Four years ago, at age 62, I suffered two heart attacks within a 12 hour period. Even though I'm great with denial, it became apparent that a doctor needed to be my next stop. Failed my treadmilll test and ended up with a stent implant - 95% blockage in my left anterior descending artery. I took this "gentle nudge" to turn my life around, loosing 65 pounds and becoming an exercise freak over the next 2 years. Before the implant, my cholesterol was over 280. In addition to Altace, Plavix, Low Dose Aspirin and Toprol, my physician prescribed Lipitor . . . nasty stuff for me! Although his office kept assuring me that my liver enzymes were completely normal, I found it hard to even move around during morning hours. Joint and muscle pain was intense. Having forgotten to take a dose of Lipitor one night, I woke up the next morning free of pain . . . a miracle perhaps? As soon as I began taking Lipitor again, the pain returned. When I stopped it, the pain went away. I finally convinced my doctor that I wasn't crazy, and he changed my medication to Provacol. I experienced no pain with the 40mg dose, but cholesterol was still not low enough, so dose was increased to 80mg. I seem to tolerate Provacol fairly well. After taking Provacol for a little more than 3 years, my physician changed me to Crestor in an attempt to lower cholesterol and LDL to the "new standard" The test results were remarkable - Cholesterol came down to 153 and LDL plumetted to 73 when my Crestor dose was raised from 10 to 20mg. I thought I was tolerating it well, but that's difficult to evaluate since I am currently an avid weightlifter, biker and swimmer and encounter the "post-exercise-muscle-pain fairy" almost every day. I started taking Crestor in November, 2005. Shortly thereafter I started experiencing severe foot pain . . . plantar faciitis and ankle . . . on a daily basis. Oddly, it was just in my right foot, but the pain was identical to the pain I had suffered a couple of years before while recovering from a nasty tibia/fibia/ankle fracture from a bicycle accident. I treated it the same way - daily "therapy" exercises, ice and ace bandage. The pain, however, never got better. It just disappeared for short periods of time and reappreared without provocation. I never even associated this pain with statin use - that realization came much later. Also noticed at the same time that I was experiencing some erectile dysfunction, but (again with the denial) chalked it up to age, low testosterone, etc. Well . . . 6 months later, the ED had become almost complete. Meanwhile, liver panels had been within normal range. When I discussed the problem with my heart doctor, he gave me a prescription for Viagra and sent me on my way. Luckily, I mentioned the erectile problem to my regular doctor the other day while I was there for treatment of a minor virus. He said that his research indicated less than 1% chance of ED being cause by statins, but suggested that I discontinue my Crestor for a week and see what happens. Within two days, my ED symptoms began to subside . . . and at the same time, I noticed that the pain in my right foot was almost undetectable. Another surprise came when I noticed that I could actually sit and watch a TV program without dropping off to sleep - something I attributed over the past months to toprol and my exercise addiction. I will be talking with both doctors soon on what course of action to follow at this point, but I don't think it will include Crestor!
Again - thanks for your site. I was almost beginning to believe that I had become just a whiney old man until I found that others have experienced the same side effects with statin use. It doesn't seem to be common knowledge in the medical community.