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Deprescribing · Statins · Cholesterol · Medication Review

The decision to start a statin should be revisited. Most never are.

Statins are prescribed based on a cardiovascular risk calculation at a specific point in time. That risk changes. Weight changes, lifestyle changes, age changes the calculation. Whether the original decision still holds deserves a proper clinical answer.

Full page coming soon
What this page will cover

The clinical case for a proper step-down plan.

Primary vs secondary prevention

The clinical case for statins is strongest in secondary prevention. In primary prevention, the risk-benefit calculation is more nuanced and more personal.

Statin-associated muscle symptoms

Myalgia, myopathy, and rhabdomyolysis: the spectrum of muscle side effects, how common they actually are, and what the options are.

Switching vs stopping

Atorvastatin vs rosuvastatin vs pravastatin: different potency, different side effect profiles. Sometimes switching resolves symptoms without stopping.

The cholesterol debate

LDL, non-HDL, ApoB, and what each actually tells you about cardiovascular risk. What to ask for at your next blood test.

When stopping is appropriate

The clinical conditions in which statin deprescribing is genuinely warranted: frailty, limited life expectancy, primary prevention with low absolute risk.

CoQ10 and muscle symptoms

The evidence for coenzyme Q10 in statin-associated myopathy, what it shows and what it doesn't.

In the meantime, if you have questions before this page is complete, contact the practice directly, or book a consultation online. Every enquiry is reviewed personally by Dr Dan Reardon.