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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
nice to meet you
what statin are you on?
okay that is the first problem
simvastatin is the one that is most likely of all of them to cause cramps
I recommend a change to pravastatin
Can I change it ?
it is the mildest
yes you can
To what ?
pravastatin 20 mg
What is the difference ?
pravastatin is totally different drug
and much milder
Then why is it not used more often ?
simvastatin is cheap
Then I will ask my GP for change of statin
I think you will do fine on pravastatin
Anything else to consider ?
I have many patients that couldn't tolerate simvastatin and did excellent on prava
you could try taking coenzyme Q10 100 mg twice a day
Will the joint aches go away ?
there is evidence it helps with statin induced cramping
yes, it will go away
Why coenzyme ?
the statin depletes this natural substance in your body
the supplement replaces it
the studies have shown it helps
Well, it is worth a try, so I will see GP about it.
Did I do excellent work for you today Brian?
Anything else to add ?
No I think that's it
Well, thanks for that. It is going to assist me in future discussion with my GP.
just that if the pravastatin doesn't work you might to go off statins altogether
please don't forget a positive rating for me before leaving Brian
I appreciate it
But that will then increase my cholesterol levels !!
some people just can't take statins Brian
however, I think you will tolerate the pravastatin just fine
OK. Will try it. Thanks for advice. will give positive rating.
thank you Brian
just click the positive face to close the chat
good night sir :)