TABLE 2.
Statin treatment: agents, dose, indication for use and reported AEs during statin use
ID a | Agent | Dose (mg/d) | Indication | Duration on statin after IIM diagnosis (months) | AEs (presumed cause b ) |
---|---|---|---|---|---|
1 | Atorvastatin/Pravastatin/Rosuvastatin | 20/80/5 | HLD | 61 | Elevated liver enzymes (PBC flare), nausea (unknown), diarrhea (unknown) |
2 | Rosuvastatin c | 20 | HTN, diabetes | 70 | Nausea(MMF) |
3 | Simvastatin | 40 | Diabetes, HTN, AAA s/p repair | 90 | Elevated liver enzymes (antibiotics), elevated Cr (hypovolemia) |
4 | Lovastatin/Atorvastatin c | 40/40 | CAD s/p PCI | 99 | |
5 | Rosuvastatin c | 20 | HLD | 108 | |
6 | Pravastatin | 20 | HLD | 90 | Elevated liver enzymes (MMF) |
7 | Rosuvastatin | 10 | HLD | 27 | |
8 | Atorvastatin | 10 | CAD, HLD, HTN | 21 | |
9 | Atorvastatin | 10 | HLD | 84 | |
10 | Rosuvastatin | 10 | HTN | 71 | Tendonitis (unknown), abdominal pain (interstitial cystitis) |
11 | Atorvastatin | 10 | diabetes, HTN | 2 | Elevated liver enzymes/renal failure (hemorrhagic shock) |
12 | Atorvastatin | 20 | HLD | 47 | Abdominal cramps (cyclophosphamide) |
13 | Atorvastatin | 10 | TIA/lacunar infarct | 7 | Diarrhea (unknown), dizziness (MMF), Myalgia (statin) |
14 | Atorvastatin c | 40 | CVA with carotid artery occlusion | 77 | Diarrhea(MMF) |
15 | Atorvastatin c | 40 | CAD s/p PCI | 30 | |
16 | Atorvastatin c | 40 | CVA, DM, HTN | 42 | |
17 | Rosuvastatin | 5 | HLD | 27 | |
18 | Rosuvastatin c | 40 | HLD, CAD, carotid atherosclerosis | 43 | |
19 | Rosuvastatin | 5 | HTN, HLD | 3 | Tendonitis |
20 | Atorvastatin | 10 | HLD | 9 | |
21 | Atorvastatin | 10 | cardiomyopathy, CHF | 29 | Elevated liver enzymes/nausea (cyclophosphamide) |
22 | Pravastatin | 20 | cardiomyopathy s/p transplant | 32 | Muscle spasms of neck/abdomen (post heart transplant, surgical site complication) |
23 | Atorvastatin | 20 | HLD | 48 | Abdominal pain(biliary colic) |
24 | Atorvastatin | 5/10 | N/A | 14 | |
25 | Atorvastatin | N/A | N/A | 0 | Myalgia (statin) |
26 | Simvastatin/Pravastatin | 40/80 | HLD | 0 | Myalgia, weakness (simvastatin) |
27 | Atorvastatin | 10 | CAD, diabetes, HTN | 0 | Onset of necrotizing myopathy |
28 | Atorvastatin | N/A | N/A | 0 | Onset of necrotizing myopathy |
29 | Atorvastatin c | 40 | Diabetes, HTN, HLD | 0 | Onset of necrotizing myopathy |
30 | Atorvastatin | 20 | Diabetes, HTN, HLD | 0 | Onset of necrotizing myopathy |
31 | Atorvastatin | 20 | CVD, Diabetes | N/A | N/A |
32 | Atorvastatin | N/A | HLD | N/A | N/A |
33 | Atorvastatin c | 40 | HLD | N/A | N/A |
Abbreviations: AEs, adverse events; MMF, mycophenolate mofetil; N/A, data not available; PBC, primary biliary cirrhosis.
Patients 24 to 30 are in prior statin group, 31 to 33 are patients without follow‐up data (excluded from statin group for lack of disease activity assessment).
Presumed cause: based on temporal correlation of adverse event with onset or dose/change of medication or clinical event.
High intensity statin include Atorvastatin 40 to 80 mg, rosuvastatin 20 to 40 mg.
Bold values are high intensity statin.