2016Journal of Clinical Pharmacy and TherapeuticsOpen access

Simvastatin monotherapy as a potential option for statin-associated muscle symptoms: a case report

Hua Qu, Ming Guo, Na Kou, Haoran Wu, Yue Zhang, Z Gao, Dazhuo Shi

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Abstract

WHAT IS KNOWN AND OBJECTIVES: Choosing an alternative statin is recommended when managing statin-associated muscle symptoms (SAMS) and new hydrophilic statins are often suggested. We report on a case of statin-associated muscle damage that was successfully managed by simplifying the patient's combination therapy with simvastatin-ezetimibe to simvastatin alone. CASE SUMMARY: The patient experienced SAMS when he was successively treated with atorvastatin, rosuvastatin, Xuezhikang capsule and combined simvastatin/ezetimibe therapy. However, the patient tolerated simvastatin therapy well even at a dose of 40 mg/day. WHAT IS NEW AND CONCLUSION: Our case suggests that patients with SAMS who are intolerant to a wide variety of statins may be successfully managed with simvastatin monotherapy.

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WHAT IS KNOWN AND OBJECTIVES: Choosing an alternative statin is recommended when managing statin-associated muscle symptoms (SAMS) and new hydrophilic statins are often suggested. We report on a case of statin-associated muscle damage that was successfully managed by simplifying the patient's combination therapy with simvastatin-ezetimibe to simvastatin alone. CASE SUMMARY: The patient experienced SAMS when he was successively treated with atorvastatin, rosuvastatin, Xuezhikang capsule and combined simvastatin/ezetimibe therapy. However, the patient tolerated simvastatin therapy well even at a dose of 40 mg/day. WHAT IS NEW AND CONCLUSION: Our case suggests that patients with SAMS who are intolerant to a wide variety of statins may be successfully managed with simvastatin monotherapy.

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Available abstract

WHAT IS KNOWN AND OBJECTIVES: Choosing an alternative statin is recommended when managing statin-associated muscle symptoms (SAMS) and new hydrophilic statins are often suggested. We report on a case of statin-associated muscle damage that was successfully managed by simplifying the patient's combination therapy with simvastatin-ezetimibe to simvastatin alone. CASE SUMMARY: The patient experienced SAMS when he was successively treated with atorvastatin, rosuvastatin, Xuezhikang capsule and combined simvastatin/ezetimibe therapy. However, the patient tolerated simvastatin therapy well even at a dose of 40 mg/day. WHAT IS NEW AND CONCLUSION: Our case suggests that patients with SAMS who are intolerant to a wide variety of statins may be successfully managed with simvastatin monotherapy.

Key concepts: Simvastatin, Statin, Medicine, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Pharmacology, Internal medicine, Physical therapy

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