Starting Lipitor 10mg......maybe? - British Heart Fou...

British Heart Foundation

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Starting Lipitor 10mg......maybe?

Wightbaby profile image
16 Replies

As my cholesterol sticks stubbornly around 5, I have decided that I really should start taking statins....tonight! Which is 7 days before my next INR check.....I have been very resistant to this for ages.

The Locum GP recently described me as "high risk" so I am thinking I really ought to give them a try.

However, having read AGAIN, the warnings......the leaflet suggests I should talk to my doctor, nurse etc., BEFORE taking them, if I have an Under-active Thyroid (which I do, and take 50 mg Thyroxine a day), so now I am having second thoughts to delay again!

I have Permanent AF and on Bisoprolol 1.5 a day, plus Warfarin, of course.

I am not confident with GP's prescribing anyway......

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Wightbaby profile image
Wightbaby
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16 Replies
MichaelJH profile image
MichaelJHHeart Star

I would ask you to bear in mind I have no formal medical training but knowing a number of people with thyroid problems, others with cholesterol problems and some with both. Untreated or undertreated hypothyroidism can cause elevated cholesterol levels. As a result statins are not recommended until the hypothyroidism is treated and stable. If cholesterol remains elevated then statins can be tried.

Cholesterol may come down further with extreme dietary measures but many find the style of diet unpalatable!

Good luck!

MichaelJH profile image
MichaelJHHeart Star in reply to MichaelJH

Should have added the two drugs should not be taken together. Usual routine is thyroxin a.m. and statin p.m. (evening).

Wightbaby profile image
Wightbaby in reply to MichaelJH

OK thanks.....have been finding the dietary restrictions to keep it down, for the last 5 years, depressing now. Deorivation and abstinence!!

Thought maybe on Statins, I could ease off a bit!

Hate feeling hungry ALL the time!

Rhinet34 profile image
Rhinet34 in reply to Wightbaby

You still have to watch what you eat with statins ,I’ve found that out , I’m on 80mg a day and my cholesterol is still between 4/5 and won’t come down any lower , it would be much higher if I didn’t continue to watch my weight , and yes I agree with you , it’s very depressing ..

Wightbaby profile image
Wightbaby

Thanks..some of that language a bit confusing to me...but got the gist!

Khonkaen profile image
Khonkaen

Am I missing something here, cholesterol is normally measured in mg/dL and 5 is an extremely low reading. Statins are used to lower cholesterol???

Also I didn't think you could self prescribe these drugs?

MichaelJH profile image
MichaelJHHeart Star in reply to Khonkaen

In the UK cholesterol levels are measured in mmol/L. Target levels are below 5 for a healthy person and below 4 for those at greater risk (family history, diabetes, elevated blood pressure, kidney problems, cardiac history, etc.).

Khonkaen profile image
Khonkaen in reply to MichaelJH

Okay that is 193mg/dl and on my bloodwork sheet it describes 190-239 as a moderate risk, assuming you are referring to total. Why would you rush to take statins?

MichaelJH profile image
MichaelJHHeart Star in reply to Khonkaen

The figures quoted are NICE/NHS/BHF guidelines. As the OP has previous the lower figure applies.

Lezzers profile image
Lezzers in reply to MichaelJH

Papworth want my husbands below 3, would that be because he's a higher risk given his medical history?

MichaelJH profile image
MichaelJHHeart Star in reply to Lezzers

It would either be because of his previous history or that at 4.0 the breakdown (e.g. LDL is too high) is not fully acceptable.

Khonkaen profile image
Khonkaen

Well personally I would have a lot more tests before I would rush to statins. Cholesterol levels are not the be all in terms of CVD/HA risk, even when used in conjunction with genes.

Sillyfroggy profile image
Sillyfroggy

As long as your hypothyroidism is well-controlled you’ll be fine. I have the same issue and am on 80mg statin a day!

Ianc2 profile image
Ianc2

Have a quick audit:

Waist half my height?

Blood pressure reasonable?

Sugar levels good?

Weight are you a wall of rippling muscle? If not are you close to your BMI?

Got a Fitbit or similar to measure your activity level?

Follow the Mediterranean diet?

Read 'forks over knives'?

Like fast food?

tamariki profile image
tamariki

I used to take 5mg of Creswtor,, which is supposed to cause the least side effects. After a couple of weeks I gave it up, and rely on my diet.

not2worry profile image
not2worry

My hubby had a heart attack 20 years ago so I decided this year to make an appointment with his cardiologist to get a “baseline” check on my cardio health-especially after our GP suggested going on a statin because my cholesterol was at 200 (USA reading meaning borderline).

There is now a test that can actually see if there is plaque build up in your arteries-coronary calcium scan. The scan can detect plaque build up. Prior to the test our cardiologist told if the test results was 0 no need to take a statin. Anything above that I needed a statin. My results came back 0 so no statins needed! The test here in the States isn’t covered by insurance and cost $100. It takes about 10 minutes and is similar to getting an MRI. Scans your heart and its arteries.

I’m comfortable with not taking a statin. I eat a healthy diet, exercise and don’t have a family history of cardiac disease.

Sometimes I find it interesting and comical in a weird kind of way-the GP sends you to a specialist and then turns around and ignores the specialist’s recommendation.

Yours from Across the Pond

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