A Patient With Muscle Pain Even After He Has Discontinued His Statin

Editor's Note: Based on the 2013 Blood Cholesterol, Lifestyle Management, Obesity, and Risk Assessment Guidelines.

After 2 years of treatment with atorvastatin 80 mg daily free of muscle symptoms, the patient developed progressive muscle pains in both lower legs. He stopped the statin 2 weeks prior to his clinic visit but the muscle pain and weakness did not noticeably improve. He now wants to know if he can be switched to red yeast Chinese rice. On examination, he has mild difficulty getting out of a chair and also has weakness after doing 3 squats. He remembers he felt fine doing squats at the gym about 6 months ago.

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