Evidence map›Paper›PMID 30003466›Full record

ReviewDrugs2018

Assessment of the Risk of Rhabdomyolysis and Myopathy During Concomitant Treatment with Ticagrelor and Statins.

Dorota Danielak, Marta Karaźniewicz-Łada, Franciszek Główka

Abstract readReview
In one paragraph

Review in Drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
  2. Article
  3. Association ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  4. Article
  5. Effect ofMedical sciences (Basel, Switzerland) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Oral P2YEuropean cardiology · 2025
    Review
  10. Article
  11. Ticagrelor and Statins: Dangerous Liaisons?Cardiovascular drugs and therapy · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Rhabdomyolysis Caused by Gefitinib Overdose.Internal medicine (Tokyo, Japan) · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dorota DanielakDepartment of Physical Pharmacy and Pharmacokinetics, Poznan University of Medical Sciences, Święcickiego 6 St, 60-781, Poznań, Poland. danielak@ump.edu.pl.ORCID http://orcid.org/0000-0001-5807-1109
Marta Karaźniewicz-ŁadaDepartment of Physical Pharmacy and Pharmacokinetics, Poznan University of Medical Sciences, Święcickiego 6 St, 60-781, Poznań, Poland.
Franciszek GłówkaDepartment of Physical Pharmacy and Pharmacokinetics, Poznan University of Medical Sciences, Święcickiego 6 St, 60-781, Poznań, Poland.

Funding

Narodowe Centrum Nauki 2017/01/X/NZ7/00364
6 · The paper itself

Abstract

The introduction of ticagrelor, one of the first directly-acting oral antiplatelet drugs, provided new possibilities in the prevention of thrombotic events in patients with acute coronary syndromes (ACS). Current guidelines recommend ticagrelor in dual antiplatelet therapy with aspirin over clopidogrel for prevention of stent thrombosis in patients with ACS. Moreover, in the management of ACS, lipid-lowering treatment with high-intensity statin therapy is advised for secondary prevention of cardiovascular events over the long term. Despite the apparent advantages of combined antiplatelet and lipid-lowering treatments, a possible interaction between statins and ticagrelor may lead to myopathy and rhabdomyolysis. In this review, relevant information was gathered on the ticagrelor-statin interaction that might lead to this life-threatening condition. This review focuses on the most widely used statins-simvastatin, atorvastatin, and rosuvastatin. Possible mechanisms of this interaction are discussed, including CYP3A4 isoenzymes, organic anion transporter polypeptide (OATPs), P-glycoprotein and glucuronidation. PubMed database was searched for relevant case reports and all data gathered from the introduction of ticagrelor to March 2018 are presented and discussed. In summary, co-administration of statins and ticagrelor was found to be relatively safe in routinely prescribed doses. However, caution should be exercised, especially in elder populations.

Indexed as

Acute Coronary SyndromeDrug InteractionsDrug Therapy, CombinationHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMuscular DiseasesPlatelet Aggregation InhibitorsRhabdomyolysisRiskThrombosisTicagrelorHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation InhibitorsTicagrelor

Identifiers

PMID30003466
PMCPMC6061431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.