{"id":5610,"date":"2024-12-09T17:26:35","date_gmt":"2024-12-09T17:26:35","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-what-can-i-take-instead-of-atorvastatin-in-2025\/"},"modified":"2024-12-09T17:26:35","modified_gmt":"2024-12-09T17:26:35","slug":"hmn-what-can-i-take-instead-of-atorvastatin-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-what-can-i-take-instead-of-atorvastatin-in-2025\/","title":{"rendered":"HMN: What can I take instead of atorvastatin? in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  What can I take instead of atorvastatin? in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p>Other HMG CoA reductase inhibitors, Colestid, Tricor, Zetia, and WelChol are presented as alternatives to atorvastatin for those who cannot tolerate it or seek different treatment options for high cholesterol.<\/p>\n<\/li>\n<li>\n<p>High cholesterol, a risk factor for coronary heart disease and stroke, is often symptomless and diagnosed through regular blood work that examines LDL, HDL, and triglyceride levels.<\/p>\n<\/li>\n<li>\n<p>Atorvastatin, a widely used statin since 1996, effectively lowers LDL cholesterol but may cause myopathies or increase blood sugar and the risk of diabetes in some patients.<\/p>\n<\/li>\n<li>\n<p>Natural alternatives for lowering cholesterol include dietary changes, exercise, niacin, and supplements like flaxseed, red yeast rice, garlic, and turmeric, though their efficacy and safety should be discussed with a healthcare provider.<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><span style=\"font-weight: 400;\"><a href=\"#compare-atorvastatin-alternatives\">Compare atorvastatin alternatives<\/a> \u00a0| <a href=\"#other-hmg-coa-reductase-inhibitors\">Other HMG CoA Reductase Inhibitors<\/a> | <a href=\"#colestid\">Colestid<\/a> | <a href=\"#tricor\">Tricor<\/a> | <a href=\"#zetia\">Zetia<\/a> | <a href=\"#welchol\">WelChol<\/a> | <a href=\"#natural-alternatives\">Natural alternatives<\/a> | <a href=\"#how-to-switch-meds\">How to switch meds<\/a><\/span><\/p>\n<p><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/blood-cholesterol\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Cholesterol<\/span><\/a><span style=\"font-weight: 400;\"> is a fatty substance we all need in our bodies, but we only need it in healthy amounts. The body needs cholesterol for healthy cellular structure, hormone synthesis, and nerve insulation. Too much cholesterol, however, leads to serious conditions related to <\/span><span style=\"font-weight: 400;\">coronary heart disease<\/span><span style=\"font-weight: 400;\"> such as <\/span><span style=\"font-weight: 400;\">heart attack<\/span><span style=\"font-weight: 400;\"> or stroke.\u00a0 High blood cholesterol, or hypercholesterolemia, is a condition where you have unhealthy levels of cholesterol typically due to genetic patterns or unhealthy lifestyle choices. Cholesterol is a waxy, <\/span><span style=\"font-weight: 400;\">lipid<\/span><span style=\"font-weight: 400;\"> substance, comparable to candle wax, and can lead to deposits in your arteries which cause blockage. This blockage leads to <\/span><span style=\"font-weight: 400;\">atherosclerosis<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">cardiovascular disease<\/span><span style=\"font-weight: 400;\"> if not treated. It is important for your <\/span><span style=\"font-weight: 400;\">heart health<\/span><span style=\"font-weight: 400;\"> to have your <\/span><span style=\"font-weight: 400;\">cholesterol levels<\/span><span style=\"font-weight: 400;\"> monitored with regular bloodwork.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cholesterol is carried on two types of lipoproteins through your body: <\/span><span style=\"font-weight: 400;\">low-density lipoproteins<\/span><span style=\"font-weight: 400;\"> (LDL) and high-density lipoproteins (<\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\">).\u00a0 <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\"> is the \u201cbad\u201d cholesterol that leads to plaque build-up in the arteries. <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\"> cholesterol is the \u201cgood\u201d cholesterol that carries any fatty build-up to your liver to be flushed from the body.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Triglycerides are the most common type of fat in your body and they store the excess energy from your diet.\u00a0 When doctors check your blood lab work, they are hoping to see low levels of <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\"> and triglycerides, and higher levels of <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\"> cholesterol. Your physician may also refer to a level known as your total cholesterol, which is a number that is reflective of both LDL and <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\">.\u00a0 <\/span><span style=\"font-weight: 400;\">High cholesterol<\/span><span style=\"font-weight: 400;\"> rarely has any symptoms, so regular blood work is the best way to screen for hypercholesterolemia.