Drugs that cut cholesterol could make middle-aged
women more susceptible to diabetes, a group of top doctors has warned.
Known as statins, the drugs are currently offered
to as many as seven million people who have a one-in-five chance of developing
heart disease within 10 years.
Earlier this year, the NHS was urged to offer them to people with just 10% risk, with
advisers claiming there is "no credible argument against their
safety".
However, leading clinicians have now written to Health
Secretary Jeremy Hunt, warning against what they call the "medicalisation
of millions of healthy individuals".
They say draft guidance from the National Institute
for Health and Clinical Excellence (Nice) is based almost entirely on studies
funded by drugs companies.
People who take statins are at risk of fatigue and
psychiatric problems, while men may suffer erectile dysfunction, they warn.
Professor Simon Capewell, from the University of
Liverpool, said: "These recommendations are deeply worrying, effectively
condemning all middle-aged adults to lifelong medications of questionable
value."
Dr Aseem Malhotra, a London-based cardiologist,
added: "Although there is good evidence that the benefits of statins
outweigh the potential harms in those with established heart disease, this is
clearly not the case for healthy people.
"A doctor wouldn't give chemotherapy to a
patient who didn't have cancer or prescribe insulin to someone without diabetes."
However, Professor Mark Baker, director of the
centre for clinical practice at Nice, said the proposals were intended to
tackle coronary heart disease, peripheral arterial disease and stroke, which
are responsible for around one in three deaths in the UK.
"The independent committee of experts found
that if a patient and their doctor measure the risk and decide statins are the
right choice, the evidence clearly shows there is no credible argument against
their safety and clinical effectiveness," he said.
Professor Baker also rejected allegations that the
advice had been financially motivated.
"The committees are made up of clinicians,
patients and others with the skills necessary to help interpret sometimes
complex data," he said.
"None of them have put their names to the
recommendations to make money for themselves."
- Related Stories
- Anti-Statin Articles face Scrutiny After Row
- Statins 'Should 'Should Be Offered to To Millions More'
- Statins 'Could Boost Health Of Millions'
Source: Sky News
No comments:
Post a Comment