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Li, Y. L. Xuezhikang decreases serum lipoproteina and C-reactive protein concentrations in patients with coronary heart disease. If you have 0-1 risk factor for heart disease, you are at low-to-moderate risk. Generally, lifestyle changes are effective in keeping the cholesterol in check. Zhonglin, H. Toxicity study for Monascus purpureus red yeast extract.

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Dosage is based on your medical condition, response to treatment, age, and other you may be taking. Do not drink large amounts of alcohol with simvastatin. This could cause unwanted effects on the liver. Double-strength: one can of frozen concentrate diluted with one can of water.

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Retrieved 28 November 2015. Concomitant administration of digoxin with simvastatin results in a slight elevation in digoxin concentrations in plasma. Patients taking digoxin should be monitored if simvastatin is initiated. The drug is in the form of an inactive that is after ingestion to produce the active agent. Food and Drug Administration.

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Colchicine is to be used only by the patient for whom it is prescribed. Do not share it with other people. If you have muscle aches, call your doctor immediately. This could be a sign of a life-threatening condition. Are There Foods or Other Drugs I Should Avoid While Taking Cholesterol-Lowering Drugs? Ask your doctor about the other drugs you are taking, including herbals and vitamins, and their impact on cholesterol-lowering drugs. You should not drink grapefruit juice while taking some types of cholesterol-lowering drugs, as it can interfere with the liver's ability to metabolize these medications.



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Many studies show that almonds have real health benefits too. Sindrup, S. H. Statins and peripheral neuropathy. Eur. Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals. New York, NY: The Haworth Herbal Press, 1999. In the primary intent-to-treat analysis, 639 15. Cheng XM, Yu ZM Luo HD Qiu YH Chen MX. Effect of Xuezhikang on endothelial function in patients with hyperlipidemia. Prior studies have indicated that statins may increase a person's risk of diabetes, the authors said in background information in the study. However, these earlier studies were focused mainly on statins' role in preventing heart disease, not on their potential diabetes risk. Lai, M. M. Efficacy and safety of Monascus purpureus Went rice in subjects with hyperlipidemia. Research has not shown that adding niacin, when you already take a statin, further lowers your risk of heart disease. Do not start, stop, or change the dosage of any medicines without your doctor's approval. This may not be a complete list of all interactions that may occur. Ask your health care provider if colchicine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. Patrick McBride, MD, MPH, director of the cholesterol clinic at the University of Wisconsin School of Medicine and Public Health. These drugs work inside the intestine, where they bind to bile and prevent it from being reabsorbed into the circulatory system. Bile is made largely from cholesterol, so these drugs work by reducing the body's supply of cholesterol. That then lowers both total and LDL cholesterol. The most common side effects are constipation, gas, and upset stomach. If patient develops a confusional state or memory impairment, may evaluate patient for nonstatin causes eg, exposure to other drugs systemic and neuropsychiatric causes, and the possibility of adverse effects associated with statin therapy. Adverse events were not observed in animal reproduction studies. There are reports of congenital anomalies following maternal use of HMG-CoA reductase inhibitors in pregnancy; however, maternal disease, differences in specific agents used, and the low rates of exposure limit the interpretation of the available data Godfrey, 2012; Lecarpentier, 2012. Cholesterol biosynthesis may be important in fetal development; serum cholesterol and triglycerides increase normally during pregnancy. The discontinuation of lipid lowering medications temporarily during pregnancy is not expected to have significant impact on the long term outcomes of primary hypercholesterolemia treatment. If you become or think you may be pregnant, tell your doctor right away. Experts are not exactly sure how.



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The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Mitotane: May decrease the serum concentration of CYP3A4 Substrates. Management: Doses of CYP3A4 substrates may need to be adjusted substantially when used in patients being treated with mitotane. May be administered without regard to meals. Administer in the evening for maximal efficacy. In bad cases of scoliosis or kyphosis, a person may have a hard time breathing. Slump or slouch when they sit or stand. HMG-CoA reductase, is a substrate of CYP3A4. Wang SH, Sun JL Liu HQ. Therapeutic observations of Xuezhikang for treatment of 60 cases of elderly with hyperlipidemia. VYTORIN out of light. DAPTOmycin. Specifically, the risk of skeletal muscle toxicity may be increased. Management: Consider temporarily stopping HMG-CoA reductase inhibitor therapy prior to daptomycin. Lanthanum: HMG-CoA Reductase Inhibitors may decrease the serum concentration of Lanthanum. Management: Administer HMG-CoA reductase inhibitors at least two hours before or after lanthanum. VYTORIN should be prescribed with caution in the elderly. The optimal age at which to initiate lipid-lowering therapy to decrease the risk of symptomatic adulthood CAD has not been determined. Not all nuts offer equal benefits. The FDA cut Brazil nuts, macadamia nuts, cashew nuts, and some varieties of pine nuts from the qualified health claim. This is because of their high fat content. But in moderation, even these nuts may have some of the same benefits. paxil



