Clinical recommendationEvidence ratingReferencesComments
Elevated transaminase levels and nonalcoholic fatty liver disease are not contraindications to statin use.C14 Expert opinion,1 meta-analysis,2 small case-control studies3 ,4
Stable hepatitis C infection is not an absolute contraindication to statin use.C57 Small cohort study5 ; small prospective, double-blind, placebo-controlled study6 ; large cohort study7
Statin-induced myopathy is dose-related and may occur with all statins.C17 Systematic review of observational studies
Baseline levels of creatine kinase need to be obtained only in patients at high risk of muscle toxicity.C1, 16 Consensus guidelines