"Hi, my name is [Your Name], I’m one of the medical team. I’ll just wash my hands and put on some PPE. Can I confirm your name and date of birth?"
"I understand your doctor has suggested starting a statin. Is it alright if I explain what statins do, how to take them, and answer any questions you might have?"
"Can I ask what you already know about cholesterol and statins? Do you have any concerns or worries about starting this medication? Is there anything specific you want to get from our discussion today?"
"Statins are medicines that help lower cholesterol in your blood. High cholesterol can build up in your blood vessels, increasing your risk of heart attack or stroke. Statins block an enzyme your liver uses to make cholesterol, lowering your risk. Does that make sense so far?"
"You’ll need to take one tablet every night, ideally at the same time. Taking them at night helps as your liver makes most cholesterol then. Swallow with water, and try not to miss doses."
"The most common side effect is muscle aches (myalgia), usually mild. Rarely, statins can cause severe muscle breakdown (rhabdomyolysis), which is serious. If you have severe muscle pain, weakness, or dark urine, contact your doctor immediately. You might also get nausea, constipation, or diarrhoea, but these are usually mild and settle."
"We’ll check blood tests before you start, then again at 3 and 12 months, to monitor cholesterol and your liver function. Let us know if you notice side effects between reviews."
"If you forget a dose, just take the next one at the usual time. Don’t double up."
"Statins work best with a healthy lifestyle. Keep up any positive changes you’ve already started—eating healthily, exercising, quitting smoking if relevant. Well done for what you’ve done so far!"
"So to summarise: statins lower cholesterol to protect your heart and brain. Take one at night, have blood tests as advised, and watch for any side effects. Can you tell me what you’ll do if you notice muscle pain, or if you miss a dose?"
"Have I answered all your questions today, or is there anything you’re still unsure about? Thank you for your time. Here’s a leaflet for you. I’ll take off my PPE and wash my hands now."