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PhrasesAllergies and MedicationsPrendo statine per il colesterolo.
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Prendo statine per il colesterolo.

I take statins for cholesterol.

Pronunciation

STA-ti-ne — three syllables, stress on first. 'Colesterolo' — ko-les-te-RO-lo.

When to use it

Inform any doctor prescribing new medications. Statins have important interactions with some drugs and supplements.

What it means

'Statine' = statins — cholesterol-lowering medications. Common statins in Italy: 'atorvastatina' (Torvast, Lipitor), 'rosuvastatina' (Crestor), 'simvastatina' (Zocor). Side effects to know: muscle pain ('dolori muscolari' / 'miopatia') — rare but important. Interactions: grapefruit juice, some antibiotics (clarithromycin), antifungals, and some heart medications.

Variations

Ho dolori muscolari dall'atorvastatina.

I have muscle pain from atorvastatin.

Muscle pain (myalgia) is the most common statin side effect — report to doctor

Il mio colesterolo LDL è ancora alto nonostante le statine.

My LDL cholesterol is still high despite the statins.

Uncontrolled LDL — may need dose increase or addition of ezetimibe

Posso mangiare il pompelmo con le statine?

Can I eat grapefruit with statins?

Grapefruit inhibits CYP3A4 — significantly increases statin blood levels, dangerous

Mini Dialogue

— Prendo statine per il colesterolo. C'è qualcosa che non devo fare? — Eviti il pompelmo. E se inizia un antibiotico, me lo dica. — Ho sentito che fanno male ai muscoli. — Raramente, ma succede. Se sente dolori muscolari intensi, la smetta e mi chiami. — Ogni quanto devo fare le analisi? — Ogni sei mesi il colesterolo e ogni anno le transaminasi.

— I take statins for cholesterol. Is there anything I should not do? — Avoid grapefruit. And if you start an antibiotic, let me know. — I heard they can be harmful to muscles. — Rarely, but it happens. If you feel intense muscle pain, stop it and call me. — How often do I need blood tests? — Every six months for cholesterol and every year for liver enzymes.

Cultural Note

High cholesterol ('ipercolesterolemia') is common in Italy — Italian diet, despite being Mediterranean, often includes significant saturated fats from cheese, cured meats, and butter in northern regions. Cardiovascular disease remains Italy's leading cause of death. Italian cardiologists follow ESC guidelines for LDL targets: <70 mg/dL for very high-risk patients, <100 mg/dL for high-risk. The Italian SSN reimburses statins with a prescription for all adults with cardiovascular risk factors.