Abstract:
INTRODUCTION:Niacin is underutilised because of flushing. Lack of a quantitative tool to assess niacin-induced flushing has precluded the objective evaluation of flushing associated with extended-release (ER) niacin formulations. We developed the Flushing Symptom Questionnaire((c)) (FSQ), a quantitative tool to assess patient-reported flushing, and assessed its ability to characterise ER niacin-induced flushing. METHODS:This study focused on the responses to one question in the FSQ, the Global Flushing Severity Score (GFSS), reported on a 0-10 scale (none = 0, mild = 1-3, moderate = 4-6, severe = 7-9 and extreme = 10) to assess flushing during ER niacin initiation (week 1) and maintenance (weeks 2-8). RESULTS:Flushing severity with ER niacin was greatest during week 1 and remained greater than placebo for the study duration. During weeks 2-8, 40% of patients on ER niacin vs. 8% of those on placebo had > 1 day/week with 'moderate or greater' GFSS. CONCLUSIONS:In conclusion, the GFSS component of the FSQ was a sensitive and responsive quantitative measure of ER niacin-induced flushing that will aid in the objective comparison of novel strategies intended to improve tolerability and adherence to niacin, an agent proven to reduce cardiovascular risk.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Paolini JF,Mitchel YB,Reyes R,Thompson-Bell S,Yu Q,Lai E,Watson DJ,Norquist JM,Sisk CM,Bays HEdoi
10.1111/j.1742-1241.2008.01739.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
896-904issue
6eissn
1368-5031issn
1742-1241pii
IJCP1739journal_volume
62pub_type
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