Combo 'Polypill' May Cut Heart Attack, Stroke Risk Up to 40%, Computer 'Nudge' Spurs Doctors to Prescribe Statins to Heart Patients, We comply with the HONcode standard for trustworthy health information -. 57. Like any other medicine, metoprolol has some side effects, though most are quite rare and easily treatable. Having to take more than one medication to treat your cholesterol, being 65 or older, and being female or having a small frame all can increase the likelihood for statin side effects. McDonagh J, Winocour P, Walker DJ "Musculoskeletal manifestations during simvastatin therapy." Immediate treatment is necessary because sometimes skin complications can be deadly. Nephron 89 (2001): 117-8, 37. J Neurol Neurosurg Psychiatry 58 (1995): 625-8, 46. Almost any drug can cause a rash. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The patient was a 46-year-old female in no apparent distress. There was no joint inflammation, sausage digits, or joint enlargement. Ann Pharmacother 40 (2006): 1880-3, 45. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. muscular pain, tenderness, wasting, or weakness, Blistering, peeling, or loosening of the skin, large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, pains in the stomach, side, or abdomen, possibly radiating to the back, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, red skin lesions, often with a purple center, sores, ulcers, or white spots in the mouth or on the lips, weakness in the arms, hands, legs, or feet, excess air or gas in the stomach or intestines, feeling of constant movement of self or surroundings, pain or tenderness around the eyes and cheekbones, loss in sexual ability, desire, drive, or performance. The Principal Investigators." Omar MA, Wilson JP "FDA adverse event reports on statin-associated rhabdomyolysis." I don't know if this is helpful, but simvastatin, lovastatin, and pravastatin are derived from fungi, and fluvastatin, atorvastatin, and rosuvastatin are entirely synthetic. 3. Finsterer J, Zuntner G "Rhabdomyolysis from Simvastatin triggered by infection and muscle exertion." Molden E, Andersson KS "Simvastatin-associated rhabdomyolysis after coadministration of macrolide antibiotics in two patients." It is used along with exercise, diet, and weight loss to decrease elevated lipid levels. Certain people are at higher risk for developing side effects when taking lovastatin, simvastatin or pravastatin 2 3. Bannwarth B, Miremont G, Papapietro PM "Lupuslike syndrome associated with simvastatin." A meta-analysis of large randomized clinical trials." Muscle abnormalities in four patients taking statins to treat unfavorable cholesterol levels." Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Now I'm trying to work through a D3 issue. These side effects may go away during treatment as your body adjusts to the medicine. This was diagnosed by a dermotologist after doing a - Answered by a verified Dermatologist. Muldoon MF, Ryan CM, Sereika SM, Flory JD, Manuck SB "Randomized trial of the effects of simvastatin on cognitive functioning in hypercholesterolemic adults." Many organs and/or blood vessels are affected. 36. Weise WJ, Possidente CJ "Fatal rhabdomyolysis associated with simvastatin in a renal transplant patient." Myalgia: Muscle pain which is experienced by 2% to 10% of people taking statins. Data sources include IBM Watson Micromedex (updated 2 Nov 2020), Cerner Multum™ (updated 2 Nov 2020), ASHP (updated 23 Oct 2020) and others. Itakura H, Vaughn D, Haller DG, O'Dwyer PJ "Rhabdomyolysis from cytochrome p-450 interaction of ketoconazole and simvastatin in prostate cancer." Chagnon JP, Cerf M "Simvastatin-induced protein-losing enteropathy." View Comments (15) About the Author Joe Graedon. ... came out in hives about 3 weeks later, stopped taking never returned. Pedersen TR, Kjekshus J, Berg K, Haghfelt T, Faergeman O, Thorgeirsson G, Pyorala K, Miettinen T, Wilhelmsen L, Olsson AG, Wedel "Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S)." I’m taking Allegra for the itch but it really doesn't help. Arch Intern Med 156 (1996): 2085-92, 12. Dermatology 186 (1993): 272, 54. Br J Rheumatol 32 (1993): 647-8, 11. 