Outcomes of Statin Myopathy After Statin Withdrawal
Abstract
Objective To study the outcomes of statin myopathy after statin withdrawal. Methods Sixty-nine patients with mild statin myopathy were studied by chart review. Results Mean age at presentation was 62.1 years. Forty-nine (71.0%) of the 69 patients were men. Mean duration of follow-up after statin withdrawal was 18.2 months. Muscle symptoms improved in 9 (13.0%) and completely resolved in 50 (72.5%) patients. Thirteen (18.8%)/69 patients had symptoms lingered beyond 14 months. Creatine kinase (CK) levels were elevated in 52 (75.4%)/69 patients at initial presentation and returned to normal in 11 (21.3%)/52 patients at follow-up. Symptom improvement was not influenced by the initial presence of weakness, CK elevation, or myopathic changes on electromyography or muscle biopsy. Conclusions Muscle symptoms can linger beyond 14 months, and it is difficult to predict which patients will have a prolonged recovery course. CK normalization often lags behind symptom improvement, and this should not be the only indication for muscle biopsy.
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Observational studies have found that statin-related symptoms can take several months to develop.
“observational studies have found it can take several months for statin-related symptoms to develop”
From Intolerance upon statin rechallenge: A systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [25]
Observational studies have found that statin-related symptoms can take several months to resolve.
“and again several months for them to resolve [24–26].”
From Intolerance upon statin rechallenge: A systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [25]
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- Authors
- Armour, R., & Zhou, L.
- Affiliations
- Cleveland Clinic (US)
- ORCID
- Zhou, Lan
- Venue
- Journal of Clinical Neuromuscular Disease
- Published
- 2013-03
- Volume
- 14
- Issue
- 3
- Pages
- 103-109
- ISSN
- 1522-0443 (ISSN-L)
- OpenAlex
- W2090664262
- Cited by
- 21
- References
- 12
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 2
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Neuromuscular Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Epidemiology › Inflammatory Myopathies and Dermatomyositis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- statin-induced myopathy, statin withdrawal, muscle symptoms, creatine kinase, symptom resolution, recovery time course, muscle biopsy, electromyography, prolonged recovery
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Muscular Diseases, Muscle, Skeletal, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Dyslipidemias
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