Zum Hauptinhalt springen
Pink and white pills in heart shape on blue background

Wie kann ich Nebenwirkungen von Statinen vermeiden?

All drugs can cause side effects for some people, and statins taken to lower cholesterol are no exception. Dr Sarah Jarvis outlines the common short term side effects, what your doctor can do to help, and the serious side effects to be aware of.

Explore cholesterol treatment options

Erhalten Sie fachkundige medizinische Beratung bequem von zu Hause aus. Füllen Sie eine kurze Online-Konsultation aus, die rund um die Uhr verfügbar ist. Ihre Anfrage wird von einer in Großbritannien registrierten medizinischen Fachkraft geprüft. Für ausgewählte Behandlungen ist eine Lieferung am nächsten Tag möglich.

Was sind Statine?

Statins are medicines prescribed by doctors to lower the bad cholesterol (LDL) in your blood. High LDL levels can increase your likelihood of heart disease by contributing to the hardening and narrowing of your arteries. Statins work by reducing the amount of LDL your liver produces.

You may be prescribed statins if you have a diagnosis of heart disease, a family history of heart disease, or if your medical records suggest you have a high chance of developing heart disease.

What are the side effects of statins?

In the short term, the most common statins side effects are related to your digestive system.

Zum Beispiel:

  • Blähungen.

  • Durchfall oder Verstopfung.

  • Bauchweh.

Muscle pain and weakness

In the longer term, muscle, and sometimes joint aches, are probably the most troublesome side effect. They may affect up to 1 in 10 people taking statins, and they tend to be more common and more severe with higher doses.

Your doctor will be able to tell you if you are on a relatively high dose, depending on the type of statin you take.

If you have severe muscle aches and weakness you should see your doctor urgently or go to the nearest A&E. There is a very rare, but potentially very serious, side effect of statins called rhabdomyolysis - which can be life threatening.

This condition is when there is a breakdown of muscle tissue. When this happens substances like proteins, enzymes and electrolytes enter the bloodstream leading to problems such as kidney damage and heart rhythm abnormalities. One of the enzymes released - creatine kinase - is used as a marker in a blood test to check if you have this condition.

How to relieve statin side effects

These side effects usually settle within a few weeks and can often be reduced by starting on a lower dose and increasing as the side effects settle.

For instance, with simvastatin, while the standard dose is 40 milligrams, I usually tell my patients to take half a tablet for a few weeks and then increase to a whole tablet once any side effects have gone.

The biggest benefit from taking a statin comes from the initial dose - you don't get a doubling of the reduction in your cholesterol by doubling the dose. In fact, every doubling of the dose of statin only reduces LDL cholesterol by a further 6%, compared to a reduction of up to 40% with the first 10 milligrams dose. If your side effects are having a significant impact on your life, something needs to be done.

However, if you have any significant degree of blockage of your coronary arteries, your chances of having a Herzinfarkts are high, and reducing your cholesterol with a statin will greatly reduce these odds.

There are several possible options, but discuss with your doctor before making any changes to your medication.

  1. Reduce your dose - for example, if you are taking 40 milligrams of atorvastatin, I recommend you take this down to 20 milligrams. If that doesn't help, try reducing to 10 milligrams.

  2. Change to a statin with a lower chance of these side effects - for example, if you are on atorvastatin you could discuss changing to rosuvastatin with your doctor. However, because rosuvastatin is many times more expensive than atorvastatin, some areas have limits on who can receive this statin.

  3. If your cholesterol rises too much when the dose of statin is reduced, add in another medicine called ezetimibe - although this is not as effective as statins.

If your statins side effects include muscle symptoms, some people find that these improve if they also take a supplement called co-enzyme Q10 - although there is less evidence for this with joint problems.

Can you stop taking statins once you start?

It is worth stopping your statin for a couple of weeks to see if the symptoms disappear. It is possible that there is another cause for your symptoms - let your doctor know before you do this. If they continue, speak to your doctor about the options above.

#MedSafetyWeek

#MedSafetyWeek

Serious side effects of statins

The likelihood of very serious side effects is low. It's important that you speak to your doctor if you experience any of the following:

  • Rhabdomyolyse (life-threatening muscle damage) - indicated by extreme muscle pain.

  • Leberschäden - indicated by feeling unusually tired or weak, loss of appetite, upper tummy pain, dark-coloured pee, or yellowing of the skin or eyes.

  • Inflammation of the liver (hepatitis) - indicated by flu-like symptoms.

  • Entzündung der Bauchspeicheldrüse (pancreatitis) - indicated by stomach pain.

  • Periphere Neuropathie - indicated by a loss of feeling or tingling in the hands and feet.

  • Statins and diabetes - there is a small but important risk that statins can raise blood sugar levels, causing type 2 diabetes.

  • Statins and memory loss - there is little evidence that statins cause memory loss, but some people report temporary memory loss or confusion that reverses when they stop taking statins.

Always read the patient information leaflet (PIL) or instructions that come with any medicine or medical device. This will provide important details about potential side effects, risks, and how to use to product correctly.

If you have any extreme pain in your muscles or in your tummy, or you have signs of liver damage - such as yellowing of your eyes or skin - go immediately to the emergency department of your local hospital or call 999 in UK and 911 in the US for an emergency ambulance.

Wie man Nebenwirkungen meldet

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed on this page or the PIL that comes with the medicine. You can also report side effects yourself - or on behalf of someone you’re caring for - using the Medicines and Healthcare products Regulatory Agency (MHRA) Gelbe Karte Schema.

Jeder Bericht zählt und hilft der MHRA, die Sicherheit von Arzneimitteln zu überwachen und zukünftigen Schaden für andere zu verhindern. Sie können auch die MHRA Yellow Card herunterladen App im Google Play oder Apple App Store.

Durch das Melden von Nebenwirkungen können Sie dazu beitragen, mehr Informationen über die Sicherheit dieses Medikaments bereitzustellen.

Explore cholesterol treatment options

Erhalten Sie fachkundige medizinische Beratung bequem von zu Hause aus. Füllen Sie eine kurze Online-Konsultation aus, die rund um die Uhr verfügbar ist. Ihre Anfrage wird von einer in Großbritannien registrierten medizinischen Fachkraft geprüft. Für ausgewählte Behandlungen ist eine Lieferung am nächsten Tag möglich.

Artikelverlauf

Die Informationen auf dieser Seite werden von qualifizierten Klinikern begutachtet.

Nehmen Sie an der Diskussion teil

Teilen Sie Ihre Gedanken oder Erfahrungen mit anderen in unserem Patientengemeinschaften.

Verwandte Diskussionen

Weitere Diskussionen anzeigen
Haftungsausschluss: The views expressed in the community do not represent medical advice. For any health concerns, consult your GP or healthcare provider.

Online-Apotheke, Behandlungen und Gesundheitsdienstleistungen

Einfacher Zugang zu vertrauenswürdigen Behandlungen und Gesundheitsdiensten online.

Common conditions

Get help with common conditions through the NHS, without a GP appointment.

Book your free Pharmacy First appointment

Abonnieren Sie den Patienten-Newsletter

Ihre wöchentliche Dosis klarer, vertrauenswürdiger Gesundheitsberatung - geschrieben, um Ihnen zu helfen, sich informiert, selbstbewusst und in Kontrolle zu fühlen.

Bitte geben Sie eine gültige E-Mail-Adresse ein

Durch das Abonnieren akzeptieren Sie unsere Datenschutzrichtlinie. Sie können sich jederzeit abmelden. Wir verkaufen Ihre Daten niemals.