Guest guest Posted November 22, 2008 Report Share Posted November 22, 2008 i've been prescribing red yeast rice (hong gu) and polycosonal (sp?) to patients on statins as a way to reduce or get off the drug to a small population of patients, without incident. today a patient told me he had been warned not to take 2 statins together (red yeast rice + drug). can anyone confirm this contraindication? what about polycosonal + statins? any known c/i? -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com and from the following suppliers: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2008 Report Share Posted November 22, 2008 Kath, Red yeast rice contains Lovastatin. You are essentially just raising their dosage of statins. They should do one or the other, not both. - Bill Schoenbart Chinese Medicine , " Kath Bartlett, MS, LAc " wrote: > > i've been prescribing red yeast rice (hong gu) and polycosonal (sp?) to > patients on statins as a way to reduce or get off the drug to a small > population of patients, without incident. today a patient told me he had > been warned not to take 2 statins together (red yeast rice + drug). > > can anyone confirm this contraindication? what about polycosonal + > statins? any known c/i? > > -- > Kath Bartlett, LAc, MS, BA UCLA > Oriental Medicine > Experienced, Dedicated, Effective > > Flying Dragon Liniment: > Effective pain relief for muscles & joints > Formulated by Kath Bartlett, Traditional Chinese Herbalist > Available at Asheville Center for : > www.FlyingDragonLiniment.com > > and from the following suppliers: > Kamwo Herbal Pharmacy: NY - Chinatown > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > Asheville Center For > 70 Woodfin Place, Suite West Wing Two > Asheville, NC 28801 828.258.2777 > kbartlett > www.AcupunctureAsheville.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2008 Report Share Posted November 22, 2008 If Red Yeast Rice still contains the active statin component, then yes, I would say it is cc to use with pts currently on prescription statins. However, wasn't it somewhere around 5 years ago that the FDA pulled all the Red Yeast Rice off the shelves because of this reason? I know that Red Yeast Rice has been back on the shelves for the past year or so, but my understanding is that these products were allowed back because they no longer contain the statin component....basically rendering it useless for that purpose. Has anyone been able to get information on this directly from the manufacturers? I have done, from time to time, various internet searches and haven't been able to find a definitive answer. For this reason, I no longer use RYR because I can't be sure it still has the beneficial properties needed to recommend its use...Can anyone corroborate or clarify this? As for the policosanol - there were some studies that started coming out about 3 years ago indicating no specific connection between policosanol and cholesterol levels. They were compelling enough to get me to reconsider policosanol's role in my clinic for that purpose. Has anyone seen clinical (i.e., measurable) changes in their patient's cholesterol using policosanol alone? J ________ Joy Keller, LAc, Dipl.OM Board Certified in Acupuncture & Oriental Medicine Ramona Acupuncture & Integrative Medicine Clinic Phone: (760) 654-1040 Fax: (760) 654-4019 www.RamonaAcupuncture.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 I have another question: can someone explain cholesterol in terms of CM? In those terms, when does it become an issue - if it does? Thanks Karen Joy Keller wrote: > If Red Yeast Rice still contains the active statin component, then yes, I > would say it is cc to use with pts currently on prescription statins. > > However, wasn't it somewhere around 5 years ago that the FDA pulled > all the > Red Yeast Rice off the shelves because of this reason? > > I know that Red Yeast Rice has been back on the shelves for the past > year or > so, but my understanding is that these products were allowed back because > they no longer contain the statin component....basically rendering it > useless for that purpose. > > Has anyone been able to get information on this directly from the > manufacturers? I have done, from time to time, various internet > searches and > haven't been able to find a definitive answer. For this reason, I no > longer > use RYR because I can't be sure it still has the beneficial properties > needed to recommend its use...Can anyone corroborate or clarify this? > > As for the policosanol - there were some studies that started coming out > about 3 years ago indicating no specific connection between > policosanol and > cholesterol levels. They were compelling enough to get me to reconsider > policosanol's role in my clinic for that purpose. Has anyone seen clinical > (i.e., measurable) changes in their patient's cholesterol using > policosanol > alone? > > J > ________ > Joy Keller, LAc, Dipl.OM > Board Certified in Acupuncture & Oriental Medicine > Ramona Acupuncture & Integrative Medicine Clinic > Phone: (760) 654-1040 Fax: (760) 654-4019 > www.RamonaAcupuncture.com > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 If FDA finds a red yeast rice product with enhanced levels of lovastatin, they will take action against the company. In their warning letters, they say that natural red yeast rice contains little, if any, lovastatin. Products with enhanced levels of lovastatin are considered unapproved drugs. This actually makes sense, since it is easy to exceed the maximum daily dose of lovastatin when taking these enhanced products. - Bill Chinese Medicine , " Joy Keller " <JKellerLAc wrote: > > If Red Yeast Rice still contains the active statin component, then yes, I > would say it is cc to use with pts currently on prescription statins. > > However, wasn't it somewhere around 5 years ago that the FDA pulled all the > Red Yeast Rice off the shelves because of this reason? > > I know that Red Yeast Rice has been back on the shelves for the past year or > so, but my understanding is that these products were allowed back because > they no longer contain the statin component....basically rendering it > useless for that purpose. > > Has anyone been able to get information on this directly from the > manufacturers? I have done, from time to time, various internet searches and > haven't been able to find a definitive answer. For this reason, I no longer > use RYR because I can't be sure it still has the beneficial properties > needed to recommend its use...Can anyone corroborate or clarify this? > > As for the policosanol - there were some studies that started coming out > about 3 years ago indicating no specific connection between policosanol and > cholesterol levels. They were compelling enough to get me to reconsider > policosanol's role in my clinic for that purpose. Has anyone seen clinical > (i.e., measurable) changes in their patient's cholesterol using policosanol > alone? > > J > ________ > Joy Keller, LAc, Dipl.OM > Board Certified in Acupuncture & Oriental Medicine > Ramona Acupuncture & Integrative Medicine Clinic > Phone: (760) 654-1040 Fax: (760) 654-4019 > www.RamonaAcupuncture.com > > > Quote Link to comment Share on other sites More sharing options...
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