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Effect of coenzyme Q10 supplementation on statin-induced myalgias.
Am J Cardiol. 2012 Aug 15; 110(4):526-9.AJ

Abstract

Coenzyme Q10 (CoQ10) deficiency has been proposed to be causal in 3-hydroxy-3-methyl-glutaryl coenzyme A reductase inhibitor (statin)-induced myopathies. However, the clinical benefit of supplementation is unproved. The purpose of the present study was to assess the effect of CoQ10 supplementation on myalgias presumed to be caused by statins. Patients currently receiving a statin who developed new-onset myalgias in ≥ 2 extremities within 60 days of initiation or a dosage increase were eligible. Patients continued statin therapy and were randomized using a matched design to either CoQ10 60 mg twice daily or matching placebo. Double-blind treatment continued for 3 months, and patients completed a 10-cm visual analog scale (VAS) and the Short-Form McGill Pain Questionnaire at baseline and at each monthly visit. The primary end point was the comparison of the VAS score at 1 month. A total of 76 patients were enrolled (40 in the CoQ10 arm and 36 in the placebo arm). The mean VAS score was 6 cm at baseline in both groups. At 1 month, no difference was seen in the mean VAS score between the 2 groups (3.9 cm in the CoQ10 group and 4 cm in the placebo group; p = 0.97). However, 5 patients in the CoQ10 group and 3 in the placebo group discontinued therapy during the first month because of myalgias. The baseline median score on the Sensory Pain Rating Index subscale was 10 in the CoQ10 group and 11.5 in the placebo group. At 1 month, these scores had decreased to 6.5 and 7.5, respectively, with no statistically significant difference (p = 0.34). In conclusion, CoQ10 did not produce a greater response than placebo in the treatment of presumed statin-induced myalgias.

Authors+Show Affiliations

Department of Pharmacy, Eisenhower Army Medical Center, Fort Gordon, Georgia, USA. david.bookstaver@amedd.army.milNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22608359

Citation

Bookstaver, David A., et al. "Effect of Coenzyme Q10 Supplementation On Statin-induced Myalgias." The American Journal of Cardiology, vol. 110, no. 4, 2012, pp. 526-9.
Bookstaver DA, Burkhalter NA, Hatzigeorgiou C. Effect of coenzyme Q10 supplementation on statin-induced myalgias. Am J Cardiol. 2012;110(4):526-9.
Bookstaver, D. A., Burkhalter, N. A., & Hatzigeorgiou, C. (2012). Effect of coenzyme Q10 supplementation on statin-induced myalgias. The American Journal of Cardiology, 110(4), 526-9. https://doi.org/10.1016/j.amjcard.2012.04.026
Bookstaver DA, Burkhalter NA, Hatzigeorgiou C. Effect of Coenzyme Q10 Supplementation On Statin-induced Myalgias. Am J Cardiol. 2012 Aug 15;110(4):526-9. PubMed PMID: 22608359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of coenzyme Q10 supplementation on statin-induced myalgias. AU - Bookstaver,David A, AU - Burkhalter,Nancy A, AU - Hatzigeorgiou,Christos, Y1 - 2012/05/18/ PY - 2012/01/10/received PY - 2012/04/03/revised PY - 2012/04/03/accepted PY - 2012/5/22/entrez PY - 2012/5/23/pubmed PY - 2012/12/10/medline SP - 526 EP - 9 JF - The American journal of cardiology JO - Am. J. Cardiol. VL - 110 IS - 4 N2 - Coenzyme Q10 (CoQ10) deficiency has been proposed to be causal in 3-hydroxy-3-methyl-glutaryl coenzyme A reductase inhibitor (statin)-induced myopathies. However, the clinical benefit of supplementation is unproved. The purpose of the present study was to assess the effect of CoQ10 supplementation on myalgias presumed to be caused by statins. Patients currently receiving a statin who developed new-onset myalgias in ≥ 2 extremities within 60 days of initiation or a dosage increase were eligible. Patients continued statin therapy and were randomized using a matched design to either CoQ10 60 mg twice daily or matching placebo. Double-blind treatment continued for 3 months, and patients completed a 10-cm visual analog scale (VAS) and the Short-Form McGill Pain Questionnaire at baseline and at each monthly visit. The primary end point was the comparison of the VAS score at 1 month. A total of 76 patients were enrolled (40 in the CoQ10 arm and 36 in the placebo arm). The mean VAS score was 6 cm at baseline in both groups. At 1 month, no difference was seen in the mean VAS score between the 2 groups (3.9 cm in the CoQ10 group and 4 cm in the placebo group; p = 0.97). However, 5 patients in the CoQ10 group and 3 in the placebo group discontinued therapy during the first month because of myalgias. The baseline median score on the Sensory Pain Rating Index subscale was 10 in the CoQ10 group and 11.5 in the placebo group. At 1 month, these scores had decreased to 6.5 and 7.5, respectively, with no statistically significant difference (p = 0.34). In conclusion, CoQ10 did not produce a greater response than placebo in the treatment of presumed statin-induced myalgias. SN - 1879-1913 UR - https://www.unboundmedicine.com/medline/citation/22608359/Effect_of_coenzyme_Q10_supplementation_on_statin_induced_myalgias_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9149(12)01186-1 DB - PRIME DP - Unbound Medicine ER -