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Statins: Do they cause ALS?

By Mayo Clinic staff

Original Article:  http://www.mayoclinic.com/health/statins/AN01360
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    Thomas Behrenbeck, M.D., Ph.D.

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Question

Statins: Do they cause ALS?

Do statins cause amyotrophic lateral sclerosis (ALS)?

Answer

from Thomas Behrenbeck, M.D., Ph.D.

There's no good evidence that statins cause or trigger ALS, also known as Lou Gehrig's disease. However, there have been reports of people who have developed ALS while taking statins.

ALS is a serious neurological disorder that causes disease and death of the nerve cells in the brain and spinal cord that control voluntary muscles. ALS may begin with muscle twitching, weakness in an arm or leg, or changes in speech (dysarthria). Eventually, it affects the ability to control the muscles needed to move, speak, eat and breathe.

Statins are medications prescribed for the treatment of high cholesterol. These medications can sometimes cause muscle pain (myalgia), muscle weakness and rarely severe muscle damage (rhabdomyolysis). But these occur as a result of direct muscle damage, not damage to nerve cells.

Next question
Coenzyme Q10: Can it prevent statin side effects?
References
  1. Colman E, et al. An evaluation of a data mining signal for amyotrophic lateral sclerosis and statins detected in FDA's spontaneous adverse event reporting system. Pharmacoepidemiology and Drug Safety. 2008;17:1068.
  2. Edwards IR, et al. Statins, neuromuscular degenerative disease and an amyotrophic lateral sclerosis-like syndrome: An analysis of individual case safety reports from Vigibase. Drug Safety. 2007;30:515.
  3. Sorenson HT, et al. Statin use and risk of amyotrophic lateral sclerosis and other motor neuron disorders. Circulation Cardiovascular Quality and Outcomes. 2010;4:413.
AN01360 April 6, 2012

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