Statin-Associated Muscle Adverse Events : Update for clinicians

Statins are potent medications which reduce low-density lipoprotein cholesterol (LDL-C) levels. Their efficacy in cardiovascular risk reduction is well established and indications for their use are expanding. While statins are generally well tolerated and safe, adverse events are relatively common,...

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Main Authors: Maha A. Al-Mohaissen, Martha J. Ignaszewski, Jiri Frohlich, Andrew P. Ignaszewski
Format: Article
Language:English
Published: Sultan Qaboos University 2016-11-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2178
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author Maha A. Al-Mohaissen
Martha J. Ignaszewski
Jiri Frohlich
Andrew P. Ignaszewski
author_facet Maha A. Al-Mohaissen
Martha J. Ignaszewski
Jiri Frohlich
Andrew P. Ignaszewski
author_sort Maha A. Al-Mohaissen
collection DOAJ
description Statins are potent medications which reduce low-density lipoprotein cholesterol (LDL-C) levels. Their efficacy in cardiovascular risk reduction is well established and indications for their use are expanding. While statins are generally well tolerated and safe, adverse events are relatively common, particularly statinassociated muscle adverse events (SaMAEs), which are the most frequently encountered type of adverse event. Recent guidelines and guideline updates on SaMAEs and statin intolerance have included revised definitions of SaMAEs, incorporating new evidence on their pathogenesis and management. As SaMAEs emerge as a therapeutic challenge, it is important for physicians to be aware of updates on management strategies to ensure better patient outcomes. The majority of patients who are considered statin-intolerant can nevertheless tolerate some forms of statin therapy and successfully achieve optimal LDL-C levels. This review article discusses the recent classification of SaMAEs with emphasis on pathogenesis and management strategies.
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spelling doaj.art-c745aa63705a4498b3d21b3778271b532022-12-22T00:09:22ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282016-11-0116440641510.18295/squmj.2016.16.04.0022098Statin-Associated Muscle Adverse Events : Update for cliniciansMaha A. Al-Mohaissen0Martha J. Ignaszewski1Jiri Frohlich2Andrew P. Ignaszewski3Department of Clinical Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi ArabiaDepartment of Psychiatry, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts, USADepartments of Pathology & Laboratory Medicine Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartments of Cardiology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaStatins are potent medications which reduce low-density lipoprotein cholesterol (LDL-C) levels. Their efficacy in cardiovascular risk reduction is well established and indications for their use are expanding. While statins are generally well tolerated and safe, adverse events are relatively common, particularly statinassociated muscle adverse events (SaMAEs), which are the most frequently encountered type of adverse event. Recent guidelines and guideline updates on SaMAEs and statin intolerance have included revised definitions of SaMAEs, incorporating new evidence on their pathogenesis and management. As SaMAEs emerge as a therapeutic challenge, it is important for physicians to be aware of updates on management strategies to ensure better patient outcomes. The majority of patients who are considered statin-intolerant can nevertheless tolerate some forms of statin therapy and successfully achieve optimal LDL-C levels. This review article discusses the recent classification of SaMAEs with emphasis on pathogenesis and management strategies.https://journals.squ.edu.om/index.php/squmj/article/view/2178hydroxymethylglutaryl-coa reductase inhibitorshyperlipidemiashypercholesterolemiamyopathiesadverse effects.
spellingShingle Maha A. Al-Mohaissen
Martha J. Ignaszewski
Jiri Frohlich
Andrew P. Ignaszewski
Statin-Associated Muscle Adverse Events : Update for clinicians
Sultan Qaboos University Medical Journal
hydroxymethylglutaryl-coa reductase inhibitors
hyperlipidemias
hypercholesterolemia
myopathies
adverse effects.
title Statin-Associated Muscle Adverse Events : Update for clinicians
title_full Statin-Associated Muscle Adverse Events : Update for clinicians
title_fullStr Statin-Associated Muscle Adverse Events : Update for clinicians
title_full_unstemmed Statin-Associated Muscle Adverse Events : Update for clinicians
title_short Statin-Associated Muscle Adverse Events : Update for clinicians
title_sort statin associated muscle adverse events update for clinicians
topic hydroxymethylglutaryl-coa reductase inhibitors
hyperlipidemias
hypercholesterolemia
myopathies
adverse effects.
url https://journals.squ.edu.om/index.php/squmj/article/view/2178
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