How Do You Treat Patients With Myalgia Who Take Statins?

被引:18
作者
Siddiqi, Saadi A. [1 ]
Thompson, Paul D. [1 ]
机构
[1] Hartford Hosp, Div Cardiol, Hartford, CT 06102 USA
关键词
SKELETAL-MUSCLE; MYOPATHY; THERAPY; COENZYME-Q10; GEMFIBROZIL; METABOLISM; SYMPTOMS; CREATINE; EFFICACY; ACID;
D O I
10.1007/s11883-009-0002-1
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
3-Hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins) are safe and effective in lowering low-density lipoprotein cholesterol. As a result, they confer an all-cause mortality benefit across a wide range of patient groups. The utility of statins is limited by their adverse effects, including myalgias and rhabdomyolysis. These clinical events, plus other symptoms, constitute what is termed statin myopathy. This review summarizes current concepts of statin myopathy and presents strategies to minimize statin-associated myopathic complaints.
引用
收藏
页码:9 / 14
页数:6
相关论文
共 36 条
[21]   High-dose statins and skeletal muscle metabolism in humans:: A randomized, controlled trial [J].
Päivä, H ;
Thelen, KM ;
Van Coster, R ;
Smet, J ;
De Paepe, B ;
Mattila, KM ;
Laakso, J ;
Lehtimäki, T ;
von Bergmann, K ;
Lütjohann, D ;
Laaksonen, R .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2005, 78 (01) :60-68
[22]   ACC/AHA/NHLBI clinical advisory on the use and safety of statins [J].
Pasternak, RC ;
Smith, SC ;
Bairey-Merz, CN ;
Grundy, SM ;
Cleeman, JI ;
Lenfant, C .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (03) :567-572
[23]   Statin-associated myopathy with normal creatine kinase levels [J].
Phillips, PS ;
Haas, RH ;
Bannykh, S ;
Hathaway, S ;
Gray, NL ;
Kimura, BJ ;
Vladutiu, GD ;
England, JDF .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (07) :581-585
[24]   Effects of fibrates on metabolism of statins in human hepatocytes [J].
Prueksaritanont, T ;
Tang, CY ;
Qiu, Y ;
Mu, L ;
Subramanian, R ;
Lin, JH .
DRUG METABOLISM AND DISPOSITION, 2002, 30 (11) :1280-1287
[25]   Beneficial effects of creatine, CoQ10, and lipoic acid in mitochondrial disorders [J].
Rodriguez, M. Christine ;
MacDonald, Jay R. ;
Mahoney, Douglas J. ;
Parise, Gianni ;
Beal, M. Flint ;
Tarnopolsky, Mark A. .
MUSCLE & NERVE, 2007, 35 (02) :235-242
[26]   Mitochondrial DNA mutations and pathogenesis [J].
Schon, EA ;
Bonilla, E ;
DiMauro, S .
JOURNAL OF BIOENERGETICS AND BIOMEMBRANES, 1997, 29 (02) :131-149
[27]   Statin myopathy: Incidence, risk factors, and pathophysiology [J].
Sewright K.A. ;
Clarkson P.M. ;
Thompson P.D. .
Current Atherosclerosis Reports, 2007, 9 (5) :389-396
[28]   New insights into mechanisms of statin-associated myotoxicity [J].
Sirvent, Pascal ;
Mercier, Jacques ;
Lacampagne, Alain .
CURRENT OPINION IN PHARMACOLOGY, 2008, 8 (03) :333-338
[29]   The myopathy of statins [J].
Smogorzewski, M .
JOURNAL OF RENAL NUTRITION, 2005, 15 (01) :87-93
[30]   Rhabdomyolysis associated with pomegranate juice consumption [J].
Sorokin, Alexey V. ;
Duncan, Brett ;
Panetta, Randolph ;
Thompson, Paul D. .
AMERICAN JOURNAL OF CARDIOLOGY, 2006, 98 (05) :705-706