Atorvastatin-induced pancreatitis
- PMID: 21206629
- PMCID: PMC2959220
- DOI: 10.4103/0253-7613.70400
Atorvastatin-induced pancreatitis
Abstract
Drugs account for 1-2% of all cases of pancreatitis. A 58-year-old man was prescribed atorvastatin 10 mg for 6 months for hyperlipidemia. He developed acute abdominal pain and vomiting with epigastric tenderness. Serum lipase and CT scan of the patient suggested the presence of acute pancreatitis. The patient was hospitalized; atorvastatin was stopped and treated symptomatically. He recovered completely within 10 days of drug withdrawal. The causality of the adverse drug reaction according to Naranjo and WHO-UMC Scale was probable. The exact mechanism of pancreatitis due to atorvastatin is not known. It may be a class effect of HMG CoA reductase inhibitors as it had been reported with other statins too. The definite causal relationship is difficult to establish, as rechallenge with the suspected drug was not done due to ethical consideration.
Keywords: Adverse drug reaction; atorvastatin; pancreatitis.
Conflict of interest statement
Figures
References
-
- Singh S, Nautiyal A, Dolan J. Recurrent acute pancreatitis possibly induced by atorvastatin and rosuvastatin. Is statin induced pancreatitis a class effect? J Pancreas (Online) 2004;5:502–4. - PubMed
-
- Hartwig S, Seigel J, Schneider PJ. Preventability and severity assessment in reporting adverse drug reactions. Am J Hosp Pharm. 1992;49:2229–32. - PubMed
-
- Schumock GT, Thornton JP. Focusing on the preventability of adverse drug reactions. Hosp Pharm. 1992;27:538. - PubMed
-
- McArthur KE. drug-induced pancreatitis. Aliment Pharmacol Ther. 1996;10:23–38. - PubMed
-
- Battillocchi B, Diana M, Dandolo R, Stefanini S, D’Amore L, Negro P. Drug-induced acute pancreatitis: A personal contribution. Chir Ital. 2002;54:605–12. - PubMed
LinkOut - more resources
Full Text Sources