Improvement in Sleep Apnoea Associated with Switch from Simvastatin to Pravastatin
Overview
Affiliations
Sleep problems have been reported as an adverse effect of statins. In a randomised trial, simvastatin at 20 mg produced significantly worse sleep quality than either placebo or pravastatin 40 mg. A possible relation to sleep apnoea was hypothesised. Here, the case of a 67-year-old man who experienced sleep apnoea on simvastatin 20 mg is presented. Objective nightly testing showed a prompt, marked, sustained and statistically significant improvement in the obstructive apnoea index when the patient switched to pravastatin 20 mg.
Golomb B, Han J, Langsjoen P, Dinkeloo E, Zemljic-Harpf A J Clin Med. 2023; 12(14).
PMID: 37510774 PMC: 10380486. DOI: 10.3390/jcm12144659.
Mood, Personality, and Behavior Changes During Treatment with Statins: A Case Series.
Cham S, Koslik H, Golomb B Drug Saf Case Rep. 2016; 3(1):1.
PMID: 27747681 PMC: 5005588. DOI: 10.1007/s40800-015-0024-2.
Statin Effects on Aggression: Results from the UCSD Statin Study, a Randomized Control Trial.
Golomb B, Dimsdale J, Koslik H, Evans M, Lu X, Rossi S PLoS One. 2015; 10(7):e0124451.
PMID: 26132393 PMC: 4488854. DOI: 10.1371/journal.pone.0124451.
Impact of medications on cognitive function in obstructive sleep apnea syndrome.
Lal C, Siddiqi N, Kumbhare S, Strange C Sleep Breath. 2015; 19(3):939-45.
PMID: 25566945 DOI: 10.1007/s11325-014-1105-7.