A 64-year-old on simvastatin 40 mg reports muscle pain and dark urine. CK is 12,000 IU/L, creatinine is rising. What is the immediate management?...

Question

A 64-year-old on simvastatin 40 mg reports muscle pain and dark urine. CK is 12,000 IU/L, creatinine is rising. What is the immediate management?

Accepted Answer

Stop statin and give IV fluids urgently

Answer

Continue statin and recheck CK in 1 week

Answer

Switch to atorvastatin 20 mg

Answer

Add ezetimibe and continue statin

Answer

No action if pain improves with rest

ukmla MCQ (SBA): Statin-induced Rhabdomyolysis