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Statins

Also called: Super Statins, HMG-CoA Reductase Inhibitors

- Summary
- About statins
- Potential side effects
- Drugs and other interactions
- Conditions of concern
- Ongoing research
- Lifestyle considerations
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Kerry Prewitt, M.D., FACC
Sumit Verma, M.D., FACC
Stephen J. Gulotta, M.D., FACC, FCCP, FACP

Pregnancy use issues with statins

Pregnant women or women planning to become pregnant in the near future are advised not to take statins. These medications block the formation of cholesterol, which is needed for the fetus to properly develop. If a woman becomes pregnant or thinks she might be pregnant while taking a statin, she should immediately contact her physician. Statin use during pregnancy could lead to birth defects.  Statins are also not recommended for women who are breastfeeding as the drug may pass into the breast milk and harm the baby.

Child use issues with statins

It has been reported that approximately 50 million children in the United States have high cholesterol levels. However, the United States Preventative Services Task Force does not encourage the routine screening of all young children because coronary heart disease tends to begin later in life.

The majority of clinical trials on the use and effectiveness of statins have been conducted on adults. A limited number of studies conducted have shown that these medications may be safe and effective for use in children under 18. However the long-term effects of such use have not been determined. In addition, appropriate doses have not been determined for use by children and the effectiveness of statins has not been compared to other lipid tools and medications in children. Recent findings have suggested that a prescribed regimen of vitamins C and E can help reduce the risk of atherosclerosis in children with abnormally high cholesterol levels.

Elderly use issues with statins

Statin use has been tested to determine safety and effectiveness in a limited number of older adults (age 65 and older). Researchers found no reason to believe that the use of statins in older adults causes any different side effects, risks or concerns than it does in younger adults. In fact, study results find that statins significantly reduce the rates of death and coronary events in elderly patients. This is an important piece of information since other research has revealed that statins are underused in the elderly population. There is some evidence to suggest that the risk of developing a severe complication called rhabdomyolysis is higher in elderly patients taking statins. However, this potentially fatal side effect is still extremely rare. Patients are encouraged to discuss their concerns with their physicians.

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Review Date: 02-05-2007
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