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Medical Forum / General / Cardiology / May 2008

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Question to doctor chung.  Can I go back and forth between lipitor     and simvastatin

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dakotacaster@yahoo.com - 14 May 2008 23:57 GMT
My doctors agree that it would be fine for me to switch from lipitor
(10mg) to SIM. (20 mg).    For reasons that I"ll
explain later .......is it OK, medically,  to
(1) make the change to SIM
(2) get re-tested a few months(?)  later (chol. and liver) to make
sure it's working OK
(3) then go back to lipitor for a month or 2
(4) then when  my lipitor supply runs out for good,  go back to SIM
permanently

My main question is the interchangeability between the 2 drugs.   I
know that there's no problem
changing from one to the other,  but is changing back and forth a few
times, over a period
of a few months,  any problem?   (I know, of course, it would make the
near-future cholesterol tests
impossible to interpret as far as how the "drug" is working"....) but
that's not my concern here.

I"m just concerned whether it would have any negative effects or
possibly harmful effects.

And extending this, just to a hypothetical case,   what if someone
changed from one to the other
each week,  for maybe a few months (not that I would be doing
that).

I'm only doing this so save a little money and also keep up my supply
of statins when I travel,
without having to worry about getting refills  if i'm in a far away
place.   It's not worth going into
the details....
thanks.
Andrew B. Chung, MD/PhD - 15 May 2008 00:12 GMT
Did you check WebMD?  http://www.webmd.com/

WebMD helps those who help themselves!!

Signature

Bubba Do Wah Ditty

> My doctors agree that it would be fine for me to switch from lipitor
> (10mg) to SIM. (20 mg).    For reasons that I"ll
[quoted text clipped - 29 lines]
> the details....
> thanks.
dakotacaster@yahoo.com - 15 May 2008 00:16 GMT
Yes, and i checked all reputable sources on the web for the past few
days.   Absolutely no answer to my
question on any website.

On May 14, 7:12 pm, "Andrew B. Chung, MD/PhD"
<heart...@emerycardiology.com> wrote:
> Did you check WebMD?  http://www.webmd.com/
>
[quoted text clipped - 42 lines]
>
> - Show quoted text -
Truth - 15 May 2008 00:18 GMT
On May 14, 4:16 pm, dakotacas...@yahoo.com wrote:
> Yes, and i checked all reputable sources on the web for the past few
> days.   Absolutely no answer to my
[quoted text clipped - 51 lines]
>
> - Show quoted text -

Lipitor can be taken at any time of the day. Simvistatin should be
taken at bedtime.
Zen Cohen - 15 May 2008 00:24 GMT
> My doctors agree that it would be fine for me to switch from lipitor
> (10mg) to SIM. (20 mg).    For reasons that I"ll
[quoted text clipped - 11 lines]
> times, over a period
> of a few months,  any problem?   ....

The rigid logic of Dr Chung's medical philosophy yields but one answer: "If
the change back and forth makes you hungrier, then it is good."
Andrew B. Chung, MD/PhD - 15 May 2008 03:20 GMT
neighbor dakotacas...@yahoo.com wrote:

> My doctors agree that it would be fine for me to switch from lipitor
> (10mg) to SIM. (20 mg).    For reasons that I"ll
> explain later .......is it OK, medically,  to
> (1) make the change to SIM

With your doctors' blessings, yes.

> (2) get re-tested a few months(?)  later (chol. and liver) to make
> sure it's working OK

This is the standard of care after a change in the statin (HMG-CoA
Reductase Inhibitor).

> (3) then go back to lipitor for a month or 2

Again, with your doctors' blessings, yes.

> (4) then when  my lipitor supply runs out for good,  go back to SIM
> permanently

Again, with your doctors' blessings, yes.

> My main question is the interchangeability between the 2 drugs.   I
> know that there's no problem
> changing from one to the other,  but is changing back and forth a few
> times, over a period
> of a few months,  any problem?

Not as long as your doctors are aware of it.

> (I know, of course, it would make the
> near-future cholesterol tests
[quoted text clipped - 14 lines]
> place.   It's not worth going into
> the details....

The most amount of savings and least amount of hassle would come from
losing all the VAT (black fat) so that your LDL would drop down to
less than 100 mg/dL on its own sans statins.

> thanks.

Laus Deo :-)

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/cd9918679e6b3d6f?
dakotacaster@yahoo.com - 15 May 2008 14:53 GMT
Andrew,  Thanks for the answer  (though I don't know if my doctors
ever do any "blessing", but I'll take
that as a figure of speech).
2PD Dong - 15 May 2008 16:26 GMT
On May 15, 9:53 am, dakotacas...@yahoo.com wrote:
> Andrew,  Thanks for the answer  (though I don't know if my doctors
> ever do any "blessing", but I'll take
> that as a figure of speech).

Andrew has not practiced medicine for years. Keep that in mind.
Andrew B. Chung, MD/PhD - 15 May 2008 21:22 GMT
> Andrew,  Thanks for the answer  (though I don't know if my doctors
> ever do any "blessing", but I'll take that as a figure of speech).

Laus Deo :-)

http://HeartMDPhD.com/LausDeo

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow

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