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Lipid modification - primary and secondary CVD prevention - Management
What are the cautions and contraindications for statins?

  • Do not prescribe a statin in:
    • People with active liver disease or unexplained persistent elevations of serum transaminases.
    • Women who are pregnant or breastfeeding.
  • Do not initiate a statin in:
    • People with transaminase levels that are three or more times the upper limit of normal:
    • People within the first 48 hours of an acute stroke.
  • Seek specialist advice before initiating a statin in people with a history of haemorrhagic stroke, particularly those with inadequately controlled hypertension.
Basis for recommendation

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