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Published on: January 4, 2018
Management of Statin Intolerance in 2018: Still More Questions Than Answers
Peter P Toth1,2, Angelo Maria Patti3, Rosaria Vincenza Giglio3
1CGH Medical Center, Sterling, IL, USA.
Insights
Statin intolerance, marked by side effects like muscle pain, can lead to patients stopping medication, increasing cardiovascular risk. Management includes dose changes, switching statins, or using alternative therapies when needed.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Statins are effective for cardiovascular disease prevention but can cause adverse events like myalgia and diabetes.
- Patients often discontinue statin therapy due to perceived side effects, elevating cardiovascular event risk.
Purpose of the Study:
- To define statin intolerance.
- To outline clinical and therapeutic strategies for managing statin intolerance.
- To explore emerging alternative therapies for cardiovascular disease management.
Main Methods:
- This is a review article.
- It synthesizes current literature on statin intolerance.
- It discusses management strategies and alternative treatments.
Main Results:
- Statin intolerance is a significant issue leading to treatment discontinuation.
- Management strategies include dose adjustment, switching statins, or alternate-day regimens.
- Non-statin drugs and nutraceuticals are options when all statins are poorly tolerated.
Conclusions:
- Effective management of statin intolerance is crucial for cardiovascular risk reduction.
- A range of strategies exists, from modifying statin therapy to exploring non-statin alternatives.
- Further research into alternative therapies is warranted.
Abstract:
Statin therapy is generally well tolerated and very effective in the prevention and treatment of cardiovascular disease, regardless of cholesterol levels; however, it can be associated with various adverse events (myalgia, myopathy, rhabdomyolysis, and diabetes mellitus, among others). Patients frequently discontinue statin therapy without medical advice because of perceived side effects and consequently increase their risk for cardiovascular events. In patients with statin intolerance, it may be advisable to change the dose, switch to a different statin, or try an alternate-day regimen. If intolerance is associated with all statins-even at the lowest dose-non-statin drugs and certain nutraceuticals can be considered. This review focuses on the definition of statin intolerance and on the development of clinical and therapeutic strategies for its management, including emerging alternative therapies.
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