A 60-year-old woman on simvastatin 40 mg develops muscle pains and CK rises to 6× ULN. Best next step?...

Question

A 60-year-old woman on simvastatin 40 mg develops muscle pains and CK rises to 6× ULN. Best next step?

Accepted Answer

Stop simvastatin and switch to a different statin once CK normalises

Answer

Continue and recheck CK in 3 months

Answer

Add co-enzyme Q10

Answer

Reduce dose to 10 mg and continue

Answer

Switch to fibrate immediately

ukmla MCQ (SBA): Statin Myopathy