Cholesterol-lowering medicines, statins - Side effects 

Side effects of statins 

Reporting side effects

The Yellow Card Scheme allows you to report suspected side effects from any type of medicine you are taking. It is run by a medicines safety watchdog called the Medicines and Healthcare Products Regulatory Agency (MHRA). See the Yellow Card Scheme website for more information.

Statins are generally very well tolerated and most people will not experience any side effects. For more specific information on side effects for a particular statin, see Medicines information.

Muscle effects

Statins can occasionally cause inflammation (swelling) and damage to your muscles. Speak to your doctor if you experience muscle pain, tenderness or weakness that cannot be explained (for example, not due to physical work).

Your doctor will carry out a blood test to measure a substance in your blood called creatinine kinase (CK), which is released into the blood when your muscles are inflamed or damaged. If the level of CK in your blood is more than five times the normal level, your doctor will advise you to stop taking the statin. Once your CK level has returned to normal, your doctor may suggest you start taking the statin again, but at a lower dose.

Common side effects

Up to 1 in 10 people may experience the following:

  • gastrointestinal disorders, such as constipation, diarrhoea, dyspepsia (acid in the stomach) and flatulence (passing wind)
  • headache
  • insomnia (difficulty sleeping)
  • myalgia (pain in the muscles) and arthralgia (pain in the joints)
  • nausea (feeling sick)

Less common side effects

Up to 1 in 100 people may experience the following:

  • loss of appetite
  • myopathy (muscle damage)
  • peripheral neuropathy (loss of sensation or pain in the nerve endings of the hands and feet)
  • skin rash
  • vomiting (being sick)

Rare and very rare side effects

Between 1 in 1,000 and 1 in 10,000 people may experience the following:

  • dizziness
  • hepatitis (inflammation of the liver)
  • rhabdomyolysis, kidney damage caused by a substance caused myoglobin, which is released into the blood when a muscle is severely inflamed and damaged

Last reviewed: 01/04/2010

Next review due: 01/04/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

zimmerframe said on 04 February 2011

Well, coming up for a year on Statins now.

I still take one 40mg tablet at night. I've had two blood tests last year that show my cholesterol level at a consistant 3.6. I have none of the side effects now that I reported above. My GP suggests yearly blodd check from now on

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zimmerframe said on 11 August 2010

4 months on and the muscle pains have gone. However, constipation reared its head and continues to be an intermitant problem...

Other than that, no other side effects have been felt.

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zimmerframe said on 22 April 2010

I have recently been diagnosed with CHD. 30% blackage to one heart artery. This followed a chest pain incident a couple of months ago. No surgery is required but I have been put on 40mg simvastatin to reduce my cholesterol level,(was 5.6, am told should be under 4). I am also taking low dose aspirin, (70mg) for a couple of months too.

2 weeks later and I am getting intermitant muscle pain in my left shoulder. I have seen my GP who said I should persevere with the statins. He will check again in 2 months time.

I dont smoke, (never have) dont drink, eat well and have played badminton twice a week for more than 15 years. What else can I do?

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Pendob said on 02 April 2010

I was diagnosed with diabetes 2 (at age 60) early March, Doc prescribed metformin gradually increasing to 2 tablets twice daily, He also subscribed simvastatin (because he said cholesterol was too high for diabetic) on at night 40mg tablet, as soon as I started taking I experienced pain in upper left arm so stopped for a day then pain not so bad also pain in elbow. I'm going back to docs I consider the side affects more dangerous than what they are supposed to prevent. I don't smoke or drink and walk quite a lot, so do I need statins, surely there's a more natural way.

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Ability to drive

Statins are unlikely to affect your ability to drive. However, they may occasionally cause dizziness. If this affects you, do not drive.

The Yellow Card Scheme

The MHRA has produced a video that explains how the Yellow Card Scheme can be used to report the side effects of medication