Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: High Cholesterol | statin | muscle | pain | cholesterol

Why Do Statins Cause Muscle Pain?

By    |   Wednesday, 12 February 2014 05:26 PM

Question: Why does statin medication cause unbearable muscle pain? And why are doctors still advising people to take it to lower their cholesterol? Is there a better way, through diet and exercise, maybe? 

Dr. Hibberd's answer:
The truth is that muscle pain is not at all as common with the newer statin medications such as Crestor. The reasons why the older statins caused higher rates of muscle pain are not really clear, but part of this no doubt relates to former treatment protocols that included short and long acting forms of niacin not used today due to adverse effects and interactions.
We use statins because they have been life savers for many patients at risk for cardiac problems and stroke. We now recognize that muscle pains on these agents call for therapy modifications, but rarely do we abandon statins, usually we just change to a sister statin.
The vast majority of muscle aches involving statins are not dangerous, but we generally interrupt treatment until the symptoms clear, and often add CoQ10 to those who do not wish to change statins and offer simple dietary counseling:
I agree that diet and exercise are important, but for those who need more, the statins have been truly a heart- and brain-saving strategy.

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The truth is that muscle pain is not at all that common with new statins.
Wednesday, 12 February 2014 05:26 PM
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