title: Muscle rupture associated with statin use.
abstract: Statins are used in the treatment of hyperlipidaemia. They are among the most commonly prescribed drugs worldwide. Statins have been linked to musculoskeletal adverse drug reactions. However muscle rupture has not been discussed as an adverse drug reaction to statins so far. The aim of this article is to give an overview of cases of muscle rupture associated with the use of statins.
  
  
  
  We analyzed the cases of muscle rupture associated with the use of statins that were collected by the Netherlands Pharmacovigilance Centre Lareb complemented with the review of cases from the EudraVigilance database.
  
  
  
  Fifteen cases of muscle rupture associated with statin use have been identified in the database of the Netherlands Pharmacovigilance Centre. Overall, there was a plausible temporal association of events in most cases. In addition, the EudraVigilance database contained 165 reports of muscle rupture reported in patients using statins. Muscle rupture was disproportionally associated with statin use in both databases. The reporting odds ratio was 23.4 (95% CI 11.9, 46.0) and 14.6 (95% CI 12.3, 17.2), respectively.
  
  
  
  Data from spontaneous reporting systems suggest that use of statins is associated with muscle rupture. Physicians and patients should be aware that this can occur.
authors.affiliation: Netherlands Pharmacovigilance Centre Lareb, 's-Hertogenbosch, The Netherlands.
authors.forename: Corine
authors.initials: C
authors.lastname: Ekhart
authors.affiliation: Netherlands Pharmacovigilance Centre Lareb, 's-Hertogenbosch, The Netherlands.
authors.forename: Loek
authors.initials: L
authors.lastname: de Jong
authors.affiliation: Dutch Medicines Evaluation Board Agency, Utrecht, The Netherlands.
authors.forename: Liana
authors.initials: L
authors.lastname: Gross-Martirosyan
authors.affiliation: Netherlands Pharmacovigilance Centre Lareb, 's-Hertogenbosch, The Netherlands.
authors.forename: Florence
authors.initials: F
authors.lastname: van Hunsel
mesh_terms: D000328:Adult; D016907:Adverse Drug Reaction Reporting Systems; D000368:Aged; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000293:injuries*; D009135:Muscular Diseases / Q000139:chemically induced* / Q000473:pathology; D009426:Netherlands; D060735:Pharmacovigilance; D012421:Rupture
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors
keywords: adverse drug reaction; muscle rupture; statins