Muscle aches on atorvastatin, since yesterday
How the question was formed
I have had muscle aches since yesterday. Should I stop the atorvastatin?
I cannot answer that one. Your plan asks you to report new muscle pain and to keep taking the tablet unless the pain is severe, so telling us is exactly right. Before I send this to Dr. Weber, is this the question you want to ask?
Yes. I have had muscle aches in both thighs since yesterday. Should I stop the atorvastatin, or keep taking it?
What you need to answer it
- Her plan
- Atorvastatin 20 mg every evening, started 16 September 2026. Signed by you. It asks her to note new or unusual muscle pain and tell the practice, and to keep taking the tablet unless the pain is severe.
- From the chart
- Simvastatin 20 mg stopped March 2024 for myalgia, CK 210 U/l. CK before this start 96 U/l, 8 May 2026. None since. eGFR 92.
- Already said
- That reporting it was right, and that the 2024 myalgia is in her chart. Nothing about stopping, halving or switching.
Draft reply, written from her plan and her chart
Thank you for telling me straight away, that is exactly right. Please keep taking the tablet for now unless the pain is severe or you feel unwell.
I would like a blood test this week to check the muscle enzyme, so we know whether this is the tablet. Come by the practice for a blood draw, no appointment needed, the laboratory is open from 8 to 11.
If the pain gets worse, or you notice dark urine or weakness, stop the tablet and call us the same day.
The patient agreed the wording of her question with Mosaic before it was sent. The reply is a draft from her plan and her chart; you are its author once you approve it.