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. 2018 Aug 3;16(8):e05368. doi: 10.2903/j.efsa.2018.5368

Table 9.

Case reports of myopathy and rhabdomyolysis associated with intake of food supplements containing monacolin K from RYR preparations, published in the scientific literature

Patient data Daily intake of monacolin K Period of intake Adverse effects Reference
Female, 52 years old 2.6 mg 90 days Increase level of serum CK; Myalgia Philibert et al. (2016)
Female, 53 years old 3 mg 60 days Increased level of serum CK Lapi et al. (2008)
Sex unknown, 48 years old 3 mg 60 days Rhabdomyolysis (hospitalisation) Mazzanti et al. (2017)
Female, 45 years old 3 mg 24 days Nocturnal leg muscle cramps Mazzanti et al. (2017)
Female, 45 years old 3 mg 54 days Myalgia in the leg Mazzanti et al. (2017)
Female, 53 years old 3 mg 97 days Generalised muscle aches Mazzanti et al. (2017)
Female, 57 years old 3 mg 60 days Increased level of serum CK (10 times). Mazzanti et al. (2017)
Female, 65 years old 3 mg 31 days Cramps and myalgia of lower extremities Mazzanti et al. (2017)
Female, 67 years old 3 mg 31 days Increased level of serum CK, myopathy, asthenia. Previous myopathy by statins Mazzanti et al. (2017)
Female, 68 years old 3 mg 62 days Localised muscle pain; increased level of serum CK Mazzanti et al. (2017)
Female, 69 years old 3 mg 25 days Myalgia of lower extremities Mazzanti et al. (2017)
Female, 70 years old 3 mg 90 days Myalgia, increased level of serum CK, Previous statin intolerance Mazzanti et al. (2017)
Female, age unknown 3 mg > 365 days Increased level of serum CK, previously observed with statins Mazzanti et al. (2017)
Male, 60 years old 3 mg 165 days Increased level of serum CK Mazzanti et al. (2017)
Female, 4–8 mg 4 months Myalgia Venhuis et al. (2016)
Male, 49 years old 5 mg 60 days Increased level of serum CK Lapi et al. (2008)
Female, 64 years old 10.2 mg 30 days Increase level of serum CK Philibert et al. (2016)
Female, 51 years old 19.8 mg 30 days Myalgia Philibert et al. (2016)
Male, 37 years old 19.2 mg 48 days Rhabdomyolysis, increased level of serum CK Philibert et al. (2016)
Female, 51 years old 19.8 mg 30 days Myalgia Philibert et al. (2016)

CK: creatine kinase.