Niacin for lowering cholesterol: Fact or folklore?

Does niacin for lowering cholesterol really works? If yes, is there any evidence for this fact or it’s just a widespread folklore?

Though niacin is very effective and rapid treatment to lower high cholesterol, it has not caught much attention like other drugs for lowering cholesterol.

Many researches have proved that niacin (not niacin-amide) has remarkable effects on boosting the levels of HDL “Good” cholesterol in your blood, better than other prescribed drugs like statins. HDL or high density lipoprotein helps to clean your blood from LDL or low density lipoprotein, the bad cholesterol.

Although Niacin is less effective in lowering the levels of LDL “Bad” cholesterol and triglycerides, it might be used as a secondary drug with statins; thus your LDL cholesterol can be reduced significantly. High blood levels of triglycerides and LDL cholesterol will increase your risk for developing heart diseases.

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Niacin for Lowering cholesterol – the benefits

When you use niacin, your chances to boost the levels of your HDL or good cholesterol are up to fifteen to thirty five percent. That’s why scientists consider niacin ( B vitamin) as the most effective medication available for increasing HDL cholesterol.

It is very important to have high blood levels of HDL cholesterol, because HDL cholesterol can sweep up excess amounts of LDL cholesterol from your blood stream and transport it back to your liver to get rid of it.

Therefore, there is an inverse relationship between the levels of HDL cholesterol and LDL cholesterol in your blood; the more your HDL cholesterol, the less will be your LDL cholesterol.

In men, the levels of HDL cholesterol less than 40mg/dl, raises the risks for developing cardiovascular diseases, while in women, HDL levels less than 50mg/dl will increase this risk. The ideal levels of HDL “Good” cholesterol for both men and women are 60mg/dl.

Gender

HDL cholesterol  level

Risk for CVD

Men

<40mg/dl

High

Women

<50mg/dl

High

Both

60mg/dl (Ideal)

Low

Even if you have normal LDL cholesterol levels, but the levels of your HDL “Good” cholesterol levels are low, you are still at higher risks for developing heart diseases.

Niacin for Lowering Cholesterol – the drug market

Nowadays, there are a lot of niacin drugs in the market which are labeled in various forms, either grouped in multivitamins or as supplements. Niacin is usually sold in higher doses which are prescribed by your doctor when is used to lower high cholesterol levels.

There are many brands of Niacian available, including:

                Brandname

                    Dosage/day

Niacor (IR-immediaterelease)

100mg3 times

Niaspan (ER-extendedrelease)

500mgonce at bedtime

Slo-Niacin(SR-sustained-release or slow-release)

250mg twice

Niacin for Lowering Cholesterol – the Side effects

Higher doses of niacin (more than 1000 mg per day) can cause some side effects. You might suffer from flushing of your skin temporarily; actually, your skin will be red and so warm. Fortunately, this red flushing will not harm you.

In fact, your doctor will recommend you to take an aspirin half an hour before taking your dose of niacin; aspirin can effectively counteract your flushes. Always try to avoid drinking alcohol or hot drinks.

Other side effects of high doses of niacin include; stomach upset, headache, itching, dizziness, and liver function impairment. Niacin is contra-indicated for diabetic patients because it raises blood glucose.

Your doctor can definitely adjust your proper dose of niacin to decrease such side effects. Furthermore, these side effects are markedly decreased if you take your dose of niacin while eating your meals. Don’t ever take niacin without consulting your doctor first.

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