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Statin myopathy — GPhC CRA MCQ

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EasyAdverse Drug Reactions and Drug SafetyStatin myopathyGPhC CRA

A patient taking atorvastatin reports new severe muscle pain, weakness and dark urine after starting clarithromycin. He asks if he can finish the antibiotic first. What monitoring is required?

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Correct answer: CRefer urgently for assessment of possible rhabdomyolysis

Severe muscle symptoms with dark urine suggest possible rhabdomyolysis, especially with a statin interaction. This requires urgent clinical assessment, including creatine kinase and renal function. Continuing the interacting combination without review could worsen harm.

Reference: BNF