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High Cholesterol Message Board

High Cholesterol Board Index

Niaspan is "extended" release niacin, not "slow" release. I know this may sound like a mere play on words, but it is physiologically significant. The extended release action helps to prevent liver damage (indicated by the AST & ALT enzymes) during the first pass metabolism. Slow release niacin is merely an attempt to reduce the number and intensity of flushing episodes. I doubt it would be a problem to take the otc niacin until your Rx renews, but I would definitely stay on Niaspan.
One other thing, there is also a medication called Simcor. It is a Zocor (simvastatin) and Niaspan combination. Zocor is a very popular statin, and your Dr. may feel it to be a good substitute for Pravachol. The benefit would be one copay and only one pill to take. You may want to ask him about it on your next visit.

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