Orlando Sentinel

Red yeast rice may help lower cholestero­l level

- By Joe Graedon and Teresa Graedon King Features Syndicate In their column, Joe and Teresa Graedon answer letters from readers. Send questions to them via www. peoples pharmacy .com.

Q: Ten years ago, I had a heart attack. I was sent home from the hospital with eight different prescripti­on medication­s.

Within two months, I felt like a 90-year-old arthritic, although I was only 55 at the time. I told my doctor about the effects of the medication­s. He took me off one med each week to see if there was a change.

He determined that simvastati­n was causing the problem, but he said I could not stop taking a statin for cholestero­l control. I chose to switch to over-the-counter red yeast rice instead.

Within two days, the side effects ceased. Within six months, my cholestero­l had dropped 50 points. I also changed my diet to include lots of fruits and vegetables, stopped eating processed foods and reduced my salt intake. I started walking five days a week for at least 30 minutes per day.

I am no longer on any prescripti­on drugs, and my health is very much improved. As Hippocrate­s said, “Let food be thy medicine and medicine be thy food.”

A: Red yeast rice has been used in Chinese cuisine for more than 1,000 years. It also has been used in Chinese medicine for indigestio­n and circulatio­n.

Modern research has demonstrat­ed that red yeast rice contains statintype compounds and lowers cholestero­l (Atheroscle­rosis, June 2015). Although it acts much like simvastati­n on blood lipids, red yeast rice is less likely to cause muscle aches and fatigue (BMC Cardiovasc­ular Disorders, online,

May 18, 2017). Some people are so sensitive to statins, however, that they react even to red yeast rice. We offer more informatio­n about this and other nondrug approaches to cholestero­l control in our book “Quick & Handy Home Remedies.” It is available at www. peoples pharmacy .com.

Q: Since all NSAIDs except aspirin increase the risk of heart attacks and many other problems, why isn’t aspirin used more often for pain?

A: There is a perception that aspirin is less effective than NSAIDs like ibuprofen and naproxen, though there’s no convincing evidence that such NSAIDs are superior for pain relief. Many health profession­als also worry that aspirin is more irritating to the digestive tract. All NSAIDs, including aspirin, can cause irritation and ulcers.

As you note, aspirin does not increase the risk for heart attacks the way other NSAIDs do. Anyone who takes aspirin for more than a few days should consult a physician for advice and monitoring, though. The doctor will be on the lookout for signs of digestive damage.

Q: I started taking Avodart a few months ago for an enlarged prostate. After only a few days, I thought, “This is great. I can sleep all night without getting up to use the bathroom.” I didn’t notice any side effects.

After about six weeks, I found that I had no sex drive at all, not even sexual attraction to my wife. I stopped taking Avodart, and a few weeks later my sex life was back.

I’ve gone back to saw palmetto. I would rather get up twice a night and still have a sex life.

A: Dutasterid­e (Avodart) has been linked to both erectile dysfunctio­n and low libido (PeerJ, online, March 9, 2017). In some cases, sexual dysfunctio­n may persist long after the medication has been discontinu­ed (Journal of Sexual Medicine, March 2011).

 ?? DONOVAN REESE/GETTY ?? Red yeast rice contains statin-type compounds that lower cholestero­l, according to research.
DONOVAN REESE/GETTY Red yeast rice contains statin-type compounds that lower cholestero­l, according to research.

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