My uncle is a 60yo black man with high cholessterol dr prescribed niaspan 500 mg over 2 yr ago after 1 yr no change so dbld dosage another year gone by now wants to up it to 1000 mg (seems same to me)( but more expensive) not once has he tried any thing else I began research and found that Niaspan is nothing more than niacin which can be purchased OTC much cheaper than $120.00 per month should we look for diff dr or isd this one just lazy
Your uncle needs to talk to his dr and ask why he is only trying niaspan. Its possible there is a reason he isn't using them. Statins are hard on your body and have some pretty bad side effects. The niacin you get OTC isn't as strong as niaspan, so you would have to figure the cost of taking more pills a day to equal the dose he is to have. Your uncle would also have to talk to his dr about switching to OTC.
Leighhardage yes this is only a timed released Niacin and the fda sent out warnings many years ago about how using this for high cholestrol is last choice the time released makes the niacin stay in the kidneys and liver to long and can do some serious damage.not to mention how expensive it is but most cholesterol meds are talk to the doctor first if you don't get the answers you want see another doctor. PS if you look in most medications for blood pressure cholesterol you well see they even have a place for african american for some reason there chemestry is a bit different and I have seen where they give much higer doses than a white male like myself I had called many physicians before i learned this..I would insist to get of the niacin asap..He is to young to blow out his kidneys etc Chuck Wise pharmacy techniecian Cpht RETIRED.
I think you should ask the Dr. why he is only using Niaspan. We have so many different drugs to choose that will do wonders for cholesterol. I take
Lovaza 4 grams - 4 caps a day and Livalo 2mg - 1 pill a day. With these I have been able to lower all cholesterols.
Also, too much niacin will harm your kidneys & liver.
Niaspan and statins take a different approach to blood chemistry. Statins reduce all cholestrol. NIaspan can slightly reduce cholestrol but its main effect is to raise HDL, the good cholestrol and to increase the size of fatty particles in the blood. The large particles are much less likely to fit into crevices and build up into blockages. In general, Niaspan is much safer than statins. You probably would have to be hooked on alcohol or ingesting acetaminophen in large quantities for niaspan to affect your liver enzymes. Ten years ago my cardiologist put me on niaspan-er, starting at 500 mg/day and eventually going to 2000 mg/day. Based on the Berkeley panel of blood tests, which measure much morethan total LDL and HDL, within a year, I had moved from a high-risk to a low-risk patient and have stayed in the low-risk category. Not everyone tolerates high doses of niaspan as well as I do: the burning sensation in the middle of the night can be pretty fierce.
You can control it to a certain extent with aspirin and by not drinking alcohol close to bedtime. The main problem with niaspan is the cost: it is becoming unaffordable to me. I just found that a ninety day supply of 2000 mg/day was going up to over $1000. That's about $11 per day! You should not dump your doc without understanding why he is prescribing niaspan: if your dad has low HDL, statins are NOT the way to go. Niaspan is definitely the preferred treatment then.
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