Syed Raza
Awali Hospital, Bahrain
Title: Do we apply current guidelines while prescribing statin therapy?
Biography
Biography: Syed Raza
Abstract
Introduction: Statin is the most controversial molecule , at the same time very commonly used as well as misused amongst all cardiovascukar drugs.
Method : We studied a large cohort of patients to see if statin was being prescribed by specialist and general physicians simply based on their random clinical decision or current standard guidelines were being followed.
Analysis and Results: It was discovered that a vast majority of patients were being prescribed Statin simply based on the numerical value of total cholesterol and LDL levels. A cardiovascular risk approach was not applied in these patients. On the other hand patients particularly diabetic who are now considered at higher risk for cardiovascular event were being missed out on statin. Appropriate potency and adequate dosing of statin therapy was not always adhered to. Statin therapy was also discontinued in patients despite strong clinical indication simply based on mild rise in liver or muscle enzymes. Use of Ezetemibe as adjunct therapy was very limited.
Conclusion: Standard guidelines are not always being used while prescribing Statin treatment. Physicians still tend to initiate and stop statin thyerapy only based on their own random clinical judgement. This action does leave some high risk patients unprotected and made deprived of important and readily available drug therapy.
