Letters Strategies for statins

The CASE for fire and forget

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39493.452650.1F (Published 21 February 2008) Cite this as: BMJ 2008;336:406
  1. L Sam Lewis, general practitioner
  1. 1Surgery, Newport, Pembrokeshire SA42 0TJ
  1. sam{at}garthnewydd.freeserve.co.uk

I write with reference to the editorial by Donner-Banzhoff and Sönnichsen.1 Four factors make the CASE for Shepherd’s original proposal to move the prescription of statin on to the same footing that aspirin now occupies.2

  • Cost—A diminishing returns dose-response curve exists, whereby the initial 10 mg of simvastatin produces 75% of …

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