The 10 Best Cholesterol Pills of 2021

Correction of high blood cholesterol levels involves both giving up bad habits and switching to proper nutrition, as well as taking medications. The most effective, safe and popular remedies, most often prescribed by physicians, have become participants in our rating.
 
  Name
  Rating
  Nomination
1 Crestor 4.56
Original rosuvastatin
2 Rosulip Plus 4.51
Combined composition
3 Equamer 4.47
Statin + 2 antihypertensive drugs
4 Rosuvastatin-SZ 4.44
The most popular
5 Livazo 4.42
The best ratio of price and quality
6 Ezetrol 4.37
Original ezetimibe
7 Multiflora Cholesterol 4.35
BAA based on lactobacilli
8 Liprimar 4.29
Best price
9 Omacor 4.09
Omega-3 medicine
10 Trikor 4.05
The most popular fibrate

Elevated cholesterol levels are extremely dangerous and can lead to clogged arteries, heart attack or stroke at any time. The choice of treatment tactics should be determined by the doctor based on the general condition of the patient, his age and comorbidities, as well as the results of the tests and how critically elevated the cholesterol level is. Traditionally, several groups of drugs are used for these purposes.

Statins - the most popular drugs that lower the level of "bad" cholesterol in the blood, the basis of lipid-lowering therapy. There are quite a lot of drugs belonging to this group, for most patients they are excellent for controlling cholesterol, but in some cases they are not effective enough. Also, taking statins for many is not without side effects.

ezetimibe - a modern lipid-lowering agent, the active substance of several drugs. It is used in combination with statins if therapy alone has not given the desired results. Less often, ezetimibe is used as an independent agent, usually when the patient is intolerant to statins.

PCSK9 inhibitors - a new class of modern lipid-lowering drugs, the safest, most effective, but not cheap or at least affordable. This tool is used both in combination with others and on its own. Now only 2 drugs from this group are presented in Russian pharmacies. They were not included in our rating, because. it is dedicated to tablets, and these medicines are available only in the form of injections.

Fibrates - preparations based on fibric acid, which activate lipoprotein lipase, improving blood biochemical parameters and lowering the concentration of lipids.

dietary supplements based on vitamins and other active ingredients - they are usually used in combination with the main therapy or on their own, but only at the initial stage of the disease, when the increase in blood cholesterol levels is insignificant.

When compiling the rating of the best drugs, the action of which is aimed at the safe and effective lowering of blood cholesterol levels, we analyzed the composition of drugs, their cost, frequency of prescription. Also, reviews of doctors and ordinary people posted on the websites of Yandex.Market, Otzovik, IRecommend, Eapteka, Otabletkah, Protabletky were taken into account.

There are contraindications! Consult your doctor!

Top 10. Trikor

Rating (2022): 4.05
The most popular fibrate

Preparations from the fibrate group are rarely used to correct cholesterol levels, but if this becomes necessary, then more often than others, doctors prescribe Traykor to patients.

  • Average price: 920 rubles. (30 tab. 145 mg)
  • Manufacturer: Veropharm (Russia)
  • Active ingredient: fenofibrate

Traykor is a drug from the group of fibrates based on such an active substance as fenofibrate. The mechanism of the drug is aimed at activating lipoprotein lipase, which works in the direction of splitting fat and removing lipids from adipose tissue into the blood. As a result, there is a splitting of fats coming from food, an improvement in the biochemical parameters of blood tests. Against the background of taking the indicators of total cholesterol are reduced by an average of 20-25%, and triglycerides - by 40-45%. In some cases, it is possible to prescribe Traycor in combination with drugs from the statin group. It should be noted that tablets have a number of contraindications, and not all patients can take them without side effects. But with proper prescription and control by the doctor, the risk of negative consequences is minimal.

Pros and cons
  • Original drug
  • Average price range
  • Rapid improvement in blood tests while taking
  • Side effects and contraindications

Top 9. Omacor

Rating (2022): 4.09
Omega-3 medicine

Omacor is one of the few omega-3 preparations that has the status of a drug, and not a dietary supplement.

  • Average price: 1780 rubles. (28 tab. 1000 mg)
  • Manufacturer: Banner (Netherlands)
  • Active ingredient: omega-3 triglycerides

Omacor is a modern preparation with a high content of Omega-3 fatty acids, which have a generally positive effect on the body, and are necessary for people at risk of cardiovascular diseases.The tool is intended, first of all, to reduce the level of triglycerides, but in some cases it helps to keep cholesterol under control. Usually, omega-3 preparations are prescribed at an early stage of the disease, when changes in blood counts are insignificant, or as maintenance therapy after treatment. Judging by the reviews, many take this remedy with high cholesterol and get the desired result. Among the shortcomings, a rather high cost can be noted, but as an advantage, indicate that this is a drug, and not a dietary supplement, like many products based on omega-3.

