high cholesterol until their doctor checks it which may or may not be until someone's, you know, in their 40s or 50s. So, it's very important to get your numbers checked and know what your numbers are and know what your goals are.
And I think that's, that will go a long way to helping you identify areas that, you know, you need to improve in. And if you get a good preventive cardiologist to work with you, you are guaranteed to lower your risk for heart disease, as much as possible and live healthier, longer lives. Thank you for joining us, Dr. And remember, you can find and subscribe to this podcast on Apple Podcast, Google Podcast, Stitcher and wherever you get your podcasts.
Skip to main content. Find Doctors Services Locations. Medical Professionals. Research Community. Medical Learners. Job Seekers. Healthy UH View more from this blog. Subscribe: Apple Podcasts Google Podcasts Stitcher Spotify Research has shown that statins are highly effective in reducing the risk of fatal heart attack and stroke. Transcript Macie Jepson High cholesterol. Pete Kenworthy Yeah. Ian Neeland Thank you for having me. Macie Jepson Let's talk about what cholesterol is exactly.
Ian Neeland Well, cholesterol is a fat-like, waxy substance that helps your body make cell membranes, many hormones and vitamin D. Ian Neeland That's correct. Pete Kenworthy Right. Ian Neeland Well, you know, I think there's a lot of misinformation out there on the Internet. Macie Jepson And perhaps the biggest myth of all is that they don't even work in the first place when it comes to preventing heart attacks.
Ian Neeland Yeah. Pete Kenworthy So, it sounds like someone with higher cholesterol, for example, my cholesterol is around , Ian Neeland You know, certainly if you're allergic to the statin or the components of the statin medication, that will be a situation which you would want to choose an alternative medication.
Macie Jepson It really amazes me how many people out there picking on statins based on what you're telling us right now.
Ian Neeland Well, I think, you know, a lot of people may have some questionable side effects that that come up when they start a statin, and they've heard, you know, negative reports or anecdotal information or stories from friends and family.
So, these data really show that although there are side effects, they're very infrequent as being truly related to the statin, and most people can get through them and be on some dose of a statin for long-term benefit, Pete Kenworthy Like many things in medicine, the benefits far outweigh the risk. Ian Neeland You know, so, just like any medication, as I mentioned, you have to weigh the potential risk to the benefits.
Those people almost never get heart disease. And so, we, you know, we know that if we could, you know, put statins in the water and everyone could tolerate them, then the risk of heart disease would go down significantly. So, if someone in their 30s wants to, you know, really make a dent in the risk, long-term, you know, especially if they have a family history or they, they might have, you know, borderline risk factors, those are the people who are going to get the biggest benefit over time because their trajectory for heart disease will change drastically and dramatically by lowering the LDL cholesterol.
Macie Jepson Is quitting these prescription medications mid-treatment or perhaps without even consulting physician a big issue in the medical community? Ian Neeland I think that is a big issue.
Pete Kenworthy What's the magic number? Ian Neeland Well, I think it starts first of all with suspicion and knowledge. Pete Kenworthy So, if you put me on a statin, I can just go on eating my cheeseburgers and fried chicken all the time. Ian Neeland No. Macie Jepson So, conventional wisdom has always told us that what we eat affects our health, and it does. Products and services. Cholesterol medications: Consider the options If diet and exercise don't do enough, you may also need to take medications to help lower your cholesterol.
By Mayo Clinic Staff. 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 Ferri FF. In: Ferri's Clinical Advisor Elsevier; Accessed Dec. Cholesterol medications. American Heart Association. Goldman L, et al. Disorders of lipid metabolism. In: Goldman-Cecil Medicine.
Rosenson RS. Low density lipoprotein cholesterol lowering with drugs other than statins and PCSK9 inhibitors. Vytorin drug label. Food and Drug Administration. Caduet drug label. Francisco Lopez-Jimenez expert opinion. Mayo Clinic.
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