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are many drug types that help <\/span><span style=\"font-weight: 400;\">treat <\/span><span style=\"font-weight: 400;\">high cholesterol<\/span><span style=\"font-weight: 400;\"> or hyperlipidemia. HMGCoA reductase inhibitors, more commonly referred to as \u201c<\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">\u201d, were first discovered in the late 1970s. They were quickly recognized as the most effective effort at lowering LDL levels. <\/span><span style=\"font-weight: 400;\">Statin drugs<\/span><span style=\"font-weight: 400;\"> lower LDL levels by reducing hepatic cholesterol production and increasing LDL clearance from the body. The first <\/span><span style=\"font-weight: 400;\">statin drug<\/span><span style=\"font-weight: 400;\"> to be approved to come to market by the <\/span><span style=\"font-weight: 400;\">Food and Drug Administration<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">) was <\/span><span style=\"font-weight: 400;\">lovastatin<\/span><span style=\"font-weight: 400;\">, branded as Mevacor. Each <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\"> that came to market in the years after would offer even more superior ability to lower LDL levels. <\/span><span style=\"font-weight: 400;\">Atorvastatin<\/span><span style=\"font-weight: 400;\">, branded as <\/span><span style=\"font-weight: 400;\">Lipitor<\/span><span style=\"font-weight: 400;\"> by Pfizer, came to the market in 1996 and has since become one most widely used <\/span><span style=\"font-weight: 400;\">statin drugs<\/span><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=c6e131fe-e7df-4876-83f7-9156fc4e8228\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Atorvastatin<\/span><\/a><span style=\"font-weight: 400;\"> can lower LDL levels between 40-60% from baseline depending upon dose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Atorvastatin<\/span><span style=\"font-weight: 400;\"> is a very effective clinical treatment option, but it may not work for everyone. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3920796\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Statins<\/span><\/a><span style=\"font-weight: 400;\"> are known to increase risk for myopathies, or myotoxicity. This is characterized as musculoskeletal pain which tends to be dose-dependent and severe myopathies occur in less than 1% of patients taking <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">. While myopathies do resolve upon discontinuing <\/span><span style=\"font-weight: 400;\">statin medications<\/span><span style=\"font-weight: 400;\">, there is no treatment for them in order to continue the <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\"> comfortably. While switching from one <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\"> to another may be appropriate in order to see a more effective outcome or avoid certain drug interactions, it is not thought to avoid the incidence of myopathies. Once a myotoxicity is identified on one <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\">, it should be assumed it will be the same with all <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> for that patient.\u00a0 <\/span><span style=\"font-weight: 400;\">Statins<\/span><span style=\"font-weight: 400;\"> are also known to <\/span><span style=\"font-weight: 400;\">increase <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> and the incidence of diabetes in patients. While the risk is low, also less than 1%, it is important to be considered when choosing appropriate therapy.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> is a very effective choice for reducing <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\">, it may not be right for everyone. We will cover other treatment options which may be appropriate alternatives if you and your prescriber determine <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> is not right for you.\u00a0<\/span><\/p>\n<h2 id=\"compare-atorvastatin-alternatives\"><span style=\"font-weight: 400;\">What can I take in place of <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\">?<\/span><\/h2>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">What can I take in place of atorvastatin?<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Atorvastatin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Myalgias, diarrhea, arthralgia, nausea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg to 80 mg by mouth daily<\/span><\/td>\n<td><b>Atorvastatin<\/b><b> coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Crestor<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">rosuvastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Myalgias, diarrhea, arthralgia, nausea,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">headache<\/span><\/p>\n<\/td>\n<td><span style=\"font-weight: 400;\">5 mg to 40 mg by mouth once daily<\/span><\/td>\n<td><b>Crestor<\/b><b> coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lescol XL (<\/span><span style=\"font-weight: 400;\">fluvastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Hypertension, dyspepsia, abdominal pain, myalgia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20 mg by mouth once daily up to 40 mg twice daily<\/span><\/td>\n<td><b>Lescol XL coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Mevacor (<\/span><span style=\"font-weight: 400;\">lovastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Flatulence, constipation, headache, myalgias<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg to 80 mg by mouth once daily<\/span><\/td>\n<td><b>Mevacor coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pravachol (pravastatin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Dyspepsia,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">constipation, headache, myalgias<\/span><\/p>\n<\/td>\n<td><span style=\"font-weight: 400;\">10 mg to 80 mg by mouth once daily<\/span><\/td>\n<td><b>Pravachol coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zocor<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">simvastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Atrial fibrillation, gastritis, infection<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg to 40 mg by mouth once daily (**80 mg daily dosing only for specific cases)<\/span><\/td>\n<td><b>Zocor<\/b><b> coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Questran (<\/span><span style=\"font-weight: 400;\">cholestyramine<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Constipation, vomiting, osteoporosis<\/span><\/td>\n<td><span style=\"font-weight: 400;\">4 g to 16 g by mouth in divided doses each day<\/span><\/td>\n<td><b>Questran coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Colestid<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(colestipol)<\/span><\/p>\n<\/td>\n<td><span style=\"font-weight: 400;\">Constipation, colestasis,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gastrointestinal bleeding, peptic ulcer<\/span><\/p>\n<\/td>\n<td><span style=\"font-weight: 400;\">5 g to 20 g by mouth in 2 to 4 divided doses per day<\/span><\/td>\n<td><b>Colestid coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">WelChol<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(<\/span><span style=\"font-weight: 400;\">colesevelam<\/span><span style=\"font-weight: 400;\">)<\/span><\/p>\n<\/td>\n<td><span style=\"font-weight: 400;\">Hypertriglyceridemia, constipation, dyspepsia, headache<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1.875 mg by mouth twice daily or 3.75 mg once daily<\/span><\/td>\n<td><b>WelChol coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zetia<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">ezetimibe<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Infection, diarrhea, back pain<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg by mouth once daily<\/span><\/td>\n<td><b>Zetia<\/b><b> coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lopid (<\/span><span style=\"font-weight: 400;\">gemfibrozil<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Dyspepsia, abdominal pain, cholelithiasis, diarrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">600 mg by mouth twice daily<\/span><\/td>\n<td><b>Lopid coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tricor (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Elevated hepatic <\/span><span style=\"font-weight: 400;\">enzymes<\/span><span style=\"font-weight: 400;\">, abdominal pain, back pain, headache<\/span><\/td>\n<td><span style=\"font-weight: 400;\">48 mg to 145 mg by mouth once daily<\/span><\/td>\n<td><b>Tricor coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Repatha (<\/span><span style=\"font-weight: 400;\">evolocumab<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Hyperglycemia, pharyngitis, headache<\/span><\/td>\n<td><span style=\"font-weight: 400;\">140mg subcutaneously every 2 weeks or 420 mg subcutaneously once monthly\u00a0<\/span><\/td>\n<td><b>Repatha coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">niacin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Flushing, diarrhea, nausea, vomiting<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1.5 mg to 3 mg by mouth in 2 to 3 divided doses per day<\/span><\/td>\n<td><b>Niacin<\/b><b> coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Vytorin (<\/span><span style=\"font-weight: 400;\">ezetimibe<\/span><span style=\"font-weight: 400;\">\/ <\/span><span style=\"font-weight: 400;\">simvastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Elevated hepatic <\/span><span style=\"font-weight: 400;\">enzymes<\/span><span style=\"font-weight: 400;\">, headache, myalgia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg to 10 mg\/40 mg by mouth once daily<\/span><\/td>\n<td><b>Vytorin coupon<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400;\">Other alternatives to <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lipofen (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fenoglide (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Triglide (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antara (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prevalite (<\/span><span style=\"font-weight: 400;\">cholestyramine<\/span><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Livalo (pitavastatin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Psyllium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flaxseed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Garlic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red yeast rice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tumeric<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\t\t<\/p>\n<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span><\/p><\/div>\n<p>\t<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Top 5 <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> alternatives<\/span><\/h2>\n<h3 id=\"other-hmg-coa-reductase-inhibitors\"><span style=\"font-weight: 400;\">Other HMG CoA Reductase Inhibitors (<\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">) such as: <\/span><span style=\"font-weight: 400;\">Crestor<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">rosuvastatin<\/span><span style=\"font-weight: 400;\">), <\/span><span style=\"font-weight: 400;\">Zocor<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">simvastatin<\/span><span style=\"font-weight: 400;\">), Pravachol (pravastatin), or Mevachor (<\/span><span style=\"font-weight: 400;\">lovastatin<\/span><span style=\"font-weight: 400;\">)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For some patients, <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> may not be effectively managing their <\/span><span style=\"font-weight: 400;\">high cholesterol<\/span><span style=\"font-weight: 400;\">, but another <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\"> may be more appropriate. One reason certain <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> aren\u2019t appropriate for particular patients is the potential for interactions