Policosinol and Cholesterol Reduction

The word cholesterol has become synonymous withthis is the message voiced by those who are less
poor health. Indeed, one does not typically hear thethan enthusiastic about the policosinol’s
word used, or see it printed, unless it points to yetemergence as something of a wonder cure.
another distressing fact -- that high cholesterol is theThough a natural remedy and thus far not causing
number one factor for coronary heart disease, andthe side effects associated with statin drugs, those
the number one cause of heart attacks[i].skeptical about policosinol quickly point out that it is
However, cholesterol is, in itself, not a negative thing.not an FDA approved drug. As such, it has not been
On the contrary, cholesterol plays a vital role insubjected to the rigorous testing that comes with
forming cell membranes, regulating hormones,approving a new drug, including supervised preclinical
insulating nerves, and more. The problem withtrials and standardized testing in successively larger
cholesterol therefore lays not in cholesterol itself, butpopulation of people. The fact that the FDA
the amount of cholesterol present in theapproves 1 out of 5000, or .0002 of the applications
bloodstream. For most Americans who talk and readthat it receives for new drug approval, is an indication
about this subject, the scenario almost alwaysof how highly valued – and rare – this
involves too much cholesterol, or the condition knownapproval is.
as hypercholesterolemia.However, this instigates another debate –
When there is too much cholesterol in the blood, itwhether the FDA approval process is the most
cannot easily dissolve, and thus cannot effectively beappropriate way to accept drugs into drug plans, and
transported to cells by the carrier called low-densitywhether doctors should be permitted to prescribe
lipoprotein (LDL). This can create a build-up of LDLnon-FDA-approved drugs without undue concerns for
cholesterol (a.k.a. “bad cholesterol”), andmalpractice lawsuits. Indeed, an MD may have
start to interfere with arteries that transport bloodpersonally benefited from a natural remedy like
to the heart and brain. Both a stroke and a heartpolicosinol, but to prescribe that to a patient requires
attack are the most severe manifestations of LDLmore support than personal preference, or even
cholesterol build-up, and the main reason why sopersonal testimony.
many people are seeking ways to reduce the LDLAnd it is the intersection of these two separate
build-up in their bloodstream[ii].debates -- whether policosinol works or not, and
However, reducing cholesterol has been fraught withwhether the FDA approval process is fair or not
challenges. Though reducing or eliminating certain– that the situation, and verdict on policosinol,
foods from diet is a necessary first step for mostcurrently lies. This debate is frustrating to all sides;
individuals, some who suffer fromincluding patients themselves, who simply want a real
hypercholesterolemia require medical interventions tosolution.
immediately begin lowering their risk of heart attackHowever, despite these frustrations, the fact that
or stroke. As such, dozens of cholesterol-loweringefforts are being undertaken to develop – or
statin drugs are currently on the market, and whileverify – a remedy that is safe, complete, and
some people have experienced relief due to theirfree of side-effects – is a step in the right
use, there are side effects that cause concern,direction. Additional research on policosinol will further
including nausea, diarrhea, muscle tenderness, andclarify whether that step should be towards FDA
increased liver enzymes[iii]. The out-of-pocket costsapproval, or towards a warning label.
of these statin drugs can also be cost prohibitive forABOUT PROTICA
those not covered by a comprehensive drug plan.Founded in 2001, Protica, Inc. is a nutritional research
However, a natural product called policosinol isfirm with offices in Lafayette Hill and Conshohocken,
generating an unusual amount of attention –Pennsylvania. Protica manufactures capsulized foods,
both positive and negative – from the medicalincluding Profect, a compact, hypoallergenic,
community in light of its purported cholesterolready-to-drink protein beverage containing zero
lowering capacity. Derived from the wax ofcarbohydrates and zero fat. Information on Protica is
sugarcanes and honeybees, policosinol is said byavailable at
some to reduce cholesterol, offer no known sideYou can also learn about Profect at
effects, be safe in high doses, increase blood flow,REFERENCES
reduce platelet clumps, and prevent atherosclerosis[i] Source: “Heart Mender”.
(plaque buildup on the artery walls)[iv].[
Studies have been conducted on policosinol efficacy,[ii] Source: “Cholesterol”. American Heart
and there is some empirical research evidence thatAssociation.
supports it as a high LDL cholesterol remedy. A 2002[iii] Source: “Statin Medications: What are the
study by researchers at the University of BonnSide Effects?”. [
reviewed 60 clinical trials involving 3000 patients, and[iv] Source: “Policosinol ”.
concluded with cautious optimism that policosinol is a[
promising alternative to cholesterol lowering stain[v] Source: “Policosinol : clinical pharmacology
drugs, and thus warrants further study[v].and therapeutic significance of a new lipid-lowering
However, those poised to buy policosinol and loweragent”. Gouni-Berthold I, Berthold HK. Am Heart
their cholesterol should approach with caution; andJ. 2002 Feb;143(2):356-65.