Specimen · ATORVASTATIN ↔ CoQ10
Mechanism
Statins inhibit HMG-CoA reductase, the same early step of the mevalonate pathway the body uses to make CoQ10. Placebo-controlled trials, pooled in a meta-analysis, show statin therapy lowers CoQ10 measured in blood. Whether that causes the muscle symptoms some people report is not established, and trials of CoQ10 supplements disagree.
Recommended action
Statins can lower circulating CoQ10 levels. It is uncertain whether this contributes to muscle symptoms or whether CoQ10 supplements consistently help. Discuss persistent muscle symptoms with your prescriber, and do not stop a statin on your own.
Sources (4)

