Statin induced myopathy treatment guidelines
[DOC File]WATER DEPRIVATION TEST AND DESMOPRESSIN TEST IN …
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Monitor INR prior to commencing a statin, fibrate or Omacor and around the time of dose adjustments. If prescribing drugs which may also induce or inhibit cytochrome P450 3A4 increased INR monitoring or statin withdrawal is needed. References. 1 Statin induced myopathy (Clinical Review). BMJ 2008; 337: 1159-1162
[DOCX File]University of Manchester
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The patient has the features of a statin-induced immune-mediated necrotizing myopathy (IMNM), recently described as being associated with the anti-HMGCR antibody. First-line immunotherapy with glucocorticoids is appropriate while further investigations are undertaken, although many cases of IMNM ultimately require more aggressive immunotherapy.
UKMi Q&A xx - SPS
(9) The mechanism of statin-induced myopathy is unknown but one possible mechanism suggested is due to mitochondrial dysfunction caused by reduced intramuscular coenzyme Q10.(9) Coenzyme Q10 (CoQ10), also known as ubiquinone, is a fat-soluble antioxidant found in all cell types throughout the body.
[DOC File]STATIN-FIBRATE REPORT: Focus on Safety
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There were no cases of myopathy seen with resins or niacin in this analysis. The authors concluded that there is an increased risk for myopathy in patients receiving lipid-lowering agents, with fibrates being associated with the greatest risk. However, the absolute risk of myopathy with lipid-lowering agents (statin and fibrates) is small.
[DOCX File]Hawkes N (2017). NICE guidelines could put 12 million UK ...
https://info.5y1.org/statin-induced-myopathy-treatment-guidelines_1_8ac6f0.html
Statin-induced myopathy has been associated with low CoEQ10 levels (Banach et al 2014), but research into the impact of CoEQ10 supplementation has failed to demonstrate improved tolerance. Therefore, this has not been approved by NICE as a co-prescribing strategy to address myopathy (NICE 2016).
[DOCX File]Imperial College London
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For that reason, treatment guidelines now focus on an individual’s risk of vascular events rather than on their LDL cholesterol concentrations alone.158,159 Lowering LDL cholesterol by 2 mmol/L with an effective low-cost statin regimen (e.g. atorvastatin 40 mg daily, which costs less than £2 per month283) for 5 years in 10,000 patients would ...
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