Good news...the flushing is transient and should subside in a few months to fewer and fewer occurances. I sell Niaspan and have been very thoroughly trained on the drug and disease state. Flushing happens due to vasodilation of your capillaries (those are the closest to your skin) and your body gets oxygen rich blood where is hasn't gone in a long time usually due to inflamation of the arteries. You are getting several benefits for your initial discomfort including but not limited to several indications for the regression of plaque (or atherosclerosis) in your arteries and reduction of risk for an MI (myocardial ifarction). In additon, you are getting further LDL and Triglyceride redcuction, thus helping the overall profile of your lipid panel. If you have any family history of heart disease or are at risk for any number of reasons, you are really improving your odds at preventing an event and since Heart Disease is the number one killer in the world, that should make you happy. Plus Niaspan is Niacin, which is a form of vitamin B. So, you aren't putting anything man made or synthetic in your body. Be glad you have a good doctor who believes in the benefits of Niaspan (so many get put of by patient flushing). You could also ask him about Simcor (Niaspan and Simvastatin combination product), which will be like getting the statin for free and you could experience what many patients are...almost no flushing at all. Hope this helps if you get this!
I do have a good doctor and found out just today that the Niaspan is working really well. My numbers, especially the triglycerides, have never been lower. I am getting through the flushing by taking 1/3 of an Ambien, which lets me sleep though it. He is changing me to something else that won't make me as groggy in the morning. My big problem, though, is that my sugar is now elevated. I am not diabetic -- numbers in the AM are between 85 and 100 -- but the last bloodwork I had showed 134. Needless to say, I'm not happy. We're going to revisit in a few months of taking sugar readings, but I have to choose between low cholesterol with diabetes or high cholesterol with no diabetes, I pick the latter.
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