with other drugs they are taking or food products such as <\/span><span style=\"font-weight: 400;\">grapefruit juice<\/span><span style=\"font-weight: 400;\">. When <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> is given with CYP3A4 inhibitors, it is more likely to cause myopathy, rhabdomyolysis, and acute renal failure. <\/span><span style=\"font-weight: 400;\">Rosuvastatin<\/span><span style=\"font-weight: 400;\"> is not as sensitive to this reaction and has shown the ability to <\/span><span style=\"font-weight: 400;\">lower cholesterol<\/span><span style=\"font-weight: 400;\"> as effectively as <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\">. Pravastatin has fewer documented drug interactions than other <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> and is a safe option for many, though it is not shown to be as potent in terms of reducing <\/span><span style=\"font-weight: 400;\">cholesterol levels<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"colestid\"><span style=\"font-weight: 400;\">Colestid (colestipol)\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Colestipol hydrochloride is an oral antilipemic agent that works differently from <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">. It is a non absorbable <\/span><span style=\"font-weight: 400;\">bile acid<\/span><span style=\"font-weight: 400;\"> sequestrant. Colestipol is not absorbed systemically into the bloodstream and therefore can be used in populations that <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> can not be such as pregnant women and children. Colestipol works by releasing chlorine and combining with <\/span><span style=\"font-weight: 400;\">bile acids<\/span><span style=\"font-weight: 400;\">, of which cholesterol is the precursor, in the <\/span><span style=\"font-weight: 400;\">intestines<\/span><span style=\"font-weight: 400;\">. This forms an insoluble complex that is excreted in feces. Colestipol will <\/span><span style=\"font-weight: 400;\">lower LDL cholesterol<\/span><span style=\"font-weight: 400;\"> and has essentially no effect on <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\"> cholesterol. It can, however, raise triglycerides and is therefore not appropriate in patients who already have <\/span><span style=\"font-weight: 400;\">high triglycerides<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"tricor\"><span style=\"font-weight: 400;\">Tricor (<\/span><span style=\"font-weight: 400;\">fenofibrate<\/span><span style=\"font-weight: 400;\">)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Fenofibrate<\/span><span style=\"font-weight: 400;\"> is also an oral antilipemic agent. It is a fibric acid derivative and the prodrug to fenofibric acid. It is most useful in lowering triglycerides and also has an LDL lowering effect. Its primary actions are achieved through interactions with receptors known as PPARs which alter lipoprotein metabolism for favorable effects on cholesterol. <\/span><span style=\"font-weight: 400;\">Fibrates<\/span><span style=\"font-weight: 400;\"> are contraindicated in patients with hepatic disease or unexplained liver function abnormalities.<\/span><\/p>\n<h3 id=\"zetia\"><span style=\"font-weight: 400;\">Zetia<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">ezetimibe<\/span><span style=\"font-weight: 400;\">)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Ezetimibe<\/span><span style=\"font-weight: 400;\"> is an oral antilipemic and <\/span><span style=\"font-weight: 400;\">cholesterol absorption inhibitor<\/span><span style=\"font-weight: 400;\"> drug which can be used alone or in combination with <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> or fibric acid derivatives to treat hypercholesterolemia. It works by blocking the absorption of cholesterol in the <\/span><span style=\"font-weight: 400;\">intestine<\/span><span style=\"font-weight: 400;\">. The primary advantage of <\/span><span style=\"font-weight: 400;\">ezetimibe<\/span><span style=\"font-weight: 400;\"> is that it raises <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\">, the \u201cgood\u201d cholesterol, but it also has lowering effects on triglycerides and <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\"> as well. These effects are synergistic when combined with <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Ezetimibe<\/span><span style=\"font-weight: 400;\"> should also be avoided in patients with liver disease. It is not recommended in pregnant patients or children.<\/span><\/p>\n<h3 id=\"welchol\"><span style=\"font-weight: 400;\">WelChol (<\/span><span style=\"font-weight: 400;\">colesevelam<\/span><span style=\"font-weight: 400;\">)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Colesevelam<\/span><span style=\"font-weight: 400;\"> is also a <\/span><span style=\"font-weight: 400;\">bile acid<\/span><span style=\"font-weight: 400;\"> sequestrant used in the treatment of hypercholesterolemia as well as diabetes mellitus. It is an oral, non-absorbable hydrogel polymer that has a high capacity to bind to <\/span><span style=\"font-weight: 400;\">bile acids<\/span><span style=\"font-weight: 400;\">.\u00a0 <\/span><span style=\"font-weight: 400;\">Colesevelam<\/span><span style=\"font-weight: 400;\"> is effective at reducing <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\">, and while not as potent as <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\"> alone, it does have a synergistic effect when used with <\/span><span style=\"font-weight: 400;\">statin therapy<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Colesevelam<\/span><span style=\"font-weight: 400;\"> should be used cautiously in patients with cholelithiasis (gallstones) or biliary obstruction. Like colestipol, <\/span><span style=\"font-weight: 400;\">colesevelam<\/span><span style=\"font-weight: 400;\"> can increase triglycerides and should not be used in patients whose <\/span><span style=\"font-weight: 400;\">triglyceride levels<\/span><span style=\"font-weight: 400;\"> are already elevated.