Statin myopathy: risk factors

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Statin myopathy: risk factors. Cerivastatin: this has the highest risk, Simvastatin, Atorvastatin, Lovastatin. Fully referenced neurology checklist.

High risk statins: lipophilic statins

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

Low risk statins: hydrophilic statins

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Subject-related risk factors

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Possible genetic risk factors

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Co-morbid disease risk factors

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Drug-related risk factors

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Autoimmune risk factors

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Dietary risk factors

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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.
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