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How to Stop Diarrhea With Cholesterol-Lowering Prescription Medication
If you’re taking a prescription drug known as a statin to lower your cholesterol, you may experience gastrointestinal (GI) side effects such as nausea, constipation and diarrhea. These side effects are rare and usually occur in people who already have digestive disorders. According to the Mayo Clinic, statins are also more likely to cause side effects in females, those who have a smaller body frame and/or those who are 65 or older 1. You also have a greater chance of side effects if you take more than one medication for high cholesterol, have liver or kidney disease, and have either type 1 or type 2 diabetes. There are some measures you can follow to reduce your risk of diarrhea, as well as ways to control diarrhea if it does occur.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Take your statin pill with your evening meal. This timing reduces the risk of digestive effects, including diarrhea.
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Take a medication holiday. According to the Mayo Clinic, stopping your statin for 10 to 14 days will allow you to see if the diarrhea goes away when you’re not on the drug 1. If it does, the bowel problem is most likely related to the statin.
Change to another statin. Some cholesterol-lowering medications, like pravastatin (Pravachol) and rosuvastatin (Crestor), may cause fewer side effects. You’ll need to discuss this switch with the prescribing doctor.
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Lower your statin dose. You may have fewer side effects at a lower dose, but you’ll also reduce the cholesterol-lowering benefits of the drug. Talk with your doctor before changing the dose.
Change what you eat. Some foods like bananas, rice and dry toast help firm up your stools and reduce your diarrhea. High-fiber foods thicken your stools and make your bowel movements more regular. Some good fiber choices include products made with whole wheat grains and bran.
Drink the right fluids. You need plenty of liquid so you don’t become dehydrated, but avoid beverages with caffeine or alcohol. Milk can make your diarrhea a little worse but also provides essential nutrients. If your diarrhea is mild, you can continue drinking milk. If it becomes more severe, switch to sports drinks that replenish the glucose and sodium lost in your frequent bowel movements.
Warnings
Diarrhea from a cholesterol-lowering medication is usually mild and goes away as you continue taking the drug. However, severe and persistent diarrhea can cause dehydration, dizziness (especially when you stand up) and loss of essential electrolytes such as sodium. Report these symptoms to your doctor right away.
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References
- Mayo Clinic
- Medline Plus
- Drugs.com
- Bibbins-Domingo K, Grossman DC, Curry, SJ, et al; US Preventive Services Task Force. Statin Use For The Primary Prevention Of Cardiovascular Disease In Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;316(19):1997-2007. DOI:10.1001/jama.2016.15450.
- Riaz H, Khan AR, Khan MS, et al. Meta-analysis of Placebo-Controlled Randomized Controlled Trials on the Prevalence of Statin Intolerance. Am J Cardiol 2017; 120:774. DOI:10.1016/j.amjcard.2017.05.046.
- Stone NJ, Robinson J, Lichtenstein AH, et al, 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk In Adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013. DOI:10.1161/01.cir.0000437738.63853.7a.
- Wagstaff LR, Mitton MW, Arvik BM, Doraiswamy PM. Statin-associated Memory Loss: Analysis Of 60 Case Reports And Review Of The Literature. Pharmacotherapy 2003; 23:871. DOI:10.1592/phco.23.7.871.32720.
- Yusuf S, Bosch J, Dagenais G, et al. Cholesterol Lowering in Intermediate-Risk Persons without Cardiovascular Disease. N Engl J Med 2016; 374:2021. DOI:10.1056/NEJMoa1600176.
Warnings
- Diarrhea from a cholesterol-lowering medication is usually mild and goes away as you continue taking the drug. However, severe and persistent diarrhea can cause dehydration, dizziness (especially when you stand up) and loss of essential electrolytes such as sodium. Report these symptoms to your doctor right away.
Writer Bio
Sandy Keefe, M.S.N., R.N., has been a freelance writer for over five years. Her articles have appeared in numerous health-related magazines, including "Advance for Nurses" and "Advance for Long-Term Care Management." She has written short stories in anthologies such as "A Cup of Comfort for Parents of Children with Special Needs."