High blood lipids and hepatitis B infection, can I still take statins? What are the precautions? This article tells the truth

The following is a question from a netizen: Blood lipids have been slightly higher for four or five years, but through exercise and dieting, they have not fallen. Low-density cholesterol is around 3.6, and triglycerides are around 2.0. Because I have fatty liver, hepatitis B has four or five positives, although the doctor said that he is not hepatitis B, but he has been infected. But I know that long-term use of statins will damage the liver, so I have been worried about damaging my liver and stimulating hepatitis B, so I have never dared to take statins to treat blood lipids. On this practical issue, let’s discuss with you the application of hepatitis B patients and statins. my country is a big country with hepatitis B. According to statistics in 2016, there are 86 million people infected with hepatitis B in my country, including patients diagnosed with hepatitis B and many hepatitis B carriers. Many friends who have hepatitis B infection may also have the problem of hyperlipidemia. In the case that blood lipids cannot be effectively controlled through life conditioning, doctors will recommend taking statins to regulate and lower blood lipid levels, but statins There is also the risk of adverse reactions leading to elevated transaminase, so for people with hepatitis B infection, can they still take statins? What are the precautions while taking statins? For patients with hepatitis B infection, when they need to use statins, if there are no contraindications, whether they can take statins, firstly depends on whether there are contraindications to taking statins. Generally speaking, if a person is infected with hepatitis B, the liver function has been severely impaired. When the transaminase is increased by more than 3 times, it is absolutely contraindicated for taking statins, and statins cannot be taken. And if you are a person with hepatitis B and your liver function is completely normal, if there are indeed indications that need to take statins, you can consider taking statins to regulate blood lipids. Statins lower blood lipids by inhibiting the synthesis of cholesterol in the liver. They have clear effects, protect cardiovascular health and stabilize plaques. They are the most common and most commonly used lipid-lowering drugs in clinical practice. As for the problem of liver injury caused by statins, if you think that taking statins will harm your liver health, you are quite wrong. Statins do have the risk of adverse reactions that cause elevated transaminase, but not everyone Taking statin drugs will cause an increase in transaminase. This side effect is likely to occur. If you are taking statins and have good body tolerance and will not have a problem with elevated transaminase, even those with hepatitis B infection Statins can also be taken with peace of mind. Long-term use of statins can help reduce the risk of liver cirrhosis in patients with hepatitis B. In patients with hepatitis B who have normal liver function, long-term use of statins and the body will not cause liver damage, long-term use of statins can also reduce chronic hepatitis B. Benefits for patients with cirrhosis and decompensation risk. A 2016 cohort study from Taiwan used data from the Taiwan National Health Insurance Research Database from 1997 to 2009. The study identified 298,761 patients with chronic hepatitis B. 6543 patients with chronic hepatitis B used statins, matched the same number of subjects who used non-statins according to the propensity score and the starting point of treatment (date of first use of statins), and followed up from the beginning of drug treatment , Until the development of cirrhosis or decompensated cirrhosis or until the drug is safely stopped. Comparative statistics show that after adjusting the mortality rate, the cumulative incidence of liver cirrhosis and the incidence of decompensated cirrhosis of patients with chronic hepatitis B who use statins are significantly reduced compared with those who do not use statins. . Therefore, if the medication safety is ensured, the rational use of statins will still have certain health benefits for patients with hepatitis B infection. Precautions for patients with hepatitis B infection who take statins for a long time. Do not read the previous research results. You think that patients with hepatitis B can reduce the risk of liver cirrhosis by taking statins. The first notice for patients with hepatitis B taking statins is: To be clear whether you really need to take statins. Whether it is necessary to take statins, the first thing to do is to confirm our lipid-lowering goal. For the goal of lowering blood lipids, there must be a concept of hierarchical management. For different cardiovascular disease risk levels, there are also different requirements for blood lipid control goals. If you are a coronary heart disease patient, low-density fat