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| Policosanol/Octacosanol |
Last updated: Nov 05, 2009 |
Policosanol/Octacosanol can help with the following: | |  | | | | Circulation | Increased Risk of Stroke | Policosanol inhibits the formation of clots, and may work synergistically with aspirin in this respect. 75% of strokes are of the clotting kind. In a comparison of aspirin and policosanol, aspirin was better at reducing one type of platelet aggregation (clumping together of blood cells) but policosanol was better at inhibiting another type. Together, policosanol and aspirin worked better than either alone. |
Platelet Aggregation Risk | Preliminary work suggests that policosanol is an effective platelet aggregation inhibitor. |
| Lab Values |
Elevated LDL/HDL Ratio | Policosanol can lower LDL cholesterol as much as 20% and raise protective HDL cholesterol by 10%.
In one study, patients with LDL-cholesterol greater than 160 mg/dl were randomized in double-blind fashion to receive policosanol (10 milligrams daily), lovastatin (20 milligrams daily) or simvastatin (10 milligrams daily). After eight weeks of therapy, LDL-cholesterol was reduced 24% in the policosanol groups, 22% in the lovastatin group and 15% with simvastatin. HDL-cholesterol increased significantly in the policosanol group but not in the other two groups. Policosanol was judged to be "a safe and effective cholesterol reducing agent." |
Elevated Total Cholesterol | A US study has shown that despite previous findings to the contrary, the nutritional supplement policosanol does not lower levels of total or low-density lipoprotein cholesterol (LDL-C).
Policosanol is derived from purified sugar cane and used in the US and other countries to treat hypercholesterolemia.
Luigi Cubeddu, from Mount Sinai Medical Center in Miami Beach, Florida, and colleagues now think that it should join the list of nutritional supplements that lack scientific evidence to support their use. "Our results are supported by a recent study conducted in The Netherlands where policosanol was found ineffective in lowering serum LDL-C in human patients." [ Am Heart J 2006; Advance online publication] |
| Risks |
Increased Risk of Coronary Disease / Heart Attack | Policosanol has other actions against heart disease in addition to lowering cholesterol. Like statin drugs, policosanol helps stop the formation of arterial lesions. One of policosanol’s important actions is to inhibit the oxidation of LDL, which is the major contributor to arterial damage. Oxidized LDL promotes the destruction of blood vessels by creating a chronic inflammatory response. |
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KEY |  | May do some good |  |  | Likely to help |  |  | Highly recommended |
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