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Letters to the Editor
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Statins
Interactions not being taken into account
From Mr. J. G. Landers, MRPharmS
Some health professionals are not taking statin interactions into account
sufficiently. I had to advise a friend into reducing his consumption
of grapefruit juice, now that his cardiologist has prescribed atorvastatin.
An eminent urologist, wanting to give me antibiotic cover for a biopsy,
questioned me only about allergies before prescribing erythromycin. If
I had previously bought simvastatin from a pharmacist conscientious enough
to notify my GP, this news still might not have reached the consultant.
Pharmacists who sell or dispense statins should ensure that patients
are aware of such matters. Whenever a middle-aged person (who may also
shop elsewhere) presents an erythromycin or clarithromycin prescription,
a question about statin use should be asked.
George Landers
Crete, Greece
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