People’s Pharmacy: Cognitive side effects of statins remain controversial

Q. I recently read that statins don’t cause memory problems. Let me tell you about my experience with statins. Over the past two decades, I have been prescribed simvastatin, atorvastatin, fluvastatin and pravastatin. I would not call my problem memory loss.

What I get is stupid. Really! It was difficult to figure out slightly complex tasks at work. I was often in a daze, unable to focus. It was like my brain could not process information. I couldn’t think – literally. I eventually stopped the statins.

I recently tried atorvastatin again. Within a week or so, I started having the same problems. Now I take gemfibrozil and niacin to control my cholesterol. They do not affect my brain.

A. Doctors disagree about whether brain fog is a side effect of statin-type, cholesterol-lowering medications. An epidemiological study from Australia concluded that “statin therapy was not associated with any decline in memory or cognition over six years” (Journal of the American College of Cardiology, November).

Another group of Australian scientists analyzed studies and case reports (Expert Reviews in Clinical Pharmacology, April 27). They concluded that “statin-induced cognitive decline does exist, needs to be better recognized and requires more studies of prevention and treatment.”

We doubt that this controversy will be resolved anytime soon. Anyone who would like to read more about statin side effects and other drugs that could affect cognitive function may consult our book “Top Screwups.” It is available at peoplespharmacy.com.

Q. I had a couple of scary nosebleeds a few years ago, and my ear, nose and throat doctor advised me to use Ayr saline nasal gel two or three times a day. He also suggested that I get a humidifier installed on my furnace. When I did this, it helped with my nose and skin, as well.

I’ve had great success with this method and haven’t had any nosebleeds since, not even a hint of blood. I’m very grateful to my ENT physician assistant for the recommendations.

This nasal gel is affordable. It’s definitely worth looking into if you have problems with dry nose.

A. Saline sprays or gels are a safe way to moisturize a dry nose. Avoid oil-based products, as they might end up in the lungs and cause inflammation.