1. Ann Pharmacother 30 (1996): 192, 3. Background. Adverse Drug Reactions Advisory Committee (ADRAC) and the Adverse Drug Reactions Unit of the TGA "Australian Adverse Drug Reactions Bulletin. The nature of the rashes vary widely from simple macular skin discoloration to papular eruptions with and without itching. Am J Med 110 (2001): 716-23, 59. Common side effects include constipation, headaches, and nausea. Find patient medical information for Simvastatin Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. [Ref], Persistent elevations in transaminases of up to 3 times the upper limit of normal (3xULN) have been reported in 1% of patients. Am J Med 87 (1989): s44-6, 30. We use cookies to give you the best possible experience on our website. Padala KP, Padala PR, Potter JF "Simvastatin-induced decline in cognition." DICP 25 (1991): 257-64, 39. Lancet 353 (1999): 1763-4, 38. (Atorvastatin, 2010) It is common for blisters to form in the rash area and … Am J Med 108 (2000): 351-2, 10. Johnson JL, Loomis IB "A case of simvastatin-associated pancreatitis and review of statin-associated pancreatitis." Although not all of these side effects may occur, if they do occur they may need medical attention. In a Cochrane Foundation Analysis of 37,939 individuals involved in nine clinical trials, 9.4% of those receiving statins experienced myalgia, a rate similar to those of the participants who were given a placebo.1 Statin-induced myalgia is generally experienced as a soreness, usually in t… Ann Intern Med 137 (2002): I45, 6. Maxa JL, Melton LB, Ogu CC, Sills MN, Limanni A "Rhabdomyolysis after concomitant use of cyclosporine, simvastatin, gemfibrozil, and itraconazole." Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The rash reassembled a lichenoid drug eruption and histopathology was also compatible with a lichenoid eruption [12]. See below for a comprehensive list of adverse effects. Pharmacotherapy 25 (2005): 228-43, 28. Vytorin reduces total cholesterol and LDL cholesterol while it increases HDL cholesterol. Galatti L, Polimeni G, Salvo F, Romani M, Sessa A, Spina E "Short-term memory loss associated with rosuvastatin." In this report, we describe a case of a statin-induced eczematous dermatitis with a psoriasis-like clinical presentation and review the skin manifestations that may arise from statin thera… J Cardiovasc Pharmacol 40 (2002): 163-71, 15. Phan T, Mcleod JG, Pollard JD, Peiris O, Rohan A, Halpern JP "Peripheral neuropathy associated with simvastatin." 40. Multi ingredient medications may also be listed when applicable. Complete analysis from patient reviews and trusted online health resources, including first-hand experiences. ([2006 Dec]): 41. And in the last 2 months I have had this itchy dry-like rash off and on. We comply with the HONcode standard for trustworthy health information -. My husband has been diagnosed with a rash caused by statin drugs. It is also used to decrease the risk of heart problems in those at high risk. "Simvastatin causes changes in affective processes in elderly volunteers." Zocor (simvastatin)." "Product Information. This drug may also reduce the risk of heart attack, stroke, or other health problems in patients with risk factors for heart or blood vessel disease. Arora R, Liebo M, Maldonado F "Statin-induced myopathy: the two faces of Janus." Rash is not a specific diagnosis. What makes treating vasculitisa challenge? So simvastatin can cause eczema which is a form of chronic dermatitis (rash).Allergic reaction is one of the important causes of eczema. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Kittiwake. It lowers the level of cholesterol and triglycerides in the blood. ChoquetKastylevsky G, Kanitakis J, Dumas V, Descotes J, Faure M, Claudy A "Eosinophilic fasciitis and simvastatin." More frequently reported side effects include: eczema and increased creatine phosphokinase in blood specimen. 34. She used no concomitant medication. BMJ 332 (2006): 950, 49. 6. "Incidence of hospitalized rhabdomyolysis in patients treated with lipid-lowering drugs." Statin intolerance occurs when a person develops side effects from statin use. Merck & Co, Inc, West Point, PA. 20. Ann Pharmacother 36 (2002): 820-3, 26. Moreover, elderly patients are prone to pharmacologic interactions due to multiple medications. For the past few weeks I have been experiencing leg cramping, muscle aches, and — mostly and more recently — itching. Pharmacotherapy 26 (2006): 1190-2, 44. Available for Android and iOS devices. South Med J 94 (2001): 1023-6, 16. Simvastatin, sold under the brand name Zocor among others, is a lipid-lowering medication. Newman TB, Hulley