The Editorial Executive Committee welcomes letters, which should be less than 250 words. Before a decision to publish is made, letters which refer to a published article may be sent to the author for a response. Any letter may be sent to an expert for comment. When letters are published, they are usually accompanied in the same issue by their responses or comments. The Committee screens out discourteous, inaccurate or libellous statements. The letters are sub-edited before publication. Authors are required to declare any conflicts of interest. The Committee's decision on publication is final.
Letter to the Editor
Editor, – The article on statins in older adults (Aust Prescr 2013;36:79-82 ) has suggested that further information regarding effects of statins is important to inform clinical decision making in these patients.
There may be other patient groups where further information on the effects of statins is also important, for example indigenous Australians. A recent article described 15 cases of serious statin-associated myotoxicity in Aboriginal and Torres Strait Islander people. 1 Outcomes included death (three cases), and permanent severe disability (two cases) including effective quadraplegia. These patients were considerably younger (mean age 55 years) than the group generally considered at risk of statin myotoxicity.
Senior staff specialist
- Gabb GM, Vitry A, Limaye V, Alhami G. Serious statin-associated myotoxicity and rhabdomyolysis in Aboriginal and Torres Strait Islanders: a case series. Intern Med J 2013.doi:10.1111/imj.12196.
- Golomb BA, Evans MA, Dimsdale JE, White HL. Effects of statins on energy and fatigue with exertion: results from a randomized controlled trial. Arch Intern Med 2012;172:1180-2 .