A 60-year-old man is started on high-intensity atorvastatin for secondary prevention after MI. Three months later he reports mild myalgia but CK is no...

Question

A 60-year-old man is started on high-intensity atorvastatin for secondary prevention after MI. Three months later he reports mild myalgia but CK is normal. What is the most appropriate management?

Accepted Answer

Reduce the statin dose or switch to an alternative statin and monitor

Answer

Stop the statin immediately and never restart

Answer

Add a fibrate

Answer

Ignore symptoms and continue at the same dose

Answer

Start high-dose corticosteroids

au-racp MCQ (SBA): Statin-associated muscle symptoms

A 60-year-old man is started on high-intensity atorvastatin for secondary prevention after MI. Three months later he reports mild myalgia but CK is normal. What is the most appropriate management?