I've tried unsuccessfully to find out whether niacin is as effective as a statin in decreasing inflammation. As it turns out, I'm taking niacin, rather than statins, because I think its "vasodilation" effect might help that neurological micro environment, and its easier to get as well, and maybe also helps depression. I take 100 mg x 3 times per day. Unfortunately I'm feeling rather crappy so I'm not a real testimony for its effectiveness. And, I think niacin shares the risk of statin in long term use/liver damage.
I have been working on my diet, and want to work on my exercise and get blood lipids repeated this fall. If they are still not quite up to par, I want to started again on the medication for both MS and lipid purposes, and get liver function tests.
There are both sustained and immediate release niacin formalations - the kind in the prescription was sustained release.
related interesting info:
hear that about possible long term liver impacts. i think that's why they offer the -amide version? also, there's always milk thistle for those pesky livers who won't behave nicely under assault ;)