Statin myopathy: risk factors

Evidence-based neurology checklist on statin myopathy: risk factors: High risk statins: lipophilic statins Cerivastatin: this has the highest risk Simvastatin Atorvastatin Lovastatin Low risk statins: hydrophilic statins Subject-related risk factors Possible genetic risk factors Co-morbid disease…

High risk statins: lipophilic statins

  • Cerivastatin: this has the highest risk
  • Simvastatin
  • Atorvastatin
  • Lovastatin

Low risk statins: hydrophilic statins

Subject-related risk factors

Possible genetic risk factors

Co-morbid disease risk factors

Drug-related risk factors

Autoimmune risk factors

Dietary risk factors

References

  1. Sathasivam S, Lecky B. Statin induced myopathy. BMJ 2008; 337:a2286.
  2. Sewright KA, Clarkson PM, Thompson PD. Statin myopathy: incidence, risk factors, pathophysiology. Curr Atheroscler Rep 2007; 9:389-396.
  3. Fernandez G, Spatz ES, Jablecki C, Phillips PS. Statin myopathy: a common dilemma not reflected in clinical trials. Cleve Clinic J Med 2011; 78:393-503.
  4. Tsushima Y, Hatipoglu B. Statin intolerance: a review and update. Endocr Pract 2023; 29:566-571.
  5. Graham DJ, Staffs JA, Shatin D, et al. Incidence of hospitalized rhabdomyolysis in patients treated with lipid lowering drugs. JAMA 2004; 292:2585-2590.
  6. And 4 more. Subscribe to see the full list

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