There are several types of cholesterol-lowering medications and to address this question they must be looked at separately. The most popular class of medications for cholesterol are known as the "statins" because their names all end in "statin": lovastatin, pravastatin, simvastatin, and fluvastatin. The bottom line is that the statins are extraordinarily safe. However, there are three issues regarding the statins which have been raised regarding safety.
- First, when lovastatin was first introduced there was concern that it could potentially affect the liver. Even today this is the first question that many people ask their doctor when a statin drug is suggested. In reality, the statins have not caused "liver damage" and this issue is no longer a significant consideration. Even the routine monitoring of liver function tests may become less routine.

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