Suffering on statins? Stop taking them now

Suffering on statins? Stop taking them now: Cholesterol-busting medicines may be causing more harm that good

• Cholesterol-controller may be bad for your heart, expert claims
  
  

When one of my patients – let’s
call him John – recently returned to me with disabling chest pains a
year after heart surgery, we both feared the worst.

But
after numerous investigations found nothing untoward, we recognised the
real problem: his statins. So I told him to try going without them for
two weeks.
These drugs,
taken by eight million Britons, are routinely prescribed to anyone who
suffers a heart attack as they lower the likelihood of a second attack.
They have an anti-inflammatory effect, which reduces the risk of a clot
forming in the heart arteries.




Danger drug: Statins, pictured, prescribed to
patients who suffer heart problems and high cholesterol, may do your
body more harm than good, our heart specialists warn

Statins are also regularly
prescribed by GPs to many more patients to lower the levels of
cholesterol in their blood, in the hope that it will prevent a heart
attack from happening in the first place. They are the most commonly
prescribed drug in Britain, with more than 55 million statin
prescriptions dispensed last year.

John
returned and he was elated. For the first time in months his chest
pains had gone. But he now had a new concern: his GP had since told him:
‘You must never stop your statin!’

He was confused. But I was
steadfast: he shouldn’t be on the drugs. In fact, I often stop patients
taking statins when I believe they are causing distressing side effects,
which happens in about one in five of those I see. It may seem
cavalier. But in such cases – and there are many thousands – statins do
more harm than good. And it is possible to control cholesterol through
diet alone, as actress Michelle Pfeiffer says she has done.



Statin free: Michelle Pfeiffer controls her cholesterol with a diet

BENEFITS ARE OVERPLAYED
Statins
do what they claim to: they lower cholesterol. But increasingly the
medical profession is discovering that the health benefits of lower
cholesterol have been exaggerated.
Two
recent studies have cast serious doubt on early clinical trials into
statins in the 1980s. These trials overplayed how good for us they could
be, which contributed to a culture of over-prescribing the drug. The
studies also suggested significant side effects of statins may have been
underplayed.
Last month one
of the world’s most respected sources of medical information, the
British Medical Journal, presented serious doubts. According to its
report, GPs have put an extra three million people on statins in the UK
over the past ten years – and have received extra funding for meeting
these targets.
Yet we have
seen no obvious benefit in either a reduction in diagnoses of heart
disease. There has, though, been a 40 per cent reduction in the number
of heart attack deaths. But while statin prescriptions may have played a
role, there have been no studies that prove this link.
Studies
have shown a connection between reduction in deaths and the now-routine
practice of undergoing emergency angioplasty as soon as someone suffers
a heart attack – unblocking the artery with a stent or balloon through
keyhole surgery.
Another
known cause for reduction in heart disease mortality is that far fewer
people are smoking today than 30 years ago. The number of smokers has
dropped from approximately 40 per cent of the population in the 1980s to
20 per cent now.
There was
a dramatic 17 per cent reduction in heart-attack hospital admissions in
2007, a year after the ban on smoking in indoor public places was
introduced. It has also been consistently shown in studies over the past
few decades that aspirin taken at first indication of a heart attack
reduces deaths – as does a daily low dose after an attack.
DASHED HOPES
What
of the early hopes that statins would cut cardiac disease by 30 per
cent? A 1995 study suggested they would, but the number of sufferers has
increased from about eight per cent of the adult population in 1995 to
12 per cent today.
Last
month the Annals Of Internal Medicine reported that 20 per cent of those
on statins suffered a significant side effect – muscle pains, stomach
complaints and memory disturbance – far higher than the one per cent
that was first suggested by drug companies.
STOP FOR TWO WEEKS
So
what next for millions reading this who are on statins? If you have no
trouble with them, there is no reason to stop. But if you, like John,
are suffering discomfort, you should consider stopping them for a trial
period of two weeks.
Start by seeing your GP to tell them what you are experiencing, and ask: ‘Could this be a side effect of the statins?’
They
should be able to tell from your history whether this is the case.
Stopping a statin short term won’t harm you and you will know within ten
days or so whether it was causing the problem as that is how long it
usually takes for side effects to wear off.
If
a GP refuses, sometimes your cardiologist can speak to them, as I have
done. John’s doctor eventually agreed. Even if they refuse, and offer a
lower dose, this might reduce or halt the side effects, so it’s worth
trying.
DIET IS KEY
My
advice to John was to follow a Mediterranean diet. The evidence shows
that for those who have suffered a heart attack, consuming olive oil,
nuts, oily fish, plenty of fruit and vegetables and a moderate amount of
red wine is almost three times more powerful a lifesaving tool than
statins.
A recent study
involving 7,500 people over the age of 55 at high risk of heart disease
revealed that a Mediterranean diet was better than a low-fat diet in
reducing the risk of heart attack and stroke. John’s cholesterol wasn’t
high in the first place, but he’s lost weight and says he feels better
than ever.
Ultimately, we
all have to decide how we treat our own bodies. People should trust
their doctor’s advice but there is a culture of over-prescribing – that
is why the BMJ is running a campaign, Too Much Medicine, which aims to
reduce over-diagnosis and over-treatment.
Interventions
that focus on lifestyle – stopping smoking, losing weight, eating a
balanced diet and exercising regularly – will have the greatest impact
on our health.
As doctors, we can try to rescue people from drowning – but it’s better that they don’t fall into the river in the first place.


Source:-
http://www.dailymail.co.uk/health/article-2322979/Suffering-statins-Stop-taking-Cholesterol-busting-medicines-causing-harm-good-heart-specialist-warns.html