{"id":30036,"date":"2017-03-22T19:05:50","date_gmt":"2017-03-23T02:05:50","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=30036"},"modified":"2017-03-23T12:35:57","modified_gmt":"2017-03-23T19:35:57","slug":"who-really-needs-cholesterol-and-blood-pressure-drugs","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=30036","title":{"rendered":"Consumer Reports:  Who Really Needs Cholesterol and Blood Pressure Drugs"},"content":{"rendered":"<div class=\"main-headline-section\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"headline col-xs-12 col-sm-12 col-md-12 col-lg-12\">\n<div class=\"headline-par title headline\">\n<h3 class=\"headline\">The latest medical thinking on who should be taking these medications\u2014and who can skip them<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"additional-headline-section\">\n<div class=\"container\">\n<div class=\"row\">\n<h3 class=\"subhead col-xs-12 col-sm-12 col-md-12 col-lg-12 \">\u00a0By Steve Findlay<\/h3>\n<div class=\"byline col-xs-5 col-sm-4 col-md-4 col-lg-3 author-and-date\">\n<h3 class=\"date parbase date-par\"><time class=\"published-date\" datetime=\"2017-03-17\">March 17, 2017<\/time><\/h3>\n<\/div>\n<div class=\"col-lg-8 col-md-8 col-sm-12 nopass\">\n<div class=\"parsys main-content\">\n<div class=\"parbase section text\">\n<div class=\"text-container\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-27787 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2016\/11\/Consumer-Reports-300x225.png\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2016\/11\/Consumer-Reports-300x225.png 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2016\/11\/Consumer-Reports-45x35.png 45w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2016\/11\/Consumer-Reports.png 660w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Experts agree that <a href=\"http:\/\/www.consumerreports.org\/conditions-treatments\/how-to-get-your-high-blood-pressure-under-control\/\">high blood pressure<\/a> and high <a href=\"http:\/\/www.consumerreports.org\/diet-nutrition\/cholesterol-in-food\/\">cholesterol<\/a> increase the risk of having a heart attack. So you might think they also agree on when you should take drugs to control them.<\/p>\n<p>They don\u2019t.<\/p>\n<p>Earlier this year the American College of Physicians issued more lenient guidelines for blood pressure in people 60 and older: They don\u2019t need drugs until their systolic, or upper, blood pressure number goes above 150, the ACP now says. But the American Heart Association sticks with the traditional cutoff of 140. And last year, the U.S. Preventive Services Task Force suggested that people who don\u2019t have particularly high cholesterol levels can still benefit from cholesterol-lowering statin drugs.<\/p>\n<p>\u201cThere are just too many groups \u2028issuing recommendations, and that has made things more confusing,\u201d says Steven Nissen, M.D., chairman of the department of cardiovascular medicine at the Cleveland Clinic.<\/p>\n<p>Taking drugs when they aren\u2019t needed can <a href=\"http:\/\/www.consumerreports.org\/drugs\/taking-multiple-meds-can-trigger-drug-interactions\/\">pose problems<\/a>. Side effects of blood pressure medications include persistent coughing, diarrhea, nausea, and dizziness. Statins can cause muscle weakness, and possibly kidney damage and type\u00a02 diabetes.<\/p>\n<p>Here\u2019s our guide through the maze, with advice from Nissen, other experts, and our Best Buy Drugs team:<\/p>\n<\/div>\n<\/div>\n<div class=\"indent parbase section text\">\n<div class=\"indent-text-container\">\n<p><b><br \/>\nFind out whether the\u00a0<a href=\"http:\/\/www.consumerreports.org\/drugs\/repatha-heart-drug-what-you-need-to-know\/\">cholesterol-lowering drug Repatha is right for you<\/a>.<br \/>\n<\/b><\/p>\n<\/div>\n<\/div>\n<div class=\"parbase section text textsection\">\n<h2>Focus On Your Overall Risk<\/h2>\n<div class=\"text-container\">\n<p>Though blood pressure and cholesterol levels are important, other factors play a role, too\u2014including your age, gender, race, and whether you smoke or have diabetes.<\/p>\n<p>\u201cEveryone 40 and over should know their overall risk of having a heart attack or stroke,\u201d says Marvin M. Lipman, M.D., Consumer Reports\u2019 chief medical adviser.<\/p>\n<p>So he and other experts recommend estimating your 10-year risk by using a calculator developed by the American College of Cardiology and the American Heart Association, at <a href=\"http:\/\/tools.acc.org\/ASCVD-Risk-Estimator\/\" target=\"_blank\">tools.acc.org\/ASCVD-Risk-Estimator<\/a>. The ideal is a 10-year risk that\u2019s less than 7.5 percent.<\/p>\n<\/div>\n<\/div>\n<div class=\"parbase section text textsection\">\n<h2>Don&#8217;t Rush to Drugs<\/h2>\n<div class=\"text-container\">\n<p>If your 10-year risk is greater than 10 percent, or if your LDL (bad) <a href=\"http:\/\/www.consumerreports.org\/cholesterol-test\/does-good-cholesterol-still-matter\/\">cholesterol level<\/a> is over 190, you should start a statin. But if your risk is between 7.5 and 10, it can be worth trying lifestyle changes first, our consultants say.