Abstract
Objective: To investigate the benefits of CoQ10 supplementation in patients with SAMS. Methods: Systematic review based on PRISMA, which included randomized clinical trials controlled by placebo that evaluated the effect of CoQ10 supplementation in patients with SRMS. Articles were retrieved from databases (PubMed; Cochrane Library) and selected by two authors. A meta-analysis was performed based on the results found in the included studies, comparing the relief of SAMS in patients treated with CoQ10 and controls who received placebo. Results: A total of 169 studies were identified, of which nine were included, emcompassing 420 patients with SAMS, randomized in 216 cases and 204 controls. The meta-analysis conducted to investigate the effects of CoQ10 supplementation in relieving SAMS demonstrated a trend toward benefit in mitigating SAMS symptons in CoQ10 cases (RR = 1.75), however, the differences between these groups was not significant (p = 0.076). Final considerations: Four of the nine selected studies described a significant reduction in SAMS in the group of patients treated with CoQ10, compared to controls, however, the efficacy of CoQ10 supplementation in alleviating SAMS was