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Check with your pharmacist about how to dispose of unused medicine. Simvastatin can be taken with or without food. Prior to treatment initiation patients should be placed on a standard cholesterol lowering diet, which should continue during treatment. Dr. Alan Garber, a professor at Baylor College of Medicine, said that statin users with blood sugar levels beginning to creep up can likely head off type 2 diabetes through diet and exercise. Garber is the editor of the journal Diabetes, Obesity and Metabolism. Perry is part of a team of doctors at the University of British Columbia that looks at the evidence for and against drugs. They publish their findings in a free bi-monthly bulletin called Therapeutics Letter. The latest issue urged doctors to be more mindful of side effects when writing for statins. Liu, Z. and Zhang, Y. Clinical observation of treatment of hyperlipidemia with Xuezhikang. Zhang G, M XY C XB H X M JK W MH. Study of Xuezhikang and atorvastatin on mixed type hyperlipidemia. Cholesterol-lowering drugs are most effective when combined with a low-cholesterol diet and exercise program. Simvastatin has important interactions with juice and other drugs, including some that are commonly used for the treatment of cardiovascular disease. Klurfeld, D. M. Influence of mevinolin on experimental atherosclerosis in rabbits. For triglycerides, median % change from baseline. Fang, Y. and Li, W. Effect of xuezhikang on lipid metabolism and Islet 3 cell function in type II diabetic patients. Omega-3 fatty acids are also found in fatty fish like tuna and salmon. opag.info vytorin



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Use colchicine as directed by your doctor. Check the label on the medicine for exact dosing instructions. Some medications might decrease how quickly the liver breaks down red yeast. Taking red yeast along with some medications that decrease the breakdown of other medications in the liver can increase the effects and side effects of red yeast. Before taking red yeast, talk to your healthcare provider if you are taking any medications that are changed by the liver. Medical conditions. Sometimes a medical condition may cause higher cholesterol levels. Telaprevir: May increase the serum concentration of Simvastatin. Fibrates lower triglyceride levels and can increase HDL and lower LDL cholesterol. The mechanism of action is not clear, but it is thought that fibrates enhance the breakdown of triglyceride-rich particles and decrease the secretion of certain lipoproteins. In addition, they induce the synthesis of HDL. It may take up to 4 weeks before you get the full benefit of this drug. Mortensen SA, Leth A, Agner E, Rohde M. Dose-related decrease of serum coenzyme Q10 during treatment with HMG-CoA reductase inhibitors. Patient may experience headache, abdominal pain, nausea, constipation, cough, rhinitis, rhinorrhea, or pharyngitis. Have patient report immediately to prescriber signs of liver problems dark urine, feeling tired, lack of appetite, nausea, abdominal pain, light-colored stools, vomiting, or yellow skin or eyes arrhythmia, urinary retention, change in amount of urine passed, muscle pain, muscle tenderness, or muscle weakness HCAHPS. PAZOPanib: HMG-CoA Reductase Inhibitors may enhance the hepatotoxic effect of PAZOPanib. Specifically, the risk for increased serum transaminase concentrations may be increased. Management: Simvastatin is specifically implicated in the interaction. There is a lack of data regarding risk with other statins, but caution appears warranted with any statins. Atorvastatin should be avoided due to P-gp inhibition. Age and Gender. As you get older, your cholesterol rises. Soluble fiber -- available in supplements such as as well as in food -- can lower LDL cholesterol.



