Use of once-weekly statin in combination with ezetimibe in a patient with mitochondrial disease

BMJ Case Rep. 2012 Apr 23:2012:bcr1220115369. doi: 10.1136/bcr.12.2011.5369.

Abstract

The authors describe a patient with personal and family history of muscle pains highly suggestive of mitochondrial disease. She presented with familial combined hyperlipidaemia with family history of premature coronary artery disease. After 4-week therapy of 5 mg of rosuvastatin once a week combined with 10 mg of ezetimibe daily, the low-density lipoprotein cholesterol level was markedly decreased from 3.88 to 2.82 mmol/l (27.3% reduction). She has experienced no adverse effects after 6 month treatment. The results suggest that the combination therapy of low-dose once-weekly rosuvastatin and daily ezetimibe could be used as an effective regimen for patients with mitochondrial disease.

Publication types

  • Case Reports

MeSH terms

  • Anticholesteremic Agents / administration & dosage
  • Anticholesteremic Agents / therapeutic use*
  • Azetidines / administration & dosage
  • Azetidines / therapeutic use*
  • Cholesterol, LDL / drug effects
  • Drug Therapy, Combination
  • Ezetimibe
  • Female
  • Fluorobenzenes / administration & dosage
  • Fluorobenzenes / therapeutic use*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Hyperlipidemias / drug therapy*
  • Middle Aged
  • Mitochondrial Diseases / drug therapy*
  • Pyrimidines / administration & dosage
  • Pyrimidines / therapeutic use*
  • Rosuvastatin Calcium
  • Sulfonamides / administration & dosage
  • Sulfonamides / therapeutic use*
  • Xanthomatosis / drug therapy*

Substances

  • Anticholesteremic Agents
  • Azetidines
  • Cholesterol, LDL
  • Fluorobenzenes
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrimidines
  • Sulfonamides
  • Rosuvastatin Calcium
  • Ezetimibe

Supplementary concepts

  • Hyperlipemia with Familial Hypercholesterolemic Xanthomatosis