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FM001
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Atorvastatin seems to be the most effective statin but it is expensive. A fairly typical Ator dose is 20 mg. Research as shown that 40 of simvastatin is just as effective as 20 Ator. And sim is much cheaper so 40 mg is good value for money. Its the standard dose - not particularly high and you don't need to work up to the standard dose unlike metformin for example.
There has been a campaign over the last couple of years in the NHS to switch ator users to 40 mg simvastatin. I was switched about 2 years ago and haven't noticed any difference.
Yes they get a reward for getting a percentage of diabetics under 4 - that shows how important those in the know consider that to be. ( a diabetics risk of heart problems at TC of 4+ is the same as a non-diabetics at 5+ which itself is much higher than a non-diabetics risk at 3 TC).
What's disappointing is that the GPs have to be incentivised to do their basic job !
Thanks for info Mc I'll be mentioning Atorvastatin when discussing this with doc, seems cost is creeping into every aspect of patient care now🙄