TY - JOUR JO - Archives of Medical Science SN - 1734-1922 VL - 12 IS - 3 PY - 2016 ID - Gluba-Brzozka2016 TI - Molecular mechanisms of statin intolerance AB - Statins reduce cardiovascular morbidity and mortality in primary and secondary prevention. Despite their efficacy, many persons are unable to tolerate statins due to adverse events such as hepatotoxicity and myalgia/myopathy. In the case of most patients, it seems that mild-to-moderate abnormalities in liver and muscle enzymes are not serious adverse effects and do not outweigh the benefits of coronary heart disease risk reduction. The risk for mortality or permanent organ damage ascribed to statin use is very small and limited to cases of myopathy and rhabdomyolysis. Statin-induced muscle-related adverse events comprise a highly heterogeneous clinical disorder with numerous, complex etiologies and a variety of genetic backgrounds. Every patient who presents with statin-related side effects cannot undergo the type of exhaustive molecular characterization that would include all of these mechanisms. Frequently the only solution is to either discontinue statin therapy/reduce the dose or attempt intermittent dosing strategies at a low dose. AU - Gluba-Brzozka, Anna AU - Franczyk, Beata AU - Toth, Peter AU - Rysz, Jacek AU - Banach, Maciej SP - 645 EP - 658 DA - 2016 DO - 10.5114/aoms.2016.59938 UR - http://dx.doi.org/10.5114/aoms.2016.59938 ER -