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First published on April 2, 2008, doi:10.1177/0003319707306963
Angiology 2008;59:269.
A more recent version of this article appeared on July 1, 2008
© 2008 SAGE Publications
Effects of Policosanol (10 mg/d) Versus Aspirin (100 mg/d) in Patients With Intermittent Claudication: A 10-week, Randomized, Comparative Study
Jose Illnait, PhD*,
Gladys Castano, PhD,
Ernesto Alvarez, MD,
Lilia Fernandez, PhD,
Rosa Mas, PhD,
Sarahi Mendoza, PhD,
and
Rafael Gamaz, MD
National Center for Scientific Research
* To whom correspondence should be addressed. E-mail: jose.illnait{at}cnic.edu.cu.
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Abstract |
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Antiplatelet therapy, including aspirin, is recommended to lower the vascular risk in patients with intermittent claudication. Policosanol has increased walking distances in these patients, probably because of its antiplatelet effects, but the effect of shorter treatment has not been studied. This double-blind study compared the effects of policosanol 10 mg/d and aspirin 100 mg/d for 10 weeks on walking distances in claudicants. Thirty-nine patients were randomized to policosanol or aspirin. Walking distances on a treadmill were assessed before and after treatment. Policosanol significantly increased the initial and absolute claudication distances, while aspirin changed neither variable. Policosanol, not aspirin, significantly lowered serum low-density lipoprotein-cholesterol and total cholesterol while raising high-density lipoprotein-cholesterol. In conclusion, treatments of policosanol, not aspirin, for 10 weeks significantly increased walking distances, but modestly, in contrast with previous results. Therefore, the duration of treatments at the doses tested was too short for meaningful effects on the treadmill test.

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