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Guide Picks - Top Statins
Actually, these are all the statins, in alphabetical order.  Five statins are currently on the market, not including cerivastatin (Baycol,) that was removed from the market during the summer of 2001.  This listing will concentrate on the distinguishing features of each statin drug. Click here for a more general overview of the statin drugs, including clues on choosing which statin to use. The generic names are listed first, followed by the trade names in parentheses. 
1) Atorvastatin (Lipitor)
  Atorvastatin is the most potent statin for lowering LDL cholesterol levels ("bad cholesterol,") and is the most commonly prescribed statin drug.  In contrast to lovastatin, pravastatin and simvastatin, clinical trials demonstrating the ability of atorvastatin to prevent heart attacks and early mortality have not been conducted.
 
 
2) Cerivastatin (Baycol) - now removed from market
  Cerivastatin was an effective and relatively inexpensive statin.  It was removed from the market during the summer of 2001 because several patients died from severe muscle disease caused by the drug.  While other statins can also cause muscle disease, the form of muscle disease caused by cerivastatin appears to be much more severe.
   
 
3) Fluvastatin (Lescol)
Fluvastatin is the least expensive statin drug.
   
 
4) Lovastatin (Mevacor)
Lovastatin was the first statin to be approved for use by the FDA.  It is also the first statin whose patent will expire.  Thus, generic lovastatin should appear during 2002, which should result in a significantly reduced price.
  
 
5) Pravastatin (Pravachol)
More evidence exists from clinical trials supporting pravastatin's ability to prevent heart attacks and early mortality than for any other statin.  Pravastatin is also the statin least likely to cause interactions with other drugs.
 
 
6) Simvastatin (Zocor)
Simvastatin is the second most potent statin drug for lowering LDL cholesterol.  In addition, it is more effective than other statins in raising HDL cholesterol levels ("good" cholesterol.)
Simvatatin was used in the Heart Protection Study - a study showing for the first time that statins significantly reduce heart attack and stroke in high risk patients regardless of cholesterol levels.
  
 
     Related Resources
• Before You Buy
• Cholesterol and triglycerides
• The Baycol recall - what it means
• Raising your HDL levels
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