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Article Series: Heart Health
I Want A Healthy Heart!
How
Cholesterol Medications Work
High cholesterol is a growing concern for
many people. You or someone you know may have been diagnosed
with high cholesterol and prescribed medication to treat it.
And while these medications can be lifesaving, it’s important
to understand how they work and what side effects you may encounter.
Most of the time, your physician will ask you to make lifestyle
changes before prescribing a medication. For many people a
change in diet or exercise program will automatically lower
cholesterol levels.
However, if a lifestyle change doesn’t work or if you have
a hard time committing to a lifestyle change, you may need
to take a cholesterol medication. There are five major types
of cholesterol medications your doctor may have prescribed.
The
first is niacin. This is used to help raise HDL and lower
LDS and triglyceride. It does this by targeting the liver.
Some side effects include stomach upset, flushing, and itching.
It can also raise your blood sugar levels, so you need to monitor
them especially if you have diabetes.
Statins are another type of drug that also work by targeting
the liver. They help to reduce LDL and are moderately good
at increasing LDL. The side effects of this type of drug are
very mild and they usually go away with continued use. But
your doctor may want to monitor your liver function because
rare complications can occur with the liver.
Another class of drug called resins actually works by targeting
the intestines. It binds to bile in the intestines, which causes
your liver to produce more bile. As a result, the extra bile
bind to cholesterol and helps to dispose of it so there’s less
in your blood.
Fibrates work to lower your triglyceride levels and can also
help to raise HDL. They don’t actually do much to lower your
LDL, so they’re often used in combination with other drugs.
The final type of drug is relatively new. It’s called a selective
cholesterol absorption inhibitor. They work to help keep cholesterol
from being absorbed by the intestines – so it can’t get into
the bloodstream. These are mostly effective at lowering LDL
cholesterol.
All medications carry some risks and side effects. Speak with
your doctor and pharmacist about the specific drugs that have
been prescribed for you. Make sure to make any lifestyle changes
recommended for the medications and follow up with the appropriate
screenings. Medication can be a great option if lifestyle alone
won’t help to reduce your cholesterol, but you must follow
proper safety practices.
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