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Preclinical Drug Testing in Scalable 3D Engineered Muscle Tissues
Published on: April 7, 2023
[Myopathy in a patient during simvastatin and fluconazole treatment]
Jens Kristian Pedersen1, Magnus Christian Lydolph, Finn Somnier
1jensk@dadlnet.dk.
Abstract:
A 69-year-old female was admitted due to progressive loss of muscle strength following addition of fluconazole to long-term simvastatin treatment. Rhabdomyolysis was suspected and both drugs were discontinued. Forced diuresis was initiated together with a short course of prednisolone. After 21 weeks the patient had regained normal muscle strength and endurance. The favourable course and the absence of antibodies against 3-hydroxy-3-methylglutaryl-coenzyme A reductase suggest that the condition was due to interaction between the two drugs, which are both metabolized via the CYP3A4 pathway.
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