This post is a small number of links to information about statins and their prescribing which might be helpful to those with thyroid issues.
Whether or not to take statins has long been an issue. It is clearly important that statins are not started while hypothyroid, while over-range on liver function tests, with an inappropriate statin, or at too high a dose.
The Specialist Pharmacy Service is part of NHS England and provides advice to many other parts of the NHS.
Using statins in liver impairment
Many who have thyroid issues also have some liver problems - typically with one or more of the standard "liver function tests" coming back over range.
https://www.sps.nhs.uk/articles/using-statins-in-liver-impairment/
Statins monitoring
This makes specific mention of TSH and says:
Hypothyroidism
Manage hypothyroidism adequately before starting a statin.
Rosuvastatin in hypothyroidism
Rosuvastatin 40mg is contraindicated in hypothyroidism.
https://www.sps.nhs.uk/monitorings/statins-monitoring/
Statin Intolerance Pathway
NICE guidance:
CG181, CG71, TA385, TA393/394,
TA694, TA733, QS100
 |
| Screenshot of part of pathway |
This link includes a date and any update will likely change the link. If so, search - and let me know!
https://www.england.nhs.uk/aac/wp-content/uploads/sites/50/2020/04/statin-intolerance-pathway-v2.pdf
Overall NHS England lipid guidance:
Summary of national guidance for lipid management
https://www.england.nhs.uk/aac/publication/summary-of-national-guidance-for-lipid-management/
[i][b]helvella - Statins[/b]
This blog is a small number of links to information about statins and their prescribing which might be helpful to those with thyroid issues.Last updated 10/02/2025[/i]
Link to blog:
https://helvella.blogspot.com/p/helvella-statins.html
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