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Cholesterol Lowering
Drug Kills!
Michael Lam, MD, MPH www.DrLam.com
(READING TIPS: For fast reading, scan through the topic headings in BOLD BLACK, important conclusions in BOLD
BLUE, and " Must Know " in BOLD RED. To jump to specific sections in this article, click on
the respective LINKS in the Contents.
Contents
The Real Problem
What is the
proper dose?
What should you
do?
Summary
The decision in August 2001 by the German Pharmaceutical
giant Bayer AG to withdraw the cholesterol-lowering statin drug Baycol from
the market shocked the world. For years, the public was led to believe that
statin drugs lowered cholesterol and possessed other health benefits as
well. Millions of statin prescriptions are written yearly in the United
States alone.
Unfortunately, Baycol was linked to
31 deaths. Moreover, deaths occurred
at the manufacturer's recommended initial dose (0.4 mg/day) as well as at
the highest dose (0.8 mg/day). The majority of deaths occurred in elderly
patients and more often in women.
There are other statin drugs on
the market, such as Lipitor (the best seller). Like Baycol, these drugs
are linked to the same rare muscle weakness, known as myositis, which occurs
in about 1 in 1,000 statin users. Myositis occasionally progresses
to rhabdomyolysis -- a complete breakdown of muscle cells that can lead
to kidney failure and death. Some experts believe that pravastatin (Pravachol)
and fluvastatin (Lescol) may have less potential for this deadly drug interactions.
The data at this time are not sufficient to declare one statin drug safer
or more dangerous than the others.
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