Pros and cons
  • High quality omega-3
  • Positive reviews
  • Helpful in the early stages of the disease
  • High price

Top 8. Liprimar

Rating (2022): 4.29
Best price

Liprimar is the cheapest drug in the ranking, which is not a generic drug. He wins in the nomination "Best Price".

  • Average price: 195 rubles. (30 tab. 10 mg)
  • Producer: Pfizer (Russia)
  • Active ingredient: atorvastatin

Liprimar is a relatively cheap drug, an original drug based on atorvastatitis. It is prescribed to patients with hyperlipidemia both for treatment and as maintenance therapy, since this allows several dosages - 10, 20 and 40 mg. Many doctors call it the best for the treatment of atherosclerosis and coronary heart disease. Taking Liprimar often does without side effects, but they are possible, so treatment should be under the supervision of a physician.In the reviews, many patients say that they tried different drugs based on atorvastatin, but in the end they settled on these pills, calling them the most effective and safe cholesterol-lowering drugs.

Pros and cons
  • original drug atorvastatin
  • Relatively cheap
  • Three dosage options
  • Good feedback from doctors and patients
  • Possible side effects

Top 7. Multiflora Cholesterol

Rating (2022): 4.35
BAA based on lactobacilli

Multiflora Cholesterol contains several types of lactobacilli, which cause the body to expend excess cholesterol, thereby lowering its level.

  • Average price: 750 rubles. (15 tab.)
  • Producer: Evalar (Russia)
  • Active ingredient: Lactobacillus plantarum CECT7527, CECT7528, CECT7529

Multiflora Cholesterol has the status of dietary supplement, is not a drug, but is positioned as a drug that helps in lowering cholesterol levels and preventing atherosclerosis. The composition includes several types of lactobacilli, which together launch processes in the body aimed at using cholesterol reserves, which leads to a decrease in its level. Therapy with this drug is usually used in combination with other drugs, including statins, the dosage of which may be reduced. The tool is quite safe, without side effects. But still, this is a dietary supplement that is not able to replace drugs with proven effectiveness. At the same time, the drug cannot be called cheap, especially considering that 2 packs are required for a month, and the intake is supposed to be long.

Pros and cons
  • Famous brand
  • Safe, no side effects
  • Increases the effectiveness of primary therapy
  • dietary supplement
  • High price

Top 6. Ezetrol

Rating (2022): 4.37
Original ezetimibe

Ezetrol is the original drug based on ezetimibe, which has the highest quality.

  • Average price: 1750 rubles. (28 tab. 10 mg)
  • Producer: MSD/Schering-Plough (USA)
  • Active ingredient: ezetimibe

Ezetrol is an original drug based on ezetimibe, quite expensive, but also having the appropriate quality. It works in the intestines, preventing cholesterol from being absorbed, thereby forcing the body to more actively remove it from the blood to the liver. Usually, Ezetrol is prescribed in combination with statins, allowing their dosage to be reduced to 50%, but in some cases therapy with this drug alone is also allowed. Based on ezetimibe, several and cheaper drugs are offered, including Russian-made ones, but they are all generics. Doctors and patients leave only positive feedback about Ezetrol, separately noting a small number of side effects.

Pros and cons
  • Original drug
  • Effective alone or in combination with statins
  • Positive feedback from doctors
  • High price

Top 5. Livazo

Rating (2022): 4.42
The best ratio of price and quality

Livazo is the latest generation statin, the safest, without causing side effects and at the same time being cheaper than many analogues. The price and quality of this medicine are in the best ratio.

  • Average price: 760 rubles. (28 tab. 1 mg)
  • Producer: Pierre Fabre/Recordati (France)
  • Active ingredient: pitavastatin

The drug from the group of statins Livazo cannot be classified as popular and frequently prescribed, but still there are a number of patients for whom it is indispensable. Typically, these pitavastatin-based pills are taken by those who experience intolerance to other statins.The drug belongs to the latest generation of statins, it is well tolerated by many patients without side effects, although the effect is not as pronounced as analogues based on atorvastatin or rosuvastatin. Livazo has proven itself with long-term use, including due to metabolic neutrality. There are 3 dosage options available, the doctor will help determine the optimal one.

