11/06/2014

Leading Doctors Recommend Not Extending Statin Use

Leading doctors have said the government should not extend the use of the statin drug on the NHS warning of potential side effects in a letter to the National Institute for Health and Care Excellence (Nice) and Ministers.

Nice had published guidance in February calling for their use to be extended to save more lives, however, experts have used the letter to raise their concerns over the medicalisation of healthy people, saying that the draft advice was overly reliant on industry-sponsored trials, which "grossly underestimate adverse effects."

Statin drugs reduce levels of cholesterol in the blood, lowering the risk of a heart attack or stroke and are currently offered to nearly seven million people who have one-in-five chance of developing heart disease within 10 years.

The NHS was urged in the February guidance to offer them to people with just a 10% risk, with advisers claiming a lack of "credible argument against their safety".

In the letter experts warn that people who take statins are at risk of fatigue and psychiatric problems, while men may suffer erectile dysfunction and middle-age women could be more susceptible to diabetes.

One of the signatories, Professor Simon Capewell, an expert in clinical epidemiology at Liverpool University, said: "These recommendations are deeply worrying, effectively condemning all middle-aged adults to lifelong medications of questionable value."

Cardiologist Dr Aseem Malhotra also said that although the good evidence of the statin's benefits "outweigh the potential harms in those with established heart disease, this is clearly not the case for healthy people" and compare it to other treatments: "A doctor wouldn't give chemotherapy to a patient who didn't have cancer or prescribe insulin to someone without diabetes."

(CVS/MH)

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