Statin-induced rhabdomyolysis: a complication of a commonly overlooked drug interaction

Oxf Med Case Reports. 2018 Mar 14;2018(3):omx104. doi: 10.1093/omcr/omx104. eCollection 2018 Mar.

Abstract

Rhabdomyolysis is a well-documented side effect of statin therapy. This risk is increased with concurrent use of medications that inhibit cytochrome p450-3A4 (CYP3A4), such as macrolide antibiotics. We present the case of a 67-year-old patient who was commenced on clarithromycin on a background of simvastatin therapy, resulting in rhabdomyolysis. This case highlights the need for awareness of common drug interactions associated with statins. It also emphasizes the significance of commencing statins at a lower dose in new patients, and lastly, the importance of early recognition and management of rhabdomyolysis to prevent the development of complications.

Publication types

  • Case Reports