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Multicenter Study
, 28 (3), 371-8

Daily and Intermittent Rosuvastatin 5 Mg Therapy in Statin Intolerant Patients: An Observational Study

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Multicenter Study

Daily and Intermittent Rosuvastatin 5 Mg Therapy in Statin Intolerant Patients: An Observational Study

Claire Meek et al. Curr Med Res Opin.

Abstract

Objective: To examine the efficacy and tolerability of rosuvastatin 5 mg at daily and non-daily dosing regimens.

Research design and methods: A retrospective survey was conducted at nine primary, secondary and tertiary healthcare centres in the United Kingdom.

Main outcome measures: Changes in lipid fractions from baseline values after more than 3 months' treatment.

Results: A total of 325 patients were identified. These patients were aged 63 ± 10 years, 50% male and prescription was mostly for primary prevention of cardiovascular disease (CVD) (59%). Co-morbidities included: established CVD present in 41%, type 2 diabetes mellitus (15%), hypertension (74%) and smoking (9%). Adverse effects had been documented to simvastatin (75%) or atorvastatin (63%). A total of 289 patients (89%) tolerated rosuvastatin well and were still adherent after a median follow-up of 14.9 (3-79) months. The remainder (n = 36; 11%) discontinued the medication after median 5 months' treatment due to adverse effects. Efficacy was assessed in 224 patients who had adequate data. Baseline lipids were total cholesterol (TC) 7.41 ± 1.50 mmol/L, triglycerides (TG) 2.26 (range 0.36-18.4) mmol/L; high density lipoprotein cholesterol (HDL-C) 1.43 ± 0.47 mmol/L and low density lipoprotein cholesterol (LDL-C) 4.76 ± 1.38 mmol/L. Daily rosuvastatin (n = 134) reduced mean TC by 31%, TG 15% and LDL-C 43% (p < 0.001). Rosuvastatin 5 mg 2-3 times weekly (n = 79) reduced TC 26%, TG 16% and LDL-C 32% (p < 0.001). Weekly rosuvastatin (n = 11) reduced TC 17%, LDL-C by 23% (p < 0.001) but had no effect on TGs. Targets were attained in 17% of CHD-risk equivalent patients and 41% of primary prevention patients by National Cholesterol Education Program criteria and 27% and 68% using UK targets. No myositis or rhabdomyolysis was observed and alanine aminotransferase (ALT) and creatine kinase (CK) were similar to baseline.

Conclusions: In this retrospective observational multicentre study, rosuvastatin 5 mg was found to be safe and biochemically effective either as daily or intermittent therapy in patients intolerant to other conventional statin regimens.

Comment in

  • Therapeutic options for statin-intolerant patients.
    Kostapanos MS, Athyros VG, Karagiannis A, Mikhailidis DP. Kostapanos MS, et al. Curr Med Res Opin. 2012 Mar;28(3):345-9. doi: 10.1185/03007995.2012.657757. Epub 2012 Jan 31. Curr Med Res Opin. 2012. PMID: 22292417 No abstract available.

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