durtydave2000 replied: "40mg a day dose gave me constipation and as directed to take at night gave me sleeping problems,with or without I am the same grumpy old git,your fathers condition is more to do with age I am afraid"
Zeep replied: "I sympathize with you and your father. I've had a parent with dementia, and it's difficult.
As a son, I tend to think the way you are - what have they done to make him deteriorate, and is it this drug?
As a scientist, I think objectively that there are many reasons dementia can get worse, that we probably don't usually know why, and that keeping cholesterol down might help slow down dementia by reducing atherosclerosis and getting more blood flow to the brain. I also think, though, that old folks have a lot more side effects to many drugs, which often have to be given to them at lower doses.
As a human, I think you're between a rock and a hard place trying to get good information from the web. The manufacturer's site will give you the prescribing information if you go to the area for professionals and download the PDF, and may tell something useful. But otherwise it's going to be positive. Websites about personal experiences with drugs tend to be full of nutballs who think all their problems are due to their prescriptions, and there's just no evidence one way or the other. You may get a lot of common wisdom in a forum for people caring for relatives with dementia, but some of it may be dead wrong. The main thing you'll find there, I think, is emotional support.
Personally, though, if it was my father and I noticed the deterioration happen at the same time as the change in prescription, I'd want them to just stop the prescription for a time and see if he improved, whether there's a scientific reason or not."
How long (months or weeks) should I take simvastatin and fenofibrates to lower my cholesterol & triglycerides? I already started taking both medicines. I had my blood chem last week. My triglycerides level is very high 318 MG/DL and cholesterol level is 220 MG/DL. HDL is low 32MG/DL. Also when should I have my next blood chem taken? Thanks.
ckm1956 replied: "You'll likely need them lifetime. Once you stop them, the levels go back up.
When to test depends on the patient Talk to your doctor, but it could be every 1 - 3 - 6 months."
Is anyone taking Simvastatin and having side effects? It is the generic form of Evista for cholesterol. ? I am very sore in the lower back and stomach and it hurts to breathe. I am wondering if it is from this pill.
Jayaraman replied: "Yes- I have taken Simvastatin daily and regularly for 4 years for my cardiac and Cholesterol problems. I too have noticed back pain, body pain and pain in the leg joints. On reporting this he has changed the medication and given Storvas - another Vastatin group (Atovastin Calcium tablets) medicine but the problem continues.
If you have more of the pain it is better you consult your doctor and let him give some alternate medication. However please note the side effects of Simvastatin as under and report if it is severe.
Side effects that you should report to your doctor or health care professional as soon as possible:
• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• dark urine
• fever
• joint pain
• muscle cramps, pain
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• trouble passing urine or change in the amount of urine
• unusually weak or tired
• yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• constipation
• heartburn
• stomach gas, pain, upset -"
gangadharan_nair replied: "Simvastatin is used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of cholesterol (a fat-like substance) and other fatty substances in your blood. Simvastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing the production of cholesterol in the body.
Buildup of cholesterol and fats along the walls of your arteries (a process known as atherosclerosis) decreases blood flow and, therefore, the oxygen supply to your heart, brain, and other parts of your body. Lowering your blood level of cholesterol and fats may help to decrease your risk of heart disease, angina (chest pain), strokes, and heart attacks. In addition to taking a cholesterol-lowering medication, making certain changes in your daily habits can also lower your cholesterol blood levels. You should eat a diet that is low in saturated fat and cholesterol, exercise 30 minutes on most, if not all days, and lose weight if you are overweight.
Simvastatin may cause side effects. Tell your doctor if this symptom is severe or does not go away:
* constipation
If you experience the following symptoms, call your doctor immediately:
* muscle pain, tenderness, or weakness
* lack of energy
* fever
* yellowing of the skin or eyes
* pain in the upper right part of the stomach
* nausea
* extreme tiredness
* unusual bleeding or bruising
* loss of appetite
* flu-like symptoms
* rash
* hives
* itching
* difficulty breathing or swallowing
* swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
* hoarseness
Raloxifene is used to prevent and treat osteoporosis (condition in which the bones become thin and weak and break easily) in women who have undergone menopause (change of life; end of menstrual periods). Raloxifene is also used to decrease the risk of developing invasive breast cancer (breast cancer that has spread outside of the milk ducts or lobules into the surrounding breast tissue) in women who are at high risk of developing this type of cancer or who have osteoporosis. Raloxifene cannot be used to treat invasive breast cancer or to prevent invasive breast cancer from coming back in women who have already had the condition. Raloxifene also cannot be used to decrease the risk of developing non-invasive breast cancer. Raloxifene is in a class of medications called selective estrogen receptor modulators (SERMs). Raloxifene prevents and treats osteoporosis by mimicking the effects of estrogen (a female hormone produced by the body) to increase the density (thickness) of bone. Raloxifene decreases the risk of developing invasive breast cancer by blocking the effects of estrogen on breast tissue. This may stop the development of tumors that need estrogen to grow.
Raloxifene may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
* hot flashes (more common in the first 6 months of raloxifene therapy)
* leg cramps
* swelling of the hands, feet, ankles, or lower legs
* flu-like syndrome
* joint pain
* sweating
* difficulty falling asleep or staying asleep
Some side effects can be serious. If you experience any of the symptoms mentioned in the IMPORTANT WARNING section, call your doctor immediately.
Raloxifene may cause other side effects. Call your doctor if you experience any unusual symptoms while you are taking this medication.
Please see the web pages for more details on Simvastatin and Raloxifene (generic name) Evista (brand name).
Consult your doctor."
Why the statins (simvastatin and other lypodecreasing drugs) are prescribed to be taken before bed time? I mean why is it better to take statins before bedtime (at evening) than at morning. F.e. the h2-blockers are taken at evening because more hystamin is secreted at night so the effect of the drug will be better. So what effect of the statins will be better if they r taken at night?
muddypuppyuk replied: "Other factors include once a day doses that might or do cause drowsiness to be taken at night, or drugs that react with foods to be taken when one is not going to be eating, such as bed time."
vv replied: "The reason that the earlier available statins were recommended for use at night was because they had relatively short half lives, and bedtime administration worked best because in most people cholesterol biosynthesis takes place in the early morning hours.
However that is not the case with Lipitor, Crestor or Pravachol, since they have half lives of 19-22 hours and therefore morning admiistration would be more suitable."

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