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Fu G, Liu WJ Wang GT. Comparison of Zhibituo and fish oil capsules for treatment of hyperlipidemia. This problem can occur anywhere on your spine. But in most cases, it occurs in the discs in the lower back and neck. Take simvastatin on the evening, on an empty stomach. Gelbach P, Li T, Hatef E 2016. Consult WARNINGS section for dosing related precautions. Consider use of pravastatin, rosuvastatin, or pitavastatin if statin therapy is needed. Cicero, AF, Rovati LC, and Setnikar I. Eulipidemic effects of berberine administered alone or in combination with other natural cholesterol-lowering agents. A single-blind clinical investigation. Arzneimittelforschung. Mild to moderate renal impairment: No dosage adjustment necessary; simvastatin does not undergo significant renal excretion. Zocor expired on June 23, 2006. Dosage may be adjusted in this condition. cvs pharmacy cytoxan prices



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European Society of Cardiology: “Statins Prevent Cataracts. The usual maximum dose for the simvastatin in this medication is 40 milligrams a day. If you have been instructed by your doctor to take more than 40 milligrams of simvastatin, continue on that same dose. However, promptly talk with him or her about the risks and benefits of your higher dose. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. There, it is eliminated from the body. How Do Statin Drugs Work? Ma F, Ma XH. Clinical observation of Finofibrate and Xuezhikang for treatment of hyperlipidemia. Consult your doctor before breast-feeding. Humpf, H. U. New Monascus metabolites: structure elucidation and toxicological properties studied with immortalized human kidney epithelial cells. Caduet is a combination of a statin Lipitor and a blood pressure-lowering drug called Norvasc. Vytorin is a combination of a statin and a cholesterol absorption inhibitor simvastatin and ezetimibe. Colchicine may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills. buy online furosemide 120mg



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Colchicine: May enhance the myopathic rhabdomyolysis effect of HMG-CoA Reductase Inhibitors. Colchicine may increase the serum concentration of HMG-CoA Reductase Inhibitors. Biochemist Jesse Huff and his colleagues at Merck began researching the biosynthesis of cholesterol in the early 1950s. Muscle pain, tenderness and weakness myopathy. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness; burning, numbness, or tingling; change in the amount of urine produced; confusion; dark or red-colored urine; decreased sexual ability; depression; dizziness; fast or irregular heartbeat; fever, chills, or persistent sore throat; joint pain; loss of appetite; memory problems; muscle pain, tenderness, or weakness with or without fever and fatigue; pale stools; red, swollen, blistered, or peeling skin; severe or persistent nausea or stomach or back pain; shortness of breath; trouble sleeping; unusual bruising or bleeding; unusual tiredness or weakness; vomiting; yellowing of the skin or eyes. Li, S. Effect of Xuezhikang, an extract from red yeast Chinese rice, on coronary events in a Chinese population with previous myocardial infarction. What are the possible side effects of VYTORIN? Simvastatin acid refers to the β-hydroxyacid of simvastatin. Lowering LDL-C decreases this risk. Talk to your pharmacist if you have questions about this information. Liu L, Li JP Shen PN. Clinical observations of Xuezhikang for treatment of mixed type of hyperlipidemia. In those cases, he believes that the benefits of the drug usually outweigh their risks. Zheng H, Dan XY Ning H Xue B. Observations of Xuezhikang on clinical effects and haemorheology.



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Some products that may interact with this drug include: "blood thinners" such as warfarin cyclosporine, danazol, gemfibrozil. Hsu, C. C. Effect of red mold rice supplements on serum and meat cholesterol levels of broilers chicken. Appl. If you miss a dose of simvastatin, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Digging a little deeper, the investigators found that statins decreased insulin sensitivity by 24 percent, and insulin secretion by 12 percent. The more simvastatin and atorvastatin that people took, the more their ability to use and produce insulin suffered. Some medical conditions may interact with simvastatin. Farrell tells WebMD. Honey-roasted, covered, and other candied nuts give you extra calories that you don't need. FDA has found that liver injury associated with statin use is rare but can occur. Conditions of Use and Important Information: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you. Eslicarbazepine: May decrease the serum concentration of Simvastatin. Zhao, Y. C. Long-term effects of Xuezhikang on blood pressure in hypertensive patients with previous myocardial infarction: data from the Chinese Coronary Secondary Prevention Study CCSPS. Another type of pain -- -- also responds to massage therapy, as shown by more than one study. Shen MY. Comparison of the effects of Xuezhikang and atorvastatin for treatment of hyperlipidemia. Rarely, changes to the skin, hair, and nails eg, discoloration, dryness, hair loss may occur. Check with your doctor if these effects become bothersome or cause you concern. Xiao M, Ye P. Clinical observation of Xuezhikang for treatment of hyperlipidemia. Frequency not always defined. buy now lamivudine online usa