<\/span><\/p>\n<h2 id=\"natural-alternatives\"><span style=\"font-weight: 400;\">Natural alternatives to <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are many alternatives to prescription drugs when looking to lower your cholesterol. It is important to make sure your doctor is a part of your prescription and non-prescription treatments to lower your cholesterol to help you determine if they are safe and adequate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One of the first lifestyle changes recommended is diet and exercise. Your <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> professional can work with you to build a low-fat diet combined with regular physical activity that can make a big difference in your <\/span><span style=\"font-weight: 400;\">cholesterol levels<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is no \u201cnatural\u201d <\/span><span style=\"font-weight: 400;\">statin<\/span><span style=\"font-weight: 400;\">-like <\/span><span style=\"font-weight: 400;\">supplement<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Niacin<\/span><span style=\"font-weight: 400;\"> is a B-complex vitamin that has a long history of use in helping to <\/span><span style=\"font-weight: 400;\">lower cholesterol levels<\/span><span style=\"font-weight: 400;\">. There are good dietary sources of <\/span><span style=\"font-weight: 400;\">niacin<\/span><span style=\"font-weight: 400;\"> in foods such as beans, green vegetables, and whole wheat. <\/span><span style=\"font-weight: 400;\">Niacin<\/span><span style=\"font-weight: 400;\"> has been shown to lower total cholesterol, <\/span><span style=\"font-weight: 400;\">LDL cholesterol<\/span><span style=\"font-weight: 400;\">, and triglycerides, while also raising <\/span><span style=\"font-weight: 400;\">HDL<\/span><span style=\"font-weight: 400;\"> cholesterol. For reasons not entirely understood, it appears to be more effective in women than men. While <\/span><span style=\"font-weight: 400;\">niacin<\/span><span style=\"font-weight: 400;\"> is effective and one of the most proven <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">lowering cholesterol<\/span><span style=\"font-weight: 400;\">, it does not possess the same cholesterol-lowering abilities as <\/span><span style=\"font-weight: 400;\">statins<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are other <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\"> that have shown some positive effects on serum <\/span><span style=\"font-weight: 400;\">cholesterol levels<\/span><span style=\"font-weight: 400;\">. Flaxseed, red yeast rice, and garlic are among those. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5637251\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Clinical data<\/span><\/a><span style=\"font-weight: 400;\"> suggests that turmeric can lower LDL levels and may provide some protection against cardiac disease. Before beginning any <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\">, discuss them with your doctor or pharmacist to make sure they are safe for you and don\u2019t present any interactions with other therapies you may be taking. The information presented here is not intended to replace <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\"> from your <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> team.<\/span><\/p>\n<h2 id=\"how-to-switch-meds\"><span style=\"font-weight: 400;\">How to switch to an <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are a variety of reasons you may feel <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> is not the right choice for you. If you have already begun <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> therapy, do not stop the therapy until you speak to your prescriber and agree upon a new plan. If you are experiencing <\/span><span style=\"font-weight: 400;\">muscle pain<\/span><span style=\"font-weight: 400;\"> that you fear may be caused by your <\/span><span style=\"font-weight: 400;\">atorvastatin<\/span><span style=\"font-weight: 400;\"> therapy, bring this to your doctor\u2019s attention immediately. They will help you decide which of the <\/span><span style=\"font-weight: 400;\">statin alternatives<\/span><span style=\"font-weight: 400;\"> is best for you. If you become pregnant or are planning to, this should be shared with your <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> provider to ensure they pick the safest option for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your pharmacist can help you determine which cholesterol-lowering agents are covered by your insurance plan. 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High cholesterol, a risk factor for coronary heart disease and stroke, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5610","post","type-post","status-publish","format-standard","hentry","category-health-news"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/5610","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/comments?post=5610"}],"version-history":[{"count":0,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/5610\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/media?parent=5610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/categories?post=5610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/tags?post=5610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}