The patient had a history of primary hypercholesterolaemia since 50 years of age and took simvastatin, atorvastatin or rosuvastatin and on separate occasions developed intense leg muscle cramps and pain. It was later learned that he also drank around 3 cups of green tea each day....
A well-documented pleiotropic effect is statin muscle symptoms (SAMs) [23], which are broadly classified as a myopathy. However, SAMs also encompass symptoms such as myalgias (muscle pain without raised creatine kinase), myositis (muscle pain with raised creatine kinase), and rhabdomyolysis (...