SB "Carcinogenicity of lipid-lowering drugs." Zetia, atorvastatin, Jardiance, simvastatin, Brilinta, fenofibrate, Lopid, Xarelto, rosuvastatin, Lipitor. Walker JF "Simvastatin: the clinical profile." Cerner Multum, Inc. "UK Summary of Product Characteristics." Any advice? [Ref], Frequency not reported: Elevations in creatine kinase, myopathy, dermatomyositis, arthralgia, tendon rupture, Postmarketing reports: Muscle cramps, myalgia, rhabdomyolysis[Ref], This drug causes dose-related myopathy which, in rare cases maybe severe and sometimes take the form of rhabdomyolysis with or without renal failure secondary to myoglobinuria; rarely fatalities have occurred. Br J Rheumatol 33 (1994): 199, 8. Some side effects may not be reported. Since the medication change, the rash went away. South Med J 98 (2005): 827-9, 35. There have been rare postmarketing reports of hepatic failure. Halkin A, Lossos IS, Mevorach D "HMG-CoA reductase inhibitor-induced impotence." Duits N, Bos FM "Depressive symptoms and cholesterol-lowering drugs." Finsterer J, Zuntner G "Rhabdomyolysis from Simvastatin triggered by infection and muscle exertion." Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Data sources include IBM Watson Micromedex (updated 2 Nov 2020), Cerner Multum™ (updated 2 Nov 2020), ASHP (updated 23 Oct 2020) and others. Chariot P, Abadia R, Agnus D, Danan C, Charpentier C, Gherardi RK "Simvastatin-induced rhabdomyolysis followed by a MELAS syndrome." Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. J Clin Endocrinol Metab 86 (2001): 4556-9, 34. Now I am also finding that certain brands of over-the-counter D3 break me out in a rash. Sinzinger H, Wolfram R, Peskar BA "Muscular side effects of statins." Curr Opin Lipidol 16 (2005): 640-7, 29. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. I have been on Simvastatin 20mg for 4 yrs; Metformin 500mg for 2 yrs, Ranitidine 150mg for 2yrs. The lesions appear as concentric rings with frank blistering in some areas Lancet 344 (1994): 1383-9, 52. Gonyeau MJ "Statins and osteoporosis: a clinical review." The incidence of myopathy with the 80 mg dose has been reported as disproportionately higher than that observed at lower doses and the risk of myopathy with simvastatin 80 mg/day is greater compared with other statins with similar or greater LDL-C lowering efficacy. There are several different types of vasculitis. Simvastatin (Zocor) works best if you take it in the evening since your body makes most of its cholesterol at night. Cardiology 77 (1990): 58-65, 7. I take 1 pill and wait 3 days to see if the rash re-appears. Katznelson S "Immunosuppressive and antiproliferative effects of HMG-CoA reductase inhibitors." Patient did not recover after treatment with a topical corticosteroid. Pharmacotherapy 21 (2001): 767-9, 50. Neurology 58 (2002): 1333-7, 48. J Urol 169 (2003): 613, 17. van Puijenbroek EP, Du Buf-Vereijken PW, Spooren PF, van Doormaal JJ "Possible increased risk of rhabdomyolysis during concomitant use of simvastatin and gemfibrozil." HMG-CoA reductase inhibitors are among the most frequently prescribed medications with proven efficacy and infrequent side effects1. Sundram F, Roberts P, Kennedy B, Pavord S "Thrombotic thrombocytopenic purpura associated with statin treatment." There’s no easy way to tell if you have vasculitis beca… Linnebur SA, Hiatt WH "Probable Statin-Induced Testicular Pain (January)." Dermatology 186 (1993): 248-52, 53. Pharmacotherapy 26 (2006): 414-22, 42. J Cardiovasc Pharmacol Ther 11 (2006): 105-12, 21. Rudski L, Rabinovitch MA, Danoff D "Systemic immune reactions to HMG-CoA reductase inhibitors - Report of 4 cases and review of the literature." Alvarez JM, Rawdanowiz TJ, Goldstein J "Rhadbdomyolysis after coronary artery bypass grafting in a patient receiving simvastatin." Nakad A, Bataille L, Hamoir V, Sempoux C, Horsmans Y "Atorvastatin-induced acute hepatitis with absence of cross-toxicity with simvastatin." Graham DJ, Staffa JA, Shatin D, et al. Dermatologic events are often overlooked as arising from medications, particularly those which are taken chronically. Medically reviewed by Drugs.com. Bjerre LM, LeLorier J "Do statins cause cancer? Molden E, Andersson KS "Simvastatin-associated rhabdomyolysis after coadministration of macrolide antibiotics in two patients." J Intern Med 240 (1996): 403-4, 18. Cough 2. difficulty with swallowing 3. dizziness 4. fast heartbeat 5. fever 6. hives 7. itching 8. muscle cramps, pain, stiffness, swelling, or weakness 9. