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Statin muscle symptoms — GPhC CRA MCQ

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HardCardiovascular TherapeuticsStatin muscle symptomsGPhC CRA

A patient taking atorvastatin 80 mg after myocardial infarction reports new widespread muscle pain and dark urine. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Withhold the statin and arrange urgent clinical assessment

Muscle pain with dark urine raises concern about rhabdomyolysis and needs urgent assessment including creatine kinase and renal function. In this vignette, "Withhold the statin and arrange urgent clinical assessment" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS