When Discontinue Statin Elderly?

When Discontinue Statin Elderly?

In a large study, researchers report that withdrawal of statins from elderly people receiving a variety of other drugs was linked to a higher risk of hospital admission for heart failure and any cardiovascular outcome, as well as death from any cause.

When should elderly stop taking statins?

Dr. Guy L. Mintz, director of cardiovascular health and lipidology at Northwell Health’s Sandra Atlas Bass Heart Hospital in Manhasset, New York, says the study reinforces that older adults shouldn’t stop taking their statin just because they reach the “magic age” of 75.

When should you discontinue statin?

“To patients, we would say that if you regularly take statins for high cholesterol, we would recommend you don’t stop the treatment when you are 75,” emphasized lead researcher Philippe Giral, MD, PhD, an endocrinologist and specialist in prevention of CVD.

Are statins effective after age 70?

Another consideration for this study is that while analyzing medical records for a large population can provide evidence of a drug’s benefit, only a well-designed clinical trial can provide definitive evidence that statin therapy is safe and effective in adults 75 and older.

When do you stop statins for primary prevention?

While a shared decision-making process is still recommended, older adults may benefit from statin therapy well beyond age 75 years, and it is reasonable to consider continuation of statin therapy for primary prevention in all older adults [8].

Is it OK to stop taking statins for a week?

You usually have to continue taking statins for life because if you stop taking them, your cholesterol will return to a high level within a few weeks. If you forget to take your dose, do not take an extra one to make up for it. Just take your next dose as usual the following day.

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Can you stop statins cold turkey?

It’s possible for some people to stop taking statins safely, but it can be especially risky for others. For instance, if you have a history of heart attack or stroke, it’s not recommended that you stop taking these drugs. This is because you’re more likely to have another such problem when you discontinue statins.

Should an 80 year old take statins?

Adults age 75 and older may not need statins. Their doctors usually prescribe statins to prevent heart disease. But for older people, there is no clear evidence that high cholesterol leads to heart disease or death.

What if I quit taking statins?

Stopping your statin has been linked to increased risk for cardiovascular events (like heart attack) and death in patients with coronary artery disease. In a recent 8-year study, more than half of patients stopped their statin believing they were experiencing a side effect.

What happens if I stop taking statins?

You won’t get any withdrawal symptoms. However, stopping atorvastatin may cause your cholesterol to rise. This increases your risk of heart attacks and strokes. If you want to stop taking your medicine, it’s important to find another way to lower your cholesterol.

Why you should never take statins?

Very rarely, statins can cause life-threatening muscle damage called rhabdomyolysis (rab-doe-my-OL-ih-sis). Rhabdomyolysis can cause severe muscle pain, liver damage, kidney failure and death. The risk of very serious side effects is extremely low, and calculated in a few cases per million people taking statins.

What is the best statin for the elderly?

Atorvastatin or fluvastatin are usually recommended because there is no need to adjust the dose according to the glomerular filtration rate [28]. In patients without diagnosed atherosclerotic cardiovascular disease, it is indicated a moderate dose of statin, such as atorvastatin 20 mg daily [28].

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Do statins shorten your life?

“The study showed that taking statins for 6 years reduced death from cardiovascular disease by 24 percent, and overall mortality by 23 percent.”

Why are doctors pushing statins?

A study published Monday is pushing back against the notion that up to 40 percent of Americans should be taking statin drugs to reduce the risk of heart disease. The study, in the Annals of Internal Medicine, argues that current medical guidelines haven’t adequately considered the risks from these widely used drugs.

When do you start statin guidelines?

This guideline states “In adults 40 to 75 years of age without diabetes mellitus and with LDL-C levels ≥70 mg/dL (≥1.8mmol/L), at a 10-year atherosclerotic cardiovascular disease risk of ≥7.5 percent, start a moderate-intensity statin if a discussion of treatment options favors statin therapy.”

Are statins related to Alzheimer’s?

Statins have been linked with reduced risk of all-cause dementia and even Alzheimer’s disease as well. It is possible that statins are affecting Alzheimer’s pathology directly [67].

Alice Sparrow

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