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To: neverdem
For research links on "statins, myopathy, myalgia and rhabdomyolysis", type that phrase in the search box at PubMed.com, and click the GO box, to search PubMed.

The first link that shows up is this one.

1: "Expert opinion on drug safety", Expert Opin Drug Saf. 2006 Sep;5(5):651-66.

Statins and myotoxicity: a therapeutic limitation.

Ranbaxy Research Laboratories, Metabolic & Urology Group, New Drug Discovery Research, Gurgaon-122001, Haryana, India. atul_tri@rediffmail.com

Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors represent the most successful class of drugs for the treatment of hypercholesterolaemia and dyslipidaemia implicated in the pathogenesis of coronary heart disease and atherosclerosis. However, the popular profile of statins in terms of efficacy has been maligned by its adverse events. The myotoxicity, ranging from mild myopathy to serious rhabdomyolysis, associated with HMG-CoA reductase inhibitors, during treatment of hypercholesterolaemia is of paramount importance. Rhabdomyolysis is a rare but idiosyncratic muscle wasting disorder of different etiologies. Statin-associated rhabdomyolysis causes skeletal muscle injury by self-perpetuating events leading to fatal irreversible renal damage through a series of biochemical reactions.


24 posted on 10/16/2006 11:01:30 PM PDT by ThePythonicCow (We are but Seekers of Truth, not the Source.)
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To: ThePythonicCow
Thanks for the partial abstract. Here's a later portion:

"Although statin-associated myotoxicity affects compliance, quality of life of patient and discontinuation rate, yet the low incidence of myotoxicty including rhabdomyolysis and less severity of commonly occurring myopathy and myalgia do not raise doubts about the clinical efficacy and tolerability of statins."

Even the part that you quoted stated that it's rare:

"Rhabdomyolysis is a rare but idiosyncratic muscle wasting disorder of different etiologies. Statin-associated rhabdomyolysis causes skeletal muscle injury by self-perpetuating events leading to fatal irreversible renal damage through a series of biochemical reactions."

No drug is always benign. They all can have adverse effects. Numerous studies have shown that for folks with coronary artery disease using statins decreases the incidence of more coronary artery disease morbidity and mortality. If a patient starts having unexplained muscle pain or weakness, stop the statin.

33 posted on 10/17/2006 12:00:49 AM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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