Statin discontinued due to neuropathy. What are some alternatives?

Posted by Nazir Khan @nukhan, Jan 19, 2020

I have been using Lipitor since 2007 for lowering my cholesterol which is on the list of those medicines that are suspected to cause neuropathy. I am thinking of discontinuing this menace but before doing so want to check with those members who have discontinued using statin and what is their experience. What alternative methods have they since adopted for lowering their cholesterol .. diet, alternative medication, exercise or anything else ?

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Such a vicious cycle! I sympathize with your situation, but can't really say what I would do as I'm as unsure as you probably are. I do have a couple of comments to make. First . . . there is plenty of research showing that statins do exacerbate and or cause peripheral neuropathy. Shame on doctors for denying that. Mine gave me the line, "I have hundreds of patients on statins that don't have neuropathy."
Second . . . I volunteered for a DNA sampling program a few years ago and received a message back that I had a "defective gene". It was a gene that causes muscle pain due to the accumulation of certain medications; specifically statins! It is a thing! And I would guess it could run in families since it is a gene. Google it!
Lastly, for someone who now sees what happens when you start taking meds for one problem (only to need more meds to solve the issues created by the first one) I am surprised you accepted the gabapentin. I assume you were desperate, but with a bit of research into the subject, you might find solutions to some of the neuropathy issues without it. There is a lot of evidence that gaba is addictive and that it requires higher and higher doses to remain effective. I've read articles about people who went off gaba, literally going thru withdrawn pain, only to find later that once they were off most of the symptoms resolved. Just something to look into. Interestingly, my neurologist (and other doctors) keep offering me gabapentin even though I told them I do not have pain. I guess they just feel they're helping in some way if they can give you a medication.
Lastly, I still wonder just how damaging this so called "high cholesterol" really is as long as we stay heathy and active. I was ranging between 250 and 280 for about 25 years. Had a cardiac calcium scan done at age 68 and it showed zero occlusion in my arteries. I resisted the statins until my levels got up to almost 300. When I did start the rosuvastatin I was able to keep my total cholesterol down to 200 by taking only 5mg every other day! So, at that small dosage the muscle pain is mostly non existent now. I understand that the Repatha is much better in that respect as well.
Anyway, those are just my thoughts!

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I am a 69 year old female who has always had a normal BMI and a good fitness level. My labs have always been completely normal except for the lipids. I am on the athletic side. I am a life long exerciser. The only prescriptions I have ever taken on a regular basis are for HRT, which I started in my early fifties and continue to take.

I have resisted my doctor's urging me to take statins for years, as I have very high cholesterol. Male family members have taken statins and continue to take them while enduring long term muscle pain and muscle wasting. My father died at 53 from a heart attack, and his father at 60-so I can understand their risk/benefit analysis.

I was finally bullied into starting statins by my husband and several doctors last year. I started Rosuvastatin in March 2024 and experienced crippling muscle pain in my legs the following summer. I was eventually switched to Atorvastatin . Within 2 weeks of starting this statin I developed neuropathy in my hands and feet which greatly interfered with my sleep. On one day only, I experienced the tingling all up and down both arms and legs as well. This was a ghastly and very frightening experience. The neuropathy has been intermittent since, and limited to my hands and feet with an odd shooting tingly in other random spots, very occasionally.

Doctors dismissed the muscle pain and the neuropathy as extremely likely to be unrelated to the two statins. One said that there is absolutely no evidence that either statin causes these conditions. I feel like I am being gaslighted.

I discontinued the second statin. I was also starting to see my glucose numbers rise, but they were still in range

Now I am taking Repatha for cholesterol and gabapentin for the nerve pain. I see a neurologist for the nerve pain and will be undergoing further testing. She prescribed the gabapentin. I am taking 300 mg at bedtime. The worst side effects from these are fatigue, though I do get tremendously good sleep since starting the gabapentin-which is why she prescribed it. The gabapentin makes me very relaxed and limits my interest in exercising, although I am much calmer and less type A than I was prior.

My glucose A!c hit 6 on my blood work last week. I was consistently in the mid 5s for many many, years prior to starting stains and Repatha. I have read that medication induced diabetes may be irreversible, and I find that very scary. My energy levels are quite low and my weight has been rising rapidly. I am up from 135 to 153 since March 24. I am 5'2. None of my clothes fit and my lifelong motivation to exercise has waned.

Now the doctor in cahoots with my husband are recommending Zepbound for weight loss and blood sugar control.

I am thinking I would rather stop all these medications and just live with high cholesterol.

Anyone with similar experience?

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If you have muscle aches due to a statin (not unusual) try a supplement called CoQ10. I use the Qunol brand which I get from Amazon.
If you want to quit statins altogether while keeping your LDL cholesterol under control there is a new class of drugs called PCSK9 inhibitors. I take incliseran (brand name, Leqvio) which is a subcutaneous injection every 6 months. The drug is expensive and your doc has to apply to your insurance and make a case as to why you need it. Merck is coming out with a PCSK9 inhibitor in pill form.

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@eunice1

I am an 80 year-old female, actually almost 81 have always been very active in volunteer work and other work. I didn’t expect my old age to look like this. I’ve had back surgery. I can deal with that but the neuropathy in my feet and my lower legs ache. It takes a couple hours before I can even get around. I’m wasting so much time. I want to be in Chair yoga and water therapy but I just can’t get my act together. I’m so glad to be following you. Any comments you have for me I would really appreciate.

