medication review and a question - British Heart Fou...

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medication review and a question

Winimops profile image
22 Replies

hi all!

following advice of my cardiac nurse my meds were reviewed by my GP.

I am now on coated Asprin instead of the dispersable one, Bisoprolol 1.25 stopped due to low heart rate and commenced on Propranolol 10mg twice a day to help with the physical symptoms of anxiety. I was on these before my NSTEMI in July. I am happy about this as I know they help with my anxiety. I will now monitor BP. And pulse over the next few weeks.

My Rosuvastatin was also 1/2 from 40mg to 20mg due to the aches & pains & stiffness I was experiencing. I took the lower dose for the 1st time last night. My lipid counts are currently well within limits 😃

The question that I have is roughly when can I see a difference in the aches/pains/ stiffness after reducing the dose? GP and Cardiac nurse did’t know.

thank you

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Winimops profile image
Winimops
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22 Replies
Beta70 profile image
Beta70

I can only speak from my own personal experience that when my statins Atorvastatin 40 were reduced to Atorvastatin 20 the aches and pains in my legs that I had personally attributed to my statins reduced within about a month. However everyone's body reacts differently to all meds, so I would assume your GP and cardiac nurse did not feel it wise to give you a definite length of time for improvement.

Winimops profile image
Winimops in reply to Beta70

Thank you for your reply and advice

Blearyeyed profile image
Blearyeyed

You should see a slow improvement but it can take a few weeks to begin because the medication takes time to leave the system. If all of the symptoms were caused by the station alone it can take anything between 4-8 weeks to see a significant change.However, after 8 weeks if your symptoms remain the same it worth getting checked for other causes, including Vitamin B12 , Folate or Vitamin D Deficiencies or very low levels. These low nutrient levels commonly cause a he's and pains in the joints and fatigue and you can get low B vitamins while taking a statin because they can affect how well you absorb these nutrients. If no other causes exist you could try to opt for a low dose statin of a different type to see if that helps.

Tigger_2 profile image
Tigger_2

Sounds as though you are lucky to be seen by anyone.I have a number of issues, cardiac, hyperglycaemic, statin treatment, but now do not get to see anyone.

There used to be things like Well Man clinics, face to face medication reviews with a GP or practice pharmacist, diabetes prevention, always an annual session with healthcare assistant for bloods and BP etc.

Now there is nothing and for the first time this year I've had none of the regular checks.

The whole surgery system collapsed during Covid, but never restored.

It's a worrying trend and having lost my close lady to late diagnosed secondary breast cancer, there are real tragic consequences resulting from seeing just how much you can cut services back.

I don't know how anyone gets on without access to online services, but it must be pretty awful.

Appointments for outpatients are now electronic involving convoluted access to NHS apps, Patients Know Best, downloading then finding pdf files in something called Prism.

On top of that, the pacemaker clinics stopped, replaced by virtual clinics and a bedside monitor that came through and post with next to no explanation.

I'm old enough to remember the family doctor era and am now witnessing the rise and fall of the NHS and the primary care system.

I doubt my surgery is unique.

quirk13 profile image
quirk13

I was moved from atorvastatin to rosuvastatin due to muscle pains. I noticed a difference after about a week and big improvement after two weeks. I also noticed a shoulder injury which had stubbornly refused to heal began to improve two weeks after the meds change

Winimops profile image
Winimops in reply to quirk13

Oh that is encouraging! Thank you

Qualipop profile image
Qualipop

My GP took me off a different statin completely for a month to see if it was causing my pain ( IT wasn't). He said that's how long it takes to get right out of your system.

Winimops profile image
Winimops in reply to Qualipop

Thanks. Did you find out what was causing the aches and pains in the first place?

Qualipop profile image
Qualipop in reply to Winimops

OH yes; it was just my Fibromylagia getting steadily worse

Rosiemycat profile image
Rosiemycat

Can I ask why you changed from dispersable 75mg Aspirin to the coated ones, was that on medical advice. I have changed to the coated ones by my own choosing but I buy mine from a supermarket.

Winimops profile image
Winimops in reply to Rosiemycat

Hi Rosiemycat.

I asked the GP if I could change them as my stomach wasn’t good on them.

Rosiemycat profile image
Rosiemycat in reply to Winimops

Yes that’s why I changed to the coated ones, thanks for letting me know.

yellow731 profile image
yellow731 in reply to Rosiemycat

I have the dispersable ones ,for first 2 months had bad stomach and really bad acid reflux ,till i was told to put the asprin in 20mil of water first then just drink it had no problems since

Rosiemycat profile image
Rosiemycat in reply to yellow731

Glad it worked for you, I will give it a go.

Thank you

Edri profile image
Edri

Dear Winimops, I am using Rosuvastatin 20 mg for very long period and never didn't have any problem. The only problem with my lipids I had when I stop taking it by my own for period of 1 to 2 months. On that time my lipids had gone on very high level!So don't stop to take it, even if your lipids are on normal level!

Winimops profile image
Winimops in reply to Edri

Thanks Edri. I hope that just reducing them will help a bit with the aches. I am on 20mg now down from 40mg and for my bloods to be checked again in 3 months time. I really hope that my lipids will stay low on this dose and the aches will subside

Survivor1952 profile image
Survivor1952

On stopping taking Rosuvastatin the body is clear of the drug in about 4 days. I guess the reduced dose would produce reduced drug levels in a similar period of time. On that basis I'd hope that the impact of any side effects would clear in about a month given that the body will need time to recover.

As an aside I'm on 5mg dose of Rosuvastatin as I don't tolerate Atorvastatin (or Simvastatin), I get bad side effects. Stopping the Atorvastatin saw side effects clear for me in about two to three weeks iirc.

PaddyRedVan profile image
PaddyRedVan

Hi. I also had problems with rosuvastatin. Aches, pains and stiffness. also fatigue and tinnitus. I swapped to simvastatin and also ezetimibe. I still had fatigue but the aches and pains are reduced. I stopped the simvastatin completely and felt better but my blood tests recorded a high cholesterol, so I was advised to go back on them. I take 20mg at night. From my experience it takes two weeks before i feel bad after starting a different statin, and also two weeks to feel better after stopping the statin. I hope this helps!

Winimops profile image
Winimops in reply to PaddyRedVan

Thank you for the information. How long after stopping the statins did your cholestrol levels go up? Thanks

PaddyRedVan profile image
PaddyRedVan

I dont really know as i only had tests after 3 months. But i do remember having the ahes, pains and fatigue with the rosuvastatin and i knew i had to stop them. Im on 20mg of simvastatin now, and been on it for 11 days or so. I still have some tinnitus. Take care.

PaddyRedVan profile image
PaddyRedVan

Two weeks in now after returning to simvastatin and i have muscle aches, fatigue and tinnitus

Winimops profile image
Winimops in reply to PaddyRedVan

It has been a week since I reduced my dose. Feeling much better. Hope you will be able to sort things out.

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