Doctor: "Your LDL is still high. I'm adding a second statin." Patient: "I'm already on one. My legs ache." Doctor: "That's a known side effect. I'll add CoQ10." Patient: "And I'm tired all the time." Doctor: "Fatigue is common. I'll add modafinil." Patient: "My memory is foggy." Doctor: "Cognitive effects can occur. Donepezil should help." Patient: "I have a cough now." Doctor: "That'll be the ACE inhibitor I prescribed last visit. We'll swap it for an ARB." Patient: "I'm not sleeping." Doctor: "Zopiclone." Patient: "Heard that's addictive." Doctor: "We'll taper you with mirtazapine when the time comes." Patient: "My blood sugar has gone up." Doctor: "Statins can do that. Metformin." Patient: "I get diarrhoea on metformin." Doctor: "Loperamide." Patient: "I've gained weight." Doctor: "Ozempic." Patient: "I feel nauseous." Doctor: "Ondansetron." Patient: "I don't want to be on twelve medications." Doctor: "Anxiety is common at this stage. I'll add sertraline." Patient: "What if I just stopped the statin?" Doctor: "Absolutely not." View quoted note →