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Eunice, if you can find either one of those classes nearby just do it! One time and you will be hooked, so motivating will not be a problem.
I am 75 and in a similar situation as you. I wish I could afford to join the YMCA for the water classes, but just can't. However, I joined a Chair Arthritis class and it is perfect. It doesn't deal directly with Arthritis, just generic movement. I wish I could make myself do it everyday, but need the motivation of a teacher and class, I guess. This is at a local Senior Center, which provides all kinds of activities. The chair workout is my favorite. Just seems like the right amount of movement without the stress of being on my feet and jumping around.
Try it, if you can find something nearby (if it's too far or too much trouble, I probably wouldn't commit.)

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@tbucksr

Please, try a foot soak. Fill with water, a couple cups of vinegar, a couple cups of Epsom salt. After soaking pour some baking soda on. It's not a cure but a relief. Let me know if it does anything for you. I do it before bedtime. If the burning persists i roll a frozen water bottle under each foot. I feel your pain. Retired and 68 and have had idiopathic neuropathy for about two years now. No known reason. I've tried all of the buy one bottle for $79 or 6 for $39 ea. Don't work for me. I did find ground cayenne pepper and baking soda a half teaspoon each in a shot of water helps. Again, not a cure.

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Hello @tbucksr, Welcome to Connect. Thanks for sharing what helps with your idiopathic neuropathy. If you haven't already seen the list of complementary and alternative therapies for neuropathy, the Foundation for Peripheral Neuropathy keeps a pretty comprehensive list that might be worth taking a look - https://www.foundationforpn.org/therapies/.

What are the symptoms that bother you the most?

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@eunice1

I am an 80 year-old female, actually almost 81 have always been very active in volunteer work and other work. I didn’t expect my old age to look like this. I’ve had back surgery. I can deal with that but the neuropathy in my feet and my lower legs ache. It takes a couple hours before I can even get around. I’m wasting so much time. I want to be in Chair yoga and water therapy but I just can’t get my act together. I’m so glad to be following you. Any comments you have for me I would really appreciate.

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Welcome @eunice1, You are not alone! It's great to see that you are proactive in dealing with your neuropathy symptoms. Learning as much as you can about the condition and what might provide some relief is the best thing we can do to help ourselves. If you haven't seen the Foundation for Peripheral Neuropathy site, you might want to bookmark it for frequent sessions - https://www.foundationforpn.org/living-well/.

You might also find it helpful to scan through the search results of Connect for "neuropathy what helps" - https://connect.mayoclinic.org/search/?search=neuropathy+what+helps.

One of the things that helps me get going in the mornings is setting a regular time for going to bed at night. I know it's difficult when you have neuropathy but do you try to maintain a regular daily sleeping routine?

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I am an 80 year-old female, actually almost 81 have always been very active in volunteer work and other work. I didn’t expect my old age to look like this. I’ve had back surgery. I can deal with that but the neuropathy in my feet and my lower legs ache. It takes a couple hours before I can even get around. I’m wasting so much time. I want to be in Chair yoga and water therapy but I just can’t get my act together. I’m so glad to be following you. Any comments you have for me I would really appreciate.

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@kjdrak01

I had an issue with Crestor. My doctos office recommended berburine. Natural prodoct. I haven't used it yet, but intend to try it.
Vibrant Health is where I go.

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Hello,
My only advice is to be highly careful with trying anything new as your body may react to it differntly from anyone else. Please dig deep into medical research about it and not rely on what the general internet says about it.
I am saying this because my primary care physician told me back in February of this year to stop everything I was taking including cholesterol medication and vitamin supplements.
Best wishes.
Take care and have a serene night,
gus

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I had an issue with Crestor. My doctos office recommended berburine. Natural prodoct. I haven't used it yet, but intend to try it.
Vibrant Health is where I go.

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@suzmccl

I was a perfectly healthy person when I retired. Three months after retirement one of the cervical discs in my neck moved to rest on a nerve that caused pain you cannot live with, thus the need for surgery. the neuropathy in my shins and feet started five months after my ACDF surgery to fuse three discs in my neck. It takes up to 6 months for those discs to fuse, oddly coincidental. My surgeon shrugs and puts me on gabapentin. I have tried many things for this neuropathy. Some creams and sprays give you relief for a short while. I sleep with flexible ice packs on top of my covers every night because the COLD from them deadens the burn some. I also use sleep aid occasionally when I need a good 6-hr sleep.
I've had all the neurology and circulation tests there are available. They were all negative, nothing shows up 'wrong'. But my 'ON-FIRE' legs and feet are very real every night when I lay down to sleep. I'm usually very active all day and wear all the correct shoes. The neurologist increased my gabapentin even though all my tests were negative. I took myself off of gabapentin shortly after. All it does is mask the burn a little and make me feel so drugged that it changes my lifestyle. It also adds so much cramping in my calves, feet, and toes all night long.
The timing of this neuropathy is odd, and somehow related to my surgery five months prior.
So.... next I have an appointment to start going to a clinic called "New Promise Neuropathy" for treatments that have shown results for some people. I'm only 70 years old, not diabetic, about 20 lbs overweight since my surgery, otherwise healthy my whole life. After several weeks of treatments, my next thing to try might be a low-does anxiety or antidepressant drug to see if stress is a factor or trigger. I can't imagine living with this for the rest of my life, so I am not willing to give up researching a way to make it better. I still feel so young.
Good luck to all of you with neuropathy, it's not fun! But also, by comparison to some others' issues, I don't like to complain much!

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Please post if treatments at new clinic works for you!
A friend who's being treated for arthritic pain told me there is a setting on their ortholazer machine for peripheral neuropathy.....her treatments are quick, painless, and work for her!

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