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Women who are able to become pregnant should use effective birth control while taking simvastatin. Check with your doctor if you have questions about using birth control. Hu, Z. B. Identification and chemical profiling of monacolins in red yeast rice using high-performance liquid chromatography with photodiode array detector and mass spectrometry. J Pharm Biomed. Play sports or do yard work. Based on these findings, physicians will have to weigh risks versus benefits before prescribing statins, said Dr. Al Powers, director of the division of diabetes, endocrinology and metabolism at Vanderbilt University Medical Center. Pandey, A. Solid-state fermentation for the production of Monascus pigments from jackfruit seed. Bioresour. Diabetes patients - Simvastatin may increase your blood sugar levels. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Achilles tendons and also thins out the heart muscles making you more prone to heart attacks. When I dehydrated, they did an MRI to see if I had gallstones-vomiting, black urine, nuasea, stomach pain-no fever. My heart is really good. Ezetimibe is an antihyperlipidemic agent. It works by reducing the amount of cholesterol that your body absorbs from your diet. Simvastatin is an HMG-CoA reductase inhibitor or "statin. How is High Blood Cholesterol Treated? When you take a statin, you do more than improve your cholesterol levels. Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients. This is not really a disease but a term used to describe the normal changes that occur in your spinal discs as you age. Over time, the discs in your spine break down, or degenerate. A loss of fluid in the discs or tiny tears or cracks in the outer layer of the discs can occur over time. May be taken without regard to meals. Red yeast rice contains variable amounts of several compounds that are structurally similar to HMG-CoA reductase inhibitors, primarily monacolin K or mevinolin which is structurally identical to lovastatin; concurrent use of red yeast rice with HMG-CoA reductase inhibitors may increase the incidence of adverse and toxic effects Lapi, 2008; Smith, 2003. Use with caution in patients taking other drugs associated with myopathy eg, colchicine; these patients are predisposed to myopathy. Patients should be instructed to report unexplained muscle pain, tenderness, weakness, or brown urine. Experts say another problem is that people may suspect statins when other conditions are really causing their symptoms. cheapest place to bisoprolol



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When used together with higher doses of simvastatin, these medicines may increase your risk of muscle injury and could result in kidney problems. Lu, Z. The clinical examinations of Xue-Zhi-Kang in the treatment for hypercholesterolemia. The reports about memory loss, forgetfulness, and confusion span all statin products and all age groups. The FDA says these experiences are rare but that those affected often report feeling “fuzzy” or unfocused in their thinking. Side Effects List Simvastatin side effects by likelihood and severity. Statins block the production of cholesterol in the liver. They lower LDL and triglycerides and can slightly raise HDL. These drugs are the first line of treatment for most people with high cholesterol. They are associated with a lower risk of heart disease, and for people with heart disease, statins reduce the risk of future heart attacks. Side effects can include intestinal problems, liver damage, and, in a few people, muscle tenderness or weakness. If your doctor prescribes statins, you should discuss the percentage by which you should lower your cholesterol. Generally, it will be between 30% and 50%. Bucci, A. Combined treatment with Dif1stat and diet reduce plasma lipid indicators of moderate hypercholesterolemia more effectively than diet alone: a randomized trial in parallel groups. Endo, A. Monacolin K, a new hypocholesterolemic agent produced by a Monascus species. J Antibiot. Guo XL, Li Y Yin GN. Xuezhikang for treatment of 30 cases of hyperlipidemia. In Japanese, shiatsu means "finger pressure. Educate patient about signs of a significant reaction eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat. Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.



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Ignaszewski, A. P. The impact of dietary changes and dietary supplements on lipid profile. Manufacturer's labeling: Liver enzyme tests at baseline and repeated when clinically indicated. Measure CPK when myopathy is being considered or may measure CPK periodically in high risk patients eg, drug-drug interaction. Lipid panel should be analyzed after 4 weeks of therapy and periodically thereafter. Bianchi, A. Extracts of Monascusus purpureus beyond statins--profile of efficacy and safety of the use of extracts of Monascus purpureus. Chin J Integr. Chand, deputy chairman of the British Medical Association. "My regular was curtailed. I was feeling tired and exhausted. Niacin is a B-complex vitamin. It's found in food, but is also available at high doses by prescription. It lowers LDL cholesterol and raises HDL cholesterol. These drugs also lower elevated triglycerides. The main side effects are flushing, itching, tingling, and headache, yet aspirin can reduce many of these symptoms. However, speak with your doctor first. Niacin or nicotinic acid, includes the brand names Niacor, Niaspan, or Slo-niacin. Over-the-counter preparations include extended-release, timed-release, and controlled-release. Niacin found in dietary supplements should not be used to lower cholesterol. Your doctor or lipid specialist will let you know if niacin is appropriate for you. Recent research suggests that niacin may improve cholesterol numbers, but may not be associated with prevention of heart attacks. Wang XL, Hu XM. Comparison of Xuezhikang and simvastatin in regulating lipids for hypercholesterolemia. HMG-CoA Reductase Inhibitors. Management: Avoid the use of HMG-CoA reductase inhibitors and ciprofibrate if possible. Ma YL. Observation of 30 cases of hypercholesterolemia in treatment with Xuezhikang. Call your doctor about medical advice about side effects. What Are Possible Side Effects of Lipitor? Simvastatin also interacts with other drugs, including some used to treat cardiovascular problems. UpToDate: “Patient information: High cholesterol treatment options Beyond the Basics. This is a webiste written by a former NASA astronaut doctor Dr. Graveline who experinced severe statin reactions himself and has studied the problem and collected info on the subject for many years. You can check out all your symptoms there and read accounts from others with statin reaction issues. He explains his recommendations for statin recovery as well. He has written several books on the subject and I have purchased and recommend them. If you have any questions about simvastatin, please talk with your doctor, pharmacist, or other health care provider. This kicks in the liver's impulse to gather cholesterol the body needs from the bloodstream, reducing the chance it will add to dangerous plaque deposits. condylox



