Aches, Cramps, Hypercholesterolemia, Weakness
Conditions
Keywords
Hydroxymethylglutaryl-CoA Reductase Inhibitors, Creatine, Adverse Effects, Muscle Toxicity
Brief summary
The purpose of this study is to determine of creatine will prevent or treat the muscle toxicity side effect of statin drug therapy, whose symptoms are aching, cramping, and weakness. This is tested in patients who have had this side effect from 3 different statin drugs.
Detailed description
Muscle toxicity is the most common limiting side effect of statin therapy. Biochemical studies have suggested the presence of intramuscular creatine deficiency in patients with muscle toxicity. This is a test of oral creatine supplementation in statin intolerant subjects as a method of preventing the onset of this side effect as well as resolving these symptoms when present during statin therapy.
Interventions
Creatine 5 gm orally twice a day for 5 days, followed by 5 gm once a day
Sponsors
Study design
Eligibility
Inclusion criteria
* hypercholesterolemia in need of aggressive treatment, defined as a high risk of a vascular event, thus subjects with diabetes, pre-diabetes, or known vascular disease * intolerance (i.e. muscle toxicity symptoms) of at least 3 statin drugs, each confirmed on rechallenge
Exclusion criteria
* history of elevated CPK or rhabdomyolysis while taking a statin, * CPK levels elevated above the normal range at baseline, * pregnancy. * renal insufficiency, defined as a serum creatinine ≥ 2.0 mg/dl. * history of congestive heart failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Combined visual analog pain scales (0-10) for aching, cramping and weakness | baseline, after 5 days of creatine loading, after 6 weeks of creatine+statin, after up to 6 weeks on statin without creatine, after 4 days of rechallenge with creatine while still on statin |
Countries
United States