Symptoms of Statin-Induced Adverse Drug Reactions on Muscle on Older Patients doi.org/10.26538/tjnpr/v5i7.12
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Abstract
Older patients are susceptible to Adverse Drug Reactions (ADR) resulting from age-related decline in body physiological conditions. This condition also has an impact on the emergence of degenerative diseases, which generally require supportive therapy in the form of statin drugs. However, this medication has the highest prevalence of ADR, often presented in the form of muscular symptoms. This study determined the Odds Ratio (OR) value of the muscle symptoms resulting from statin drug use observed in older patients compared to non-older patients. The influencing confounding factors were also evaluated. The study used a case-control design. The study was carried out from February to May 2020 and involved 36 older and 36 non-older patients. The selection was preceded by an interview, and the Statin-Associated Muscle Symptom Clinical Index (SAMS-CI) questionnaire was used to assess the muscle symptoms experienced. The results showed a statistically significant relationship between age and muscle symptoms in patients. The incidence of muscular ADR symptoms was higher in the older than in the non-older patients (OR = 18.74, p = 0.008). Therefore, the use of statin drugs in older patients needs regular monitoring to minimize the risk of muscular ADR symptoms.
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Alomar MJ. Factors affecting the development of adverse drug reactions (review article). Saudi Pharm J. 2014; 22(2):83-94.
Wulandari N, Andrajati R, Supardi S. Risk factor elderly age on incidence of adverse drug reaction in patients with hypertension, diabetes, dyslipidemic at three puskesmas in Depok. Indones Pharm J. 2016; 6(1):60-67.
Zaenurrohmah DH and Rachmayanti RD. Relationship between knowledge and hypertension history with blood pressure control in elderly. Period Epidemiol J. 2017; 5(2):174-184.
Erwinanto E, Santoso A, Putranto JNE, Tedjasukmana P, Sukmawan R, Suryawan R. Guidelines for dyslipidemia management 2017. Jakarta: Indonesian Heart Association (IHA); 2017. 1-80 p.
Hilmer S and Gnjidic D. Statins in older adults. Aust Prescr. 2013; 36(3):79-82.
Ward NC, Watts GF, Eckel RH. Statin toxicity mechanistic insights and clinical implications. Circ Res. 2019; 124(2):328-350.
Mlodinow SG, Onysko MK, Vandiver JW, Hunter ML, Mahvan TD. Statin adverse effects: sorting out the evidence. J Fam Pract. 2014; 63(9):497-506.
Stroes ES, Thompson PD, Corsini A, Vladutiu GD, Raal FJ, Ray KK, Roden M, Stein E, Tokgozoglu L, Nordestgaard BG, Bruckert E, Backer GD, Krauss RM, Laufs U, Santos RD, Hegele RA, Hovingh GK, Leiter LA, Mach F, Marz W, Newman CB, Wiklund O, Jacobson TA, Catapano AL, Chapman MJ, Ginsberg HN. Statin-associated muscle symptoms: impact on statin therapy-European atherosclerosis society consensus panel statement on assessment, aetiology and management. Eur Heart J. 2015; 36(17):1012-1022.
Khlief Y, Hyassat D, Liswi M, Jaddou H, Ajlouni K. Prevalence of myopathy in subjects on statin therapy attending the National Center for Diabetes, Endocrinology and Genetics in Jordan. Endocrinol Metab Syndr. 2015; 4(4):1-6.
Castro PF, Ribeiro E, Dorea EL, Pinto GA, Hirata RDC. Factors associated with statin-related adverse muscular events in adult dyslipidemic outpatients. Braz J Pharm Sci. 2017; 53(4):1-10.
Jacobson TA, Cheeley MK, Jones PH, Forge RL, Maki KC, Lopez JAG, Xiang P, Bushnell DM, Martin ML, Cohen JD. The statin adverse treatment experience survey: experience of patients reporting side effects of statin therapy. J Clin Lipidol 2019; 13(3):415-424.
Hopewell JC, Offer A, Haynes R, Bowman L, Li J, Chen F,Bulbulia R, Lathrop M, Baigent C, Landray MJ, Collins R, Armitage J, Parish S. Independent risk factors for simvastatinrelated myopathy and relevance to different types of muscle symptom. Eur Heart J. 2020; 41(35):3336-3342.
Dahlan MS. Besar sampel dalam penelitian kedokteran dan kesehatan. (5th ed). Jakarta: Epidemiologi Indonesia; 2016; 82-93 p.
Rosenson RS, Baker SK, Jacobson TA, Kopecky SL, Parker BA. An assessment by the Statin Muscle Safety Task Force: 2014 update. J Clin Lipidol. 2014; 8(3):S58-S71.
Rosenson RS, Miller K, Bayliss M, Sanchez RJ, Baccara-Dinet MT, Chibedi-De-Roche D, Taylor B, Khan I, Manvelian G, White M, Jacobson TA. The Statin-Associated Muscle Symptom Clinical Index (SAMS-CI): revision for clinical use, content validation, and inter-rater reliability. Cardiovasc Drugs Ther. 2017; 31(2):179-186.
Taylor BA, Sanchez RJ, Jacobson TA, Chibedi-De-Roche D, Manvelian G, Baccara-Dinet MT, Khan I, Rosenson RS.Application of the Statin-Associated Muscle Symptoms-Clinical Index to a randomized trial on patients with an ICD remain at risk for painful shocks in last moments. J Am Coll Cardiol.2017; 70(13):1680-1681.
Bina Nusantara University. Uji validitas dan reliabilitas. [Online]. 2021 [cited 2021 Jan 14]. Available from:https://qmc.binus.ac.id/2014/11/01/u-j-i-v-a-l-i-d-i-t-a-s-d-a-n- u-j-i-r-e-l-i-a-b-i-l-i-t-a-s/#.
Rahman TA. Analisis statistik penelitian kesehatan (prosedur pemilihan uji hipotesis penelitian kesehatan). Bogor: In Media; 2015. 107-108 p.
Amarya S, Singh K, Sabharwal M. Ageing process and physiological changes. Gerontology. London: IntechOpen; 2018. 1-24 p.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel J, Rolland Y, Schneider SM, Topinková E, Vandewoude M, Zamboni M. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010; 39(4):412-423.
Narvaez ED, D’Souza K, Rivera V. Common chronic conditions. In: Chun A (Eds.). Geriatric practice: a competency based approach to caring for older adults. Switzerland: Springer Nature Switzerland AG; 2019. 144 p.
Bruckert E, Hayem G, Dejager S, Yau C, Begaud B. Mild to moderate muscular symptoms with high-dosage statin therapy in hyperlipidemic patients-the PRIMO study. Cardiovasc Drugs Ther 2005; 19(6):403-414.
Buettner C, Rippberger MJ, Smith JK, Leveille SG, Davis RB, Mittleman MA. Statin use and musculoskeletal pain among adults with and without arthritis. Am J Med. 2012; 125(2):176-182.
Thompson PD, Panza G, Zaleski A, Taylor B. Statin-associated side effects. J Am Coll Cardiol. 2016; 67(20):2395-2410.
Medscape. Drug interaction checker. [Online]. 2021 [cited 2021Jan 14]. Available from: https://reference.medscape.com/druginteractionchecker.