title: Myopathy with concurrent tadalafil and simvastatin.
abstract: A 48-year-old man, using statin, was admitted to hospital with progressive myalgia after consumption of tadalafil and simvastatin. Muscle pain and penile erection disappeared seven days after interruption of therapy. This case demonstrates the interaction of tadalafil with simvastatin resulting in myopathy. Muscle damage could be attributed to the common metabolic way of these two drugs which is cytochrome P450 isoenzyme system.
authors.affiliation: Department of Senescence, Urological and Neurological Sciences Ospedale Cannizzaro, Viale Messina, 95125 Catania, Italy.
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Gargante
authors.forename: Marco
authors.initials: M
authors.lastname: Vacante
authors.forename: Cristina
authors.initials: C
authors.lastname: Russo
authors.forename: Mariano
authors.initials: M
authors.lastname: Malaguarnera