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  • Websites advertising cholesterol-lowering drugs of poor quality

    Feb 02, 12 Drug News

    A new study published in the journal Pharmacoepidemiology & Drug Safety reveals that internet sites selling prescription Statins directly to consumers are widespread, and that most websites advertising Statins for sale to the general public contain very poor levels of information relevant to safe use of the medicine and side effects.

    Researchers led by Professor David Brown, School of Pharmacy and Biomedical Sciences, University of Portsmouth, simulated a customer search and evaluation of 184 retrieved sites using evaluation tools focusing on quality and safe medicine use.

    Results showed that a potential purchaser of Statins is likely to encounter websites from a wide geographical base of generally poor quality.

    General contraindications were absent in 92.4% of sites and contraindicated medicines were absent in 47.3%. Key warnings on the appearance of symptoms associated with myopathy, liver disease, hypersensitivity and pancreatitis were absent in 37, 48.4, 91.3, and 96.2% of sites respectively.

    Most websites presented a chaotic and incomplete list of known side effects; just 13 (7.1%) presented a list compatible with current prescribing information. Only two thirds (65.8%) attempted to describe any side effects in lay language.

    What are statin side effects?

    Muscle pain and damage
    The most common statin side effect is muscle pain. You may feel this pain as a soreness, tiredness or weakness in your muscles. The pain can be a mild discomfort, or it can be severe enough to make your daily activities difficult. For example, you might find climbing stairs or walking to be uncomfortable or tiring.

    Very rarely, Statins can cause life-threatening muscle damage called rhabdomyolysis (rab-do-mi-OL-ih-sis). Rhabdomyolysis can cause severe muscle pain, liver damage, kidney failure and death. Rhabdomyolysis can occur when you take Statins in combination with certain drugs, or if you take a high dose of Statins.

    Liver damage
    Occasionally, statin use could cause your liver to increase its production of enzymes that help you digest food, drinks and medications. If the increase is only mild, you can continue to take the drug. If the increase is severe, you may need to stop taking the drug, which usually reverses the problem. Your doctor might suggest a different statin.

    If left unchecked, increased liver enzymes may lead to permanent liver damage. Certain other cholesterol-lowering drugs, such as gemfibrozil (Lopid) and niacin, increase the risk of liver problems even more in people who take Statins. Because liver problems may develop without symptoms, people who take Statins should have their liver function tested about six weeks after they start taking Statins, and then again every three to six months for the first year of treatment, particularly if their statin dose is increased, or they begin to take additional cholesterol-lowering medications.

    Digestive problems
    Some people taking a statin may develop nausea, gas, diarrhea or constipation after taking a statin. These side effects are rare. Most people who have these side effects already have other problems with their digestive system. Taking your statin medication in the evening with a meal can reduce digestive side effects.

    Rash or flushing
    You could develop a rash or flushing after you start taking a statin. If you take a statin and niacin, either in a combination pill such as Simcor or as two separate medications, you’re more likely to have this side effect. Taking aspirin before taking your statin medication may help, but talk to your doctor first.

    Neurological side effects
    Some researchers have studied whether Statins could be linked to memory loss or amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease. Researchers have not found a link between statin use and either condition.

    “Websites offering Statins for sale contain little information on the safety of these drugs, which are intended as prescription only medicines” Brown notes. “There is an inherent danger in patients seeking to self-medicate in this way without consulting a healthcare professional and being appraised of ways to use the medicine safely.”

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    Amy Molnar
    .(JavaScript must be enabled to view this email address)
    Wiley-Blackwell

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