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Lipitor and CMT

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4. There are drugs that cause weakness by a mechanism unrelated to

worsening of neuropathy. The best example of this is Lipitor (and other

tatin drugs used to lower blood cholesterol). In rare instances they

cause muscle damage and therefore could make a CMT patient worse even

though the effect is not on the nerve itself. With these

drugs, it depends on the balance of risks. A patient with a very high

cholesterol is at increased risk of death or disability from stroke or

heart attack and this risk can be reduced with statins. However, if the

cholesterol can be reduced through diet and exercise (not easy in CMT

patients because of their difficulty exercising) then it would

obviously be preferable to using a statin.

5. There are drugs that probably do cause a clinically significant

neuropathy but only rarely and in certain susceptible individuals.

Again, an example of this would be the statins (such as Lipitor).

Gareth J. Parry MD

Neurologist, Auckland Hospital

Professor of Neurology, University of Minnesota

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