Friday, October 04, 2013

Statins May Not Harm Memory, Thinking

Here's some good, if preliminary, news for the millions of people who take statin drugs to  
lower their cholesterol: A new review of existing research finds no evidence that the 
medications pose a risk to brainpower.

Instead, the review suggests that statins may actually lower the risk of dementia
although the researchers say that's not certain.

The findings, which contradict a warning label required by the U.S. Food and Drug 
Administration (FDA), aren't conclusive. And a physician who specializes in blood 
vessel disorders said it remains wise for doctors to take patients off the drugs or switch 
them if there are signs of cognitive (or "thinking") problems.

Still, the new findings are "very reassuring," said study co-author .
At issue are the statin drugs -- including well-known medications such 
as Zocor and Lipitor -- that doctors prescribe to patients with high cholesterol. In 2012, 
the FDA warned consumers that "cognitive (brain-related) impairment, such as memory 
loss, forgetfulness and confusion, has been reported by some statin users." Warning 
labels appeared on the drug packaging, too.

While the brain-related problems appeared to be quite rare, "the message received by a 
lot of folks was that this is a big worry that people need to go in and talk to their 
physicians about," he said.

Researchers decided to look at every related study they could find to get a wide view of 
the possible risk. They then focused on research they considered to be of high quality.
Based on eight studies, the investigators didn't find evidence that patients who take the 
drugs in the short term face a higher risk of brain-related problems. "We found no reason 
for physicians to be concerned," said study lead author , an internal medicine physician.

Five of eight studies involving patients who took the drugs for at least a year (and even 
as long as 25 years or more) found that they actually had lower risks of dementia. Three 
studies focused specifically on Alzheimer's disease. When findings were combined, the 
studies suggest that one in 50 people may gain a reduction in dementia risk by taking 
the drug for an average of six years.

It's not clear, however, if the statins are directly responsible for the difference in 
dementia risk.

The new review did not receive any drug industry funding.
 A professor of clinical medicine  and a specialist in blood vessel disorders, said it 
remains clear that "statins do more good than harm."

The review appears to be valid, but the studies themselves may miss small changes in 
the brainpower of patients, said a Dr., who was not involved with the new research.
If a patient appears to have cognitive problems, she said, it's "safe and reasonable" to 
remove the medication for a few weeks and see what happens. If the patient's cognition 
improves, another statin might be appropriate.

Why might statins affect the brain either positively or negatively? On one hand, she
said, "what's good for the heart is usually good for the brain." But there could be other 
effects, she said, that aren't yet understood.

ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.
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