We are fortunate to live in an age when we have agents that will help us reach desireable goals of both good and bad cholesterol. Statin agents (such as "Zocor", "Mevacor", "Pravachol", "Baycol" and "Lipitor") are potent agents which can lower even markedly elevated levels of bad cholesterol. Agents such as Lopid or Tricor (these are called "fibrate agents") can lower triglycerides and raise good cholesterol. A naturally occuring vitamin (niacin) has now been developed in a long-acting formulation ("Niaspan") which not only lowers bad cholesterol, lowers triglycerides, and raises good cholesterol, but lowers the amount of other toxic types of cholesterol such as "lipoprotein (a)". There is abundant information from well-designed clinical trials to show that these agents not only make the levels of these substances better, but clearly lower the risk of having a heart attack, stroke, bypass surgery, etc.

Yes, like all other medicines, there may be side effects . . . but they are generally mild, can be caught early with blood tests, and are reversible.

If your cholesterol is high, particularly if you have other "risk factors" for having a heart attack or stroke, doesn’t it make more sense to lower your risks of averting these catastrophes by 30-45%? Don’t be scared off by a medicine that causes side effects which are mild and reversible and occur in a much lower number of people!