Statins and muscle pains
I have a 60-year-old woman with hyperlipidemia who was started on atorvastatin 10 mg, but she came back complaining of muscle aches within a week. She insists she can’t tolerate it but has never tried another statin. CK levels are normal. Is this true intolerance or a nocebo effect? Would you trial a lower dose, a different statin, or just drop it and try ezetimibe