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Is Discontinuing Pravastatin Advisable While Having Stents In Artery?

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Posted on Thu, 13 Aug 2015
Question: I have had a triple bypass and I have five stents in my right coronary artery. Because I developed an alergic reaction to Pravastatin after two months (suffer liver issue with Lipitor; was on Crestor for almost two years but the VA in NC refuses to give me that because they say it's too expensive) my VA doctor wants to take me off my statin for six weeks until my next appointment in September. Says my cholestoral is good/normal, Is this harmful?
doctor
Answered by Dr. Priyank Mody (1 hour later)
Brief Answer:
Try to continue crestor or its generic. Taking lipitor not advisable

Detailed Answer:
Respected sir, I am Dr. Mody and I would be addressing your concerns here.
I went through the history in detail, and thank you for providing the same.
All three lipitor/pravastatin and rosuvastatin (crestor) are different statin.
There role after the bypass and angioplasty is not just control of lipids but also plaque stabilisation, it means it doesn't allow new blockages to from, or old blockages to increase with time. As per XXXXXXX college of society guidelines, a person should be on statin for lifetime and not just till lipids are in control for its various attack and that to on high does.
1)Now the most important point, Sir once you had liver damage because of the statin you CANNOT take it ever back, so I wouldn't recommend you to take lipitor
2)because you had triple bypass and complete reconstruction of RCA, your procedure fits into complex revascularisation procedure, and you should ideally take crestor without any interpretation in between .

So what can we do?
1) by no means can you take lipitor
2) crestor is the ideal bet, and you may discuss it with the concerned authority, that you need creator as a compulsion, because you are not tolerant to any other statin.
3) you may consider taking the generic rosuvastatin, which is the component of crestor
4) if you decide not to take any there is a small but definitive risk of rested osis, you may consider taking alternative like omega 3 fatty acid supplement, cut on oil and cards for the month, fish to be preffered meal and ni red meat and egg yellow.
5) lastly if all alternative don't work reduced dose of lipitor on alternate days may be tried, though personally I don't recommend
Hoping I could help
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
You may rate the query to XXXXXXX if you satisfied so it may help other ppl make a choice.
Have a good day :)
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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Is Discontinuing Pravastatin Advisable While Having Stents In Artery?

Brief Answer: Try to continue crestor or its generic. Taking lipitor not advisable Detailed Answer: Respected sir, I am Dr. Mody and I would be addressing your concerns here. I went through the history in detail, and thank you for providing the same. All three lipitor/pravastatin and rosuvastatin (crestor) are different statin. There role after the bypass and angioplasty is not just control of lipids but also plaque stabilisation, it means it doesn't allow new blockages to from, or old blockages to increase with time. As per XXXXXXX college of society guidelines, a person should be on statin for lifetime and not just till lipids are in control for its various attack and that to on high does. 1)Now the most important point, Sir once you had liver damage because of the statin you CANNOT take it ever back, so I wouldn't recommend you to take lipitor 2)because you had triple bypass and complete reconstruction of RCA, your procedure fits into complex revascularisation procedure, and you should ideally take crestor without any interpretation in between . So what can we do? 1) by no means can you take lipitor 2) crestor is the ideal bet, and you may discuss it with the concerned authority, that you need creator as a compulsion, because you are not tolerant to any other statin. 3) you may consider taking the generic rosuvastatin, which is the component of crestor 4) if you decide not to take any there is a small but definitive risk of rested osis, you may consider taking alternative like omega 3 fatty acid supplement, cut on oil and cards for the month, fish to be preffered meal and ni red meat and egg yellow. 5) lastly if all alternative don't work reduced dose of lipitor on alternate days may be tried, though personally I don't recommend Hoping I could help Regards Dr Priyank Mody, Cardiologist, XXXXXXX You may rate the query to XXXXXXX if you satisfied so it may help other ppl make a choice. Have a good day :)