Erschienen in:
01.07.2012 | Review
Clinical Perspective: Statins and the Liver—Harmful or Helpful?
verfasst von:
James H. Lewis
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 7/2012
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Excerpt
The safety of 3-hydroxy-3-methylglutaryl co-enzyme A (HMG-CoA) reductase inhibitors (statins) remains very much in the news, with recent regulatory alerts issued about the potential for effects on memory loss, an increased risk of type 2 diabetes, myopathy, and possible drug interactions involving HIV and hepatitis C protease inhibitors [
1‐
3]. Although the US Food and Drug Administration (FDA) currently considers serious statin-related liver injury to be a rare and unpredictable event [
1], it nevertheless remains an important concern among physicians and patients alike. Moreover, the risk of adverse hepatic events receives renewed emphasis with each new case series that appears in the literature. Indeed, the proportion of patients who are not being prescribed statins because of the potential for adverse hepatic events, but who might otherwise benefit from their cardioprotective effects, is substantial [
4]. …