Statin Intolerance: What did you do?

Posted by tim1028 @tim1028, Jun 4, 2019

I've developed statin intolerance over the 6 months I've been taking daily 40 mg atorvastatin. I'd like to hear from those of you who also have statin intolerance about what your next steps were. Did you lower the dose of the same statin? Switch to another statin? Stop statins altogether? Other approaches?

In my case, I developed muscle weakness, energy loss, shortness of breath and noticeable brain fog. I've stopped the statin until I am able to discuss the issue with my PCP. I started to feel better after the statin had washed out of my system. Risk factors that indicate that I should be on a statin are low HDL and a high coronary artery calcium score.

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

@oldtex

I too could not tolerate statins, cardiologists switched me to red yeast rice 2/day with meals. Same ingredients as statins but less side effects. Check it out on the internet and you will find other advantages. He recommended the brand CHOLESTENE HPD 600 mg per pill. Its over the counter and on eBay.

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Hi there- I realize this is an older post, but I was wondering if you experienced any side effects while taking red yeast rice? Or if there's anyone out this who tried this in place of a statin, what was your experience?

This is frustrating; my dad is statin intolerant, but his "bad" cholesterol is going up since he had a severe stroke last year. Oddly, he had optimal cholesterol numbers before the stroke; the stroke is believed to have been caused by an inflammatory arthritis.

Because of the stroke he takes 100% of his food from a feeding tube =( This makes our options limited. He is already supplementing some of his formula with plant based formula, in hopes of getting some of the benefits from plant-based foods.

I was considering red yeast rice, but at least on the Mayo Clinic site, it indicates because it has similiar ingredients to statins, it might cause the same side effects.

Any advice or experiences would be appreciated. Thanks!

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Hi. I’ve taken 40 mg atorvastatin for at least 10 years and am EXTREMELY active so I put a LOT of stress on my muscles and joints.
Two suggestions: 300 mg of COQ10 per day……..and now the real difference maker. Quit all added sugar and processed food for a month and see if you don’t feel like a new person.
So…….clean meat and protein, whole grains, fruit, vegetables and legumes.
I did the COQ10 without the diet change and it helped me feel some better.
I went to the way of eating I am subscribing above and within 3 weeks I began waking up each day with no pain. What an epiphany.
Try it. And see.

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@realitytest

Two decades ago I saw the head of the Lipidology Clinic at Johns Hopkins. My two siblings and I have an inherited lipid disorder (a mouthful - familial hyperlipoproteinia ! I got the diagnosis from him.). My tryglicerides were well over 800 just for one.

He told me there was nothing to be done until they developed gene therapy - and for the meantime to take statins, that my body basically manufactured excess cholesterol.

Then he glanced at a textbook (I don't recall a computer involved LOL) and identified the type of the disorder he thought we had, plus the subtype. Said that perhaps if I lost weight, exercised, avoided all refined carbs and alcohol, I would improve.

I did all the above and sure enough my lipid panel decreased to an almost normal level. Since then I've been trying to continue this healthy behavior, though not quite making it on the carbs and alcohol, and have been battling the lipids panels reading. I'm the only sibling to avoid statins. (my parents took statins too).

Both brothers, one especially, developed rhabdomyalysis, one to the point it was damaging his kidneys. That brother had had a heart attack before age 40, and in fact, was scheduled for surgery (one or two stents, at least) when he passed away in his sleep last year. It was before the operation.

My cardiologist (seeing me mostly for AFIB) told me I HAD to start statins owing to my lipid creep - weight creep at the same time, not by coincidence. I pleaded with him to give me another chance, and he gave me six months at most.

I went on the KETO diet, bringing my weight down to very slender and he told me, my lipids results were "perfect". Hooray, no statins! (It was sheer hell to do without carbs so rigidly). He said the diet contradicted everything he'd learned in med school, but there was no contradicting the results. Now my weight has crept up again and though I haven't checked my labs yet, I'm back on KETO hoping and praying I can maintain it , while being always worried about the level of saturated fats I'm consuming.

Just bear in mind, you with inherited lipid issues, that there ARE behavioral approaches that may help you avoid statins (I also take several supplements high in Omega-3s ) . If you aren't sure, you might want to consult a super specialist - lipidologist - like me. Statins DO have side effects as this thread proves. One that especially motivated me to avoid them, is that they apparently contribute to dementia! My memory problems are already worrying, so that helped me make the needed effort.

Go for it!

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@realitytest, you may wish to join the discussions in this group:
- LCHF Living & Intermittent Fasting https://connect.mayoclinic.org/group/lchf-living-intermittent-fasting/

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My cholesterol was 282, I eat one serving of oatmeal everyday which took my cholesterol down to a little above 200. I cannot take statins with reflux. It took a few months to come down.

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Statins can be the lesser of 2 evils…

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@rosemarya

@gema98, High cholesterol is one of the symptoms with PBC / liver cirrhosis. Your hepatologist will be able to advise you. When my liver developed cirrhosis with my PSC, my cholesterol was high, too. That was 13 years ago, so please forgive me for not remembering if it was treated.

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I had autoimmune, NAFLD, PBC then cirrhosis diagnosis after biopsy last April then put on Ursodiol. That pretty much sums it up for treatment.

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@gema98

My Medicare Advantage plan would not pay for it, I am going to talk to my hepatologist about the cholesterol as I have PBC now cirrhosis when I see him I. April.

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@gema98, High cholesterol is one of the symptoms with PBC / liver cirrhosis. Your hepatologist will be able to advise you. When my liver developed cirrhosis with my PSC, my cholesterol was high, too. That was 13 years ago, so please forgive me for not remembering if it was treated.

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@irishpatti

I am also unable to take any statins due to severe adverse reactions. My cardiologist recommended Repatha but said special paperwork was needed because it was very expensive. I am 70 and on Medicare. How much does it cost per injection and what are the side effects? Never heard back from his office so apparently I wasn’t approved as he said they would call me and it’s been 8 months.

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My Medicare Advantage plan would not pay for it, I am going to talk to my hepatologist about the cholesterol as I have PBC now cirrhosis when I see him I. April.

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Thank you! I was not aware of this new drug. Will talk with my cardiologist about it. Looks like Novartis will try to get reimbursement here under part B Medicare which would make it more affordable.

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@irishpatti

Thank you! Glad you had good results with no side effects. I will continue to work on trying to find a way to get better coverage here. Have a great day!

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One last word: there is another drug on the market for cholesterol called Inclisiran. It is injected 2 times a year instead of every 2 weeks for Repatha. My doctor is considering that for me next year. Could ask your doctor about this newer drug.
Good luck.

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