Statin induced peripheral neuropathy (PN)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Statin induced peripheral neuropathy (PN). The strength of the risk of neuropathy with Statins is inconclusive. Fully referenced neurology checklist.

Risk of neuropathy with Statins

  • The strength of the risk of neuropathy with Statins is inconclusive
  • Most studies and reviews reported no risk or only a weak, minimal, or modest risk
  • One major case-control study reported a significant risk

Statin axonal neuropathy

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Other statin neuropathy types

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Differential diagnosis

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References

  1. Warendorf JK, Vrancken AFJE, van Eijk RPA, Visser NA, van den Berg LH, Notermans NC. Statins do not increase risk of polyneuropathy: a case-control study and literature review. Neurology 2019; 92:e2136-e2144.
  2. Phan T, McLeod JG, Pollard JD, Peiris O, Rohan A, Halpern J-P. Peripheral neuropathy associated with simvastatin. JNNP 1995; 58:635-628.
  3. Jeppesen U, Gaist D, Smith T, Sindrup SH. Statins and peripheral neuropathy. Eur J Clin Pharmacol 1999; 54:835-838.
  4. Tierney EF, Thurman DJ, Beckles GL, Cadwell BL. Association of statin use with peripheral neuropathy in the U.S. population 40 years of age or older. J Diabetes 2013; 5:207-215. 
  5. Corrao G, Zambon A, Bertu L, Botteri E, Leoni O, Contiero P. Lipid lowering drugs prescription and the risk of peripheral neuropathy: an exploratory case-control study using automated databases. J Epidemiol Community Health 2000; 58:1047-1051.
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