<\/p>\n<p>That means stopping smoking, losing excess weight, being active, consuming a <a href=\"http:\/\/www.consumerreports.org\/diet-plans\/plant-based-diet\/\">heart-healthy diet<\/a>, drinking alcohol in moderation only, and getting blood sugar levels under control. If that doesn\u2019t lower your risk enough after three to six months, consider a statin, even if your LDL cholesterol isn\u2019t elevated.<\/p>\n<p>The same basic strategy applies to blood pressure. If it\u2019s moderately elevated (150 to 160 for people 60 and older; 140 to 150 for others), consider drugs only if several months of diet and lifestyle changes weren\u2019t enough.<\/p>\n<p>\u201cLifestyle changes can slash your risk of heart attack, and in some cases eliminate or reduce your need for medication,\u201d Lipman says. For example, regular exercise can lower your systolic pressure by up to 9 points. And every 11 pounds of excess weight lost can reduce it by 2.5 to 10 points. And avoiding excess sodium (anything beyond 2,400 mg in a day) can lower it between 2 and 8 points in some people.<\/p>\n<\/div>\n<\/div>\n<div class=\"parbase section text textsection\">\n<h2>Get the Right Medication<\/h2>\n<div class=\"text-container\">\n<p>Statins are thought to work not only by lowering LDL cholesterol but also by stabilizing plaque deposits in the arteries, making the deposits less likely to rupture and send blood clots through the body.<\/p>\n<p>People with a history of heart attack or stroke, or at very high risk of one (greater than 20 percent), should start with higher doses of a potent statin: 40 to 80 mg of atorvastatin (Lipitor and generic) or 20 to 40 mg of rosuvastatin (Crestor and generic). Other people who need a drug should start with lower doses of those or other statins: 40 mg of lovastatin (Mevacor and generic), pravastatin (Pravachol and generic), or simvastatin (Zocor and generic).<\/p>\n<p>Doctors use several different kinds of drugs to lower blood pressure, and for people with levels above 150 it can take a combination to control the problem. Still, it usually makes sense to start with the oldest, safest, and least expensive drug: <a href=\"http:\/\/www.consumerreports.org\/health\/diuretics-for-high-blood-pressure\/\">diuretics<\/a>, or water pills, such as chlorthalidone or hydrochlorothiazide. If that doesn\u2019t work, you may need to switch to or add an ACE inhibitor, calcium channel blocker, or other kind of drug.<\/p>\n<\/div>\n<\/div>\n<div class=\"parbase section text\">\n<div class=\"text-container\">\n<p><b>Editor&#8217;s Note: <\/b>This article also appeared in the May 2017 issue of Consumer Reports magazine.<\/p>\n<p>This article and related materials are made possible by a grant from the state Attorney General Consumer and Prescriber Education Grant Program, which is funded by the multistate settlement of consumer-fraud claims regarding the marketing of the prescription drug Neurontin (gabapentin).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-lg-3 col-md-3 col-md-push-1 col-sm-12\">\n<div>\n<div>\n<div class=\"rightRail fixed\">\n<div class=\"ratings-wrapper health\">\n<div class=\"col-md-12 col-xs-3 ratings-image\"><a href=\"https:\/\/donateconsumers.org\/ea-action\/action?ea.client.id=1926&amp;ea.campaign.id=42282&amp;sourcecode=6070000001\"><img decoding=\"async\" class=\"ratings-header-img alignleft\" src=\"http:\/\/www.consumerreports.org\/etc\/designs\/electronics\/images\/health-right-rail.jpg\" alt=\"Ratings image\" \/><\/a><\/div>\n<div class=\"col-md-12 col-xs-9 ratings-body\">\n<div class=\"rated-count default\">Want better health care?<\/div>\n<div class=\"descr-wrap\">Help us fight for safer food, drugs, and hospitals.<\/div>\n<p><a class=\"url health\" href=\"https:\/\/donateconsumers.org\/ea-action\/action?ea.client.id=1926&amp;ea.campaign.id=42282&amp;sourcecode=6070000001\">How You Can Help<\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"clear\">\u00a0<strong>Consumer Reports<\/strong><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-sm-12 col-md-8 clearfix\">\n<div class=\"aboutauthor-par aboutauthor parbase\">\n<div class=\"about-author-wrapper clearfix\">\n<div class=\"author-text\">\n<p>For 80 years, Consumer Reports has been testing products and working to create a fairer, safer, and healthier marketplace. 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You can also show support by liking us on\u00a0<a href=\"https:\/\/www.facebook.com\/ConsumerReports\">Facebook<\/a>\u00a0and following us on\u00a0<a href=\"https:\/\/twitter.com\/ConsumerReports\">Twitter<\/a>\u00a0(@ConsumerReports).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The latest medical thinking on who should be taking these medications\u2014and who can skip them \u00a0By Steve Findlay March 17, 2017 Experts agree that high blood pressure and high cholesterol increase the&#8230;<\/p>\n","protected":false},"author":1,"featured_media":30040,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[],"class_list":["post-30036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tips-trivia-and-tidbits"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Consumer Reports: Who Really Needs Cholesterol and Blood Pressure Drugs<\/title>\n<meta name=\"description\" content=\"Experts agree that high blood pressure and high cholesterol increase the risk of having a heart attack. 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