Wow - the NICE guidelines on statins sound like they have been written by Pfizer.
Look at this; "Tell people that there is no evidence that omega‑3 fatty acid compounds help to prevent CVD" and it is telling the GPs not to prescribe them.
Then if you have the time look at this;
http://circ.ahajournals.org/content/106/21/2747.full
Which includes the following;
"RCTs (randomised controlled trials) have demonstrated that omega-3 fatty acid supplements can reduce cardiac events (eg, death, nonfatal MI, nonfatal stroke) and decrease progression of atherosclerosis in coronary patients. However, additional studies are needed to confirm and further define the health benefits of omega-3 fatty acid supplements for both primary and secondary prevention."
That's what NICE considers 'no evidence'.
Also, here's their view on coenzyme Q10 - "Do not offer coenzyme Q10 or vitamin D to increase adherence to statin treatment."
What do statins do to coenzyme Q10? Well according to The Lancet they 'inevitably lower the plasma and cellular concentrations of ... coenzyme Q10"
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(03)12877-2/abstract
What does deficiency in coenzyme Q10 do?
Well, according to the Mayo Clinic there is strong scientific evidence that:
"Symptoms of deficiency include heart failure, high blood pressure, and chest pain. Depending on the cause of deficiency, supplementing with CoQ10 or increasing dietary intake may be effective."
http://www.mayoclinic.org/drugs-supplements/coenzyme-q10/evidence/hrb-20059019
So, you know apart from lots of evidence that fish oils are good for you there is 'no evidence' and whilst we know that statins will reduce a coenzyme which we know can lead to heart failure you must not supplement your deficiency in that coenzyme.
This is almost sinister in how back to front this all is...
Best
Dillinger