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Use of simvastatin is contraindicated in pregnancy. HMG-CoA reductase inhibitors should be discontinued prior to pregnancy ADA, 2013. If treatment of dyslipidemias is needed in pregnant women or in women of reproductive age, other agents are preferred Berglund, 2012; Stone, 2013. The manufacturer recommends administration to women of childbearing potential only when conception is highly unlikely and patients have been informed of potential hazards. Therapeutic Research Faculty 2009. CPK concentrations is recommended. Goldberg expects that most heart patients who need statins will continue to receive them, but with close monitoring of their blood sugar levels. Suspension is administered to patients with severe renal impairment. Take colchicine by mouth with or without food. clozaril



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How Statin Drugs Protect the Heart. Red yeast supplements are manufactured by culturing Monascus purpureus yeast on rice at carefully controlled temperature and growing conditions to increase the concentrations of chemicals that lower blood cholesterol and triglycerides. MI, cardiac death, stroke, or any revascularization procedure. Simvastatin Oral Suspension and call their healthcare professional.

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Wang J, Lu A, Chi J. Multicenter clinical trial of the serum lipid-lowering effects of a monascus purpureus red yeast rice preparation from traditional Chinese medicine. The and fiber in nuts make them very filling. It may also be twisted. Zhu WM, Wu SR. Effects and safety of combined treatment by Xuezhikang and micronized fenofibrate in patients with hyperlipidemia. Begin medication therapy as directed by your doctor.

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Patients who are currently tolerating the 80 mg dose who need to be initiated on an interacting drug that is contraindicated or is associated with a dose cap for simvastatin should be switched to an alternative statin with less potential for the drug-drug interaction. Heber, D. Plasma clearance of lovastatin versus chinese red yeast rice in healthy volunteers. The dosage is based on your medical condition, response to treatment, age, and other you may be taking. Concomitant intake of grapefruit juice and simvastatin should be avoided. Developed to help with muscle systems used for a particular sport, sports massage uses a variety of approaches to help athletes in training -- before, during, or after sports events. You might use it to promote flexibility and help prevent injuries.

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HDL levels, the “good” cholesterol. People in most studies showing a benefit have taken 1 to 4 grams of a day. Concomitant administration of simvastatin with colchicine can cause myopathy, including rhabdomyolysis. Caution is recommended. Chen LL, Liu J. Effects of Xuezhikang on hypercholesterolemia.

Honghui F, Bo Z Xin F Jinghui Z Teyang Y. Effect of xuezhikang on hyperlipidemia in chronic renal failure patients on peritoneal dialysis. Lansheng, G. Comparison of the effects of Xuezhikang and Simvastatin on lipid profile modification in patients with hypercholesterolemia. Sobh, M. Efficacy and safety of Monascus purpureus Went rice in subjects with secondary hyperlipidemia. Therefore, red yeast might also cause side effects similar to statin drugs, such as liver damage and severe muscle pain and muscle damage. There is also concern about product quality. Many red yeast rice products have been found to contain varying amounts of the statin-like chemicals. Some products may contain none and others may contain high amounts, which are more likely to cause serious side effects. Serious allergic reactions can occur after breathing in red yeast. Red yeast that is not fermented correctly may contain citrinin. Citrinin is a poison that may cause kidney damage.

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