Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration

Simvastatin is among the most commonly used prescription medications for cholesterol reduction and the most common statin-related adverse drug reaction is skeletal muscle toxicity. Multiple factors have been shown to influence simvastatin-induced myopathy. In addition to age, gender, ethnicity, gene...

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Main Authors: De Schryver, Nicolas, Wittebole, Xavier, Van den Bergh, Peter, Haufroid, Vincent, Goffin, Eric, Hantson, Philippe
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391689/
id pubmed-4391689
recordtype oai_dc
spelling pubmed-43916892015-04-16 Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration De Schryver, Nicolas Wittebole, Xavier Van den Bergh, Peter Haufroid, Vincent Goffin, Eric Hantson, Philippe Case Report Simvastatin is among the most commonly used prescription medications for cholesterol reduction and the most common statin-related adverse drug reaction is skeletal muscle toxicity. Multiple factors have been shown to influence simvastatin-induced myopathy. In addition to age, gender, ethnicity, genetic predisposition, and dose, drug-drug interactions play a major role. This is particularly true for drugs that are extensively metabolized by cytochrome P450 (CYP)3A4. We describe a particularly severe case of rhabdomyolysis after the introduction of ciprofloxacin, a weak CYP3A4 inhibitor, in a patient who previously tolerated the simvastatin-amlodipine combination. Hindawi Publishing Corporation 2015 2015-03-26 /pmc/articles/PMC4391689/ /pubmed/25883814 http://dx.doi.org/10.1155/2015/761393 Text en Copyright © 2015 Nicolas De Schryver et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author De Schryver, Nicolas
Wittebole, Xavier
Van den Bergh, Peter
Haufroid, Vincent
Goffin, Eric
Hantson, Philippe
spellingShingle De Schryver, Nicolas
Wittebole, Xavier
Van den Bergh, Peter
Haufroid, Vincent
Goffin, Eric
Hantson, Philippe
Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
author_facet De Schryver, Nicolas
Wittebole, Xavier
Van den Bergh, Peter
Haufroid, Vincent
Goffin, Eric
Hantson, Philippe
author_sort De Schryver, Nicolas
title Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
title_short Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
title_full Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
title_fullStr Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
title_full_unstemmed Severe Rhabdomyolysis Associated with Simvastatin and Role of Ciprofloxacin and Amlodipine Coadministration
title_sort severe rhabdomyolysis associated with simvastatin and role of ciprofloxacin and amlodipine coadministration
description Simvastatin is among the most commonly used prescription medications for cholesterol reduction and the most common statin-related adverse drug reaction is skeletal muscle toxicity. Multiple factors have been shown to influence simvastatin-induced myopathy. In addition to age, gender, ethnicity, genetic predisposition, and dose, drug-drug interactions play a major role. This is particularly true for drugs that are extensively metabolized by cytochrome P450 (CYP)3A4. We describe a particularly severe case of rhabdomyolysis after the introduction of ciprofloxacin, a weak CYP3A4 inhibitor, in a patient who previously tolerated the simvastatin-amlodipine combination.
publisher Hindawi Publishing Corporation
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391689/
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