Statins are medicines that help with your cholesterol. Cholesterol is a type of fat in your blood. If you have too much of this fat, it can build up in blood vessels. This raises your risk of heart disease, heart attack, and stroke.
Many people with diabetes take statins. Diabetes can cause problems in your body that may also lead to heart disease. That means your risks of heart attack and stroke are higher when you have diabetes. Statins can lower your risk.
Your doctor may prescribe a statin if:
Statins may help people with diabetes at other ages too. Your doctor can help you decide if statins may help you.
The goal in treating cholesterol is to lower your chance of having a heart attack or a stroke. The goal is not to lower your cholesterol numbers alone.
The following guidelines are from the American College of Cardiology and the American Heart Association.
The two main types of treatment are:
The way you choose to lower your risk will depend on how high your risk for heart attack and stroke is. It will also depend on how you feel about taking medicines. Your doctor can help you know your risk. Your doctor can help you balance the benefits and risks of your treatment options.
A heart-healthy lifestyle is always important, even if you take medicines to lower your risk.
To be heart-healthy:
You and your doctor can work together to understand your risks and what treatment is best for you. Your doctor may recommend that you take statins if the benefits outweigh the risks.
Your doctor is likely to strongly recommend statins if you:
Your doctor is likely to recommend statins if:
For some people, it's not as clear if they would benefit from a statin. To help you decide, you and your doctor can look at your overall health and any other risks you have for heart attack and stroke.
When deciding about medicines, you and your doctor may think about:
Your doctor may talk with you about also taking a cholesterol absorption inhibitor or a PCSK9-inhibitor. These medicines can also reduce the risk of heart attack and stroke for some people. These medicines may be taken along with a statin.
Other medicines can improve cholesterol and triglyceride levels, but they have not been proven to lower the risk of a heart attack or a stroke. These medicines include bempedoic acid, bile acid sequestrants, fibric acid derivatives, and nicotinic acid (niacin).
Watch closely for changes in your health, and be sure to contact your doctor if:
If you have an aortic aneurysm, you may be at risk for heart problems. You may take medicine to help lower blood pressure and cholesterol. Having high cholesterol increases your risk of atherosclerosis, which can cause aortic aneurysms and other conditions, such as coronary artery disease and stroke.
Here are some examples of statins. For each item in the list, the generic name is first, followed by any brand names.
This is not a complete list of statins.
Some people who take statins report that they have more muscle aches. But it's not clear whether these are actually a side effect of statins. Most side effects will go away if you stop taking the medicine. You may have other side effects not described here. Check the information that comes with your medicine.
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