45. Managing Cholesterol. Side effects of anti cholesterol drugs. скачать в хорошем качестве

45. Managing Cholesterol. Side effects of anti cholesterol drugs.

Cholesterol, normal values, Anti cholesterols and their precaustions. Cholesterol: Cholesterol has a very important function in our body and along with many fat soluble vitamins and substances, it helps in the reparative work. The main cause of rise in cholesterol is stress: Stress needs to be controlled, and I have already shown various methods in my previous videos. Diet has a very little role in raising cholesterol. Normal Cholesterol Levels: Total cholesterol the range is 180 to 230 Units LDL cholesterol, the so called “Bad Cholesterol”, should be less than 130, preferably less than 100 Units. Drugs are required only when the LDL cholesterol is above 130. Triglycerides (TG) are also important and are similar to cholesterol. Normal level for TG is upto 200 units. Drugs are required if it is above 400 units. Methods to Control cholesterol and Triglycerides: Control of stress. Diet Exercise Sleep Hypothyroidism and Diabetes. Drugs. Control Stress: Most important. Kindly see my videos on stress busters. Diet: What and how to eat is not important. When to eat is more important. Hence eat only twice a day. Avoid processed and synthetic food. Do once or twice a week 24 hours fasting. Fasting is good for physical , mental and spiritual health. Exercise: (see my videos on walkin). Walkind is the best form of exercise. Walk atleast 45 min everyday. Sleep: The role of sleep cannot be overemphasized. It does cause reduction in stress. IF you are not sleeping well kindly consult the doctor for sleeping pills. These days the pills are safer and non addictive. Also sleep early and get up early. Rising before sunrise, raises HDL(Good Cholesterol) and helps in reduction of bad choleasterol. Hypothyroidism and diabetes: If you are having hypothyroidism, your cholesterol may rise. Hence do regular TSH levels and take the appropriate dose of thyroxin, prescribed by your doctor. Similarly Diabetes should strictly control their sugar levels and HBA1C. It should be kept below 6.4. Usually TG levels rises in Diabetes, and most of the time control of sugar controls TG levels. Please take your medicines properly Drugs: Anti cholesterol drugs are many but the main and best drug is STATINS. Various types like simvastatin, atorvastatin, Resuvostatins etc. They are not only given to reduce cholesterol and TG , but are also given to reduced inflammation of the arteries. Inflamation can be called as injury . Hence to reduce injury it is given in Heart attacks to prevent and reduce blockages. Following angioplasty and stenting, to prevent stent blockages Following bypass surgery. Those who have angina and minor blockages in the heart on medical treatment to control progress of the disease. Precautions for patients taking Statins: There are certain side effects of these drugs and should be used with caustion. Gastrointestinal symptoms like, nausea, vomiting, lack of hunger, diarrhea, steatorrhea, smelling in the stools can occur. Liver Function test: Since it is used in the liver, can cause liver dysfunction, hence LFT should be done every 3 to 6 months. Vitamin D: Levels may reduce in certain people. Hence get Vit D3 levels done regularly every 6 months. Diabetes: Those who are non diabetic, taking Statins should get their blood sugars check regularly every 3 to 6 months. Diabetes is one of the side effects that can occur. Neuro -Psychiatric Involvement : This is very subtle, and many a times patient attributes it to old age. Forgetfulness, feeling very sleepy, cognitive disorder, like forgetting faces, places and numbers Abnormal behavior, can occur in the elderly person. These symptoms are more common in women, and hence it should be suspected when such symptoms occur. They are completely reversible if medicine is stopped. Muscle Involvement: These occur in the form of muscle pain and tenderness in thigh and calf muscles. Easy tiredness and fatigue, muscle weakness. In extreme cases it can lead to muscle damage and death. One has to be very vigilant about any of these symptoms, because early detection is the cure for it. Creatine kinase (CK) levels are done to diagnose . High levels suggest myopathy. Should be treated as an emergency. Hence Statins are to be used with caution. Always check with your doctor. If in doubt take a second opinion. Sometimes these drugs can be dangerous and life threatening. Hence it shoulds be used with caution or avoided in elderly above the age of 75 years, especially women. I hope you liked my presentation. Dr Saify Arsiwala. MS, MCh, DNB, FIACS. Senior Cardiac Surgeon, Narayana Hospital, Jaipur. 9829069269.