Atorvastatin and almonertinib-induced myopathy in a polypharmacy context: a case report - Takeaways - MDSpire

Atorvastatin and almonertinib-induced myopathy in a polypharmacy context: a case report

  • By

  • Jifang Zhou

  • Lixia Yu

  • Huimin Xu

  • May 14, 2026

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  • 1

    Statin-induced myopathy is a common adverse effect, especially when combined with CYP3A4 inhibitors like almonertinib.

  • 2

    An 89-year-old male patient developed myopathy after starting atorvastatin while on almonertinib, evidenced by elevated CK levels.

  • 3

    Discontinuation of atorvastatin and almonertinib led to normalization of the patient's CK levels.

  • 4

    Almonertinib is a moderately sensitive substrate of CYP3A4, increasing the risk of statin-related myopathy.

  • 5

    Alternative cholesterol-lowering medications like PCSK9 inhibitors should be considered for patients on almonertinib.

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