muscle aches

[jeffradd]

can you guys help me? which of these can be affiliated with muscle aching?

Lantus
Aspirin
Levothyroxine
Crestor

[johnep]

Pesumably crestor as is statin.
johnep

[Pharmanaut]

Originally Posted by johnep

Pesumably crestor as is statin.
johnep

Rosuvastatin most likely suspect in my view.

[Linnear]

Ditto. Crestor must at least be near the smoking gun. IMO

Thinking about it now, wouldn't homeopathic strength aspirin cause muscle aches?

[Pharmanaut]

Originally Posted by Linnear

Ditto. Crestor must at least be near the smoking gun. IMO

Thinking about it now, wouldn't homeopathic strength aspirin cause muscle aches?

Has the person developed a liking for grapefruit juice or grapefuit?
Crestor is not known to interact - at the moment....

[jeffradd]

thanks everyone

[pharout]

The Crestor may certainly be the most probable cause. However, this is a more hydrophilic statin and (along with pravastatin) is less likely to penetrate the muscle and cause myalgia. Clinically, we prescribe this for patients who've experienced myalgia on say lovastatin and simvastatin. The levothyroxine in and of itself may not be a cause, however, hypothyroidism is a well known cause of myalgia. If the pt is on levothyroxine and they are still hypothyroid (i.e. their TSH is high), this may be an underlying cause. Hope this helps.

[Linnear]

It helped me Pharout! Thanks do you mind being quoted for CPD?

[pharout]

Linnear, glad I could help. We have a system whereby we can easily track pts on statins and I can certainly tell you that the actual incidence of myalgia is greater than that reported in clinical trials. By doing so, our group has gained pretty good experience with managing statin side effects.

[Jeff]

Originally Posted by pharout

Linnear, glad I could help. We have a system whereby we can easily track pts on statins and I can certainly tell you that the actual incidence of myalgia is greater than that reported in clinical trials. By doing so, our group has gained pretty good experience with managing statin side effects.

So do you switch between statins or just go for ezetimibe?

Jeff