Specimen · ATORVASTATIN ↔ CoQ10
Mechanism
Statins inhibit HMG-CoA reductase, blocking not only cholesterol synthesis but also the mevalonate pathway used to synthesize CoQ10. Plasma and muscle CoQ10 levels are measurably reduced by statin therapy; CoQ10 depletion is proposed as a contributing mechanism to statin-induced myopathy.
Recommended action
CoQ10 is commonly discussed for statin-associated muscle symptoms. Ask your prescriber whether supplementation fits your situation.
Sources (2)