Pros and cons
  • Latest generation statin
  • Three dosages
  • Virtually no side effects
  • Average price range
  • Few reviews

Top 4. Rosuvastatin-SZ

Rating (2022): 4.44
The most popular

Cheap and high-quality generic Rosuvstatin-SZ is becoming the most popular drug in the ranking, because we found the most reviews about it.

  • Average price: 270 rubles. (30 tab. 10 mg)
  • Producer: Northern star (Russia)
  • Active ingredient: rosuvastatin

Rosuvastin-SZ is one of the most inexpensive drugs based on rosuvastatin. Of course, this is a generic, not the original, but judging by the number of reviews and ratings in them, it is quite high quality and popular. Tablets are offered in 4 dosages - 5, 10, 20 and 40 mg, which allows you to find the optimal solution for each patient. The side effects of the drug are the same as the original drug rosuvastatin, but only a few are mentioned in the reviews about them. Many people with high cholesterol do not see the point in overpaying for brand and originality, they prefer these cheaper pills, they talk about their high efficiency and decent quality. Doctors do not always support this opinion, most still tend to recommend original remedies.

Pros and cons
  • Cheap rosuvastatin
  • 4 dosage options
  • High ratings in reviews
  • Generic, not original

Top 3. Equamer

Rating (2022): 4.47
Statin + 2 antihypertensive drugs

Equamer contains three active ingredients at once, aimed at lowering cholesterol levels and normalizing blood pressure.

  • Average price: 875 rubles. (30 tab. 5+10+10 mg)
  • Producer: Gedeon Richter (Hungary)
  • Active ingredient: amlodipine + lisinopril + rosuvastatin

Equamer is an excellent solution for those who have high blood cholesterol combined with arterial hypertension. The composition contains three active ingredients at once - two to lower blood pressure and a popular statin to control cholesterol levels. In addition to the fact that Equamer allows you to take only one tablet together with two, it also makes it possible to save a lot, because. It will cost much less than buying tablets of each type separately. The medicine is offered in three different combinations of dosage options for active ingredients, the doctor will help you choose the best one. Equamer gets good reviews, although there are not too many of them.

Pros and cons
  • 3 active ingredients
  • Reduces blood pressure and cholesterol
  • Cheaper than buying separately
  • Positive reviews
  • Correct dosage is important

Top 2. Rosulip Plus

Rating (2022): 4.51
Combined composition

Rosulip Plus contains a combination of rosuvastatin and ezetimibe, which makes it convenient to use for a number of patients.

  • Average price: 1290 rubles. (30 tab. 20+10 mg)
  • Producer: Egis (Hungary)
  • Active ingredient: rosuvastatin + ezetimibe

Rosulip Plus is a drug with a combined composition, which includes rosuvastatin, supplemented with ezetimibe.It is prescribed in the event that monotherapy with the use of statins alone does not give the expected effect and there is a need for an additional intake of drugs based on ezetimibe. The appearance of the drug will allow you to take the medicine in 1 tablet, making the treatment a little cheaper. A fairly large number of people are looking for information about this drug in search engines, but there are very few reviews about it. Rozulip Plus deserves to be presented in the ranking of the best, if only for the fact that it has no analogues.

Pros and cons
  • Combined composition
  • It will cost less than buying 2 drugs separately
  • Trusted Manufacturer
  • Few reviews

Top 1. Crestor

Rating (2022): 4.56
Original rosuvastatin

Crestor is a rather expensive pill, but the price is fully justified by the fact that it is an original drug, not a generic one.

  • Average price: 1620 rubles. (28 tab. 10 mg)
  • Manufacturer: AstraZeneca (Russia)
  • Active ingredient: rosuvastatin

Crestor is an original drug based on rosuvastatin, which has many analogues similar in composition. Many doctors call these pills the best, trust only them and prefer other statins, while noting that with significant benefits, the drug can also have negative effects. Like other drugs from this group, Crestor can lead to impaired liver function, so its use should be accompanied by regular monitoring by a doctor and testing. A decrease in cholesterol levels while taking the drug is noted within a week, and after 2 weeks it reaches 90% of the expected values.The maximum effect is noted within a month. The drug is available in tablets of 5, 10, 20 and 40 mg. A doctor can choose a safe and effective dosage.

Pros and cons
  • Original drug
  • 4 dosage options
  • Improvements within two weeks
  • Price
  • Toxic effect on the liver
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Attention! The above information is not a buying guide. For any advice, you should contact the experts!

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