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue 10. skin rash 11. tightness in the chest 12. unusual tiredness or weakness 13. wheezing Pharmacotherapy 27 (2007): 603-7, 36. A drug rash, sometimes called a drug eruption, is a reaction your skin can have to certain drugs. JAMA 292 (2004): 2585-90, 13. Even within a specific disease, the features differ among patients. Dr. Hibberd's Answer: Crestor and Vytorin should not be taken together. Peces R, Pobes A "Rhabdomyolysis associated with concurrent use of simvastatin and diltiazem." Return to Pill Identifier…. Arch Intern Med 161 (2001): 1456-7, 33. With therapy discontinuation or interruption, transaminase levels generally returned to pretreatment levels. Medicine 77 (1998): 378-83, 56. Multiple sharply demarcated erythematous round patches with an overlying silvery scale were noted on the patient’s upper and lower extremities, trunk, buttocks, and back. Orsi A, Sherman O, Woldeselassie "Simvastatin-associated memory loss." The rash spared the … At the dermatology clinic, a full skin examination was completed. Drugs 50 (1995): 334-63, 5. Statins, an example of the most commonly prescribed medications to the elderly, are not without side effects. Katznelson S "Effect of HMG-CoA reductase inhibitors on chronic allograft rejection." Skin Rashes and Statins Although I do not as yet have an explanation for the mechanism involved, many cases of curious skin rashes are being reported from statin drug users. JAMA 275 (1996): 55-60. Clin Cardiol 16 (1993): 317-22, 9. "Summaries for patients. South Med J 96 (2003): 318-20, 22. Ann Intern Med 137 (2002): 617-8, 27. Statin myopathy generally takes one of three forms: 1. JAMA 283 (2000): 3205-10, 14. J Intern Med 240 (1996): 403-4. The rash started on the backs of her hands and quickly spread to her arms, trunk, neck, and face. Diaczok BJ, Shali R "Statins unmasking a mitochondrial myopathy: a case report and proposed mechanism of disease." simvastatin 10 mg once daily. ; Infections that cause rashes may be fungal, bacterial, parasitic, or viral. Any incidence of hypersensitivity is unknown with these drugs. Mukhtar RY, Reckless JP "Statin-induced myositis: a commonly encountered or rare side effect?" Pitting of the patient’s nails was also present. Hello, Flaring up of eczema is a known side effect of this drug and is found in about 4.5 % population. A biopsy reported that the cause could possibly be medication. Transplant Proc 31 (1999): s22-4, 4. Avoid grapefruit and grapefruit juice while taking this medicine because it can increase the amount of medication in your body, which increases your risk of side effects. South Med J 98 (2005): 827-9. A look at rash and pancreatitis as side effects of antidiabetic drugs A 67-year old woman with an extensive rash is referred urgently to hospital. J Thorac Cardiovasc Surg 116 (1998): 654-5, 32. Some people develop a rash suddenly while other may go weeks or even months on a medication before experiencing problems. Chan MH, Mak TW, Chiu RW, Chow CC, Chan IH, Lam CW "Simvastatin increases serum osteocalcin concentration in patients treated for hypercholesterolaemia." Preparations: Tablets of 10/10, 10/20, 10/40, 10/80 mg. (ezetimibe/simvastatin) Prescribed for: Ezetimibe/simvastatin (Vytorin) is a combination of ezetimibe (Zetia) and simvastatin (Zocor) that is used for treating high levels of cholesterol in the blood. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If the rash is a new thing, then it seems unlikely to be the atorvastatin, unless you've changed maker recently. It can be a primary disease with an unknown cause. Multi ingredient medications may also be listed when applicable. SIMVASTATIN (SIM va stat in) is known as a HMG-CoA reductase inhibitor or 'statin'. J Am Geriatr Soc 54 (2006): 70-6, 47. Ann Pharmacother (2007): 58. 2. Rash is a known side effect of Pravastatin. Check with your doctor immediately if any of the following side effects occur while taking simvastatin: Some side effects of simvastatin may occur that usually do not need medical attention. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: The more commonly reported adverse effects have included upper respiratory infection, headache, abdominal pain, constipation, and nausea.

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