Abstract
HMG-CoA reductase inhibitors (statins) are highly effective drugs for prevention of cardiovascular events in high-risk patients. Due to the widespread prescription of these agents, special attention should be given to their rare adverse effects when these may have severe outcomes. Here, we report two cases of localized rhabdomyolysis associated with mononeuropathy in patients taking statins and suggest possible explanations for this uncommon association. Close monitoring for myopathic/neuropathic events is warranted in high-risk patients with pre-existing neuropathies who are taking statins.
Similar content being viewed by others
References
Wilt TJ, Bloomfield HE, MacDonald R, et al. Effectiveness of statin therapy in adults with coronary heart disease. Arch Intern Med 2004; 164: 1427–36
Studer M, Briel M, Leimenstoll B, et al. Effect of different antilipidemic agents and diets on mortality: a systematic review. Arch Intern Med 2005; 165: 725–30
Avogaro A, Guida P, Giorda C, et al. The under-use of statin in type 2 diabetic patients attending diabetic clinics in Italy. Nutr Metab Cardiovasc Dis 2007; 17: 32–40
Antons KA, Williams KD, Baker SK, et al. Clinical perspectives of statin-induced rhabdomyolysis. Am J Med 2006; 119: 400–9
Law M, Rudnicka AR. Statin safety: a systematic review. Am J Cardiol 2006; 97: 52C–60C
Kiortsis DN, Filippatos TD, Mikhailidis DP, et al. Statin-associated adverse effects beyond muscle and liver toxicity. Atherosclerosis 2007; 195: 5–16
Baker SK, Tarnopolsky MA. Statin-associated neuromyotoxicity. Drugs Today (Barc) 2005; 41: 267–93
Tsivgoulis G, Spengos K, Karandreas N, et al. Presymptomatic neuromuscular disorders disclosed following statin treatment. Arch Intern Med 2006; 166: 1519–24
Acknowledgements
No funding was used to assist in the preparation of these case reports. The authors have no conflicts of interest that are directly relevant to the content of these reports.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fadini, G.P., Manzato, E., Crepaldi, C. et al. Two Cases of Statin-Induced Rhabdomyolysis Associated with Mononeuropathy. Clin. Drug Investig. 30, 347–350 (2010). https://doi.org/10.2165/11535470-000000000-00000
Published:
Issue Date:
DOI: https://doi.org/10.2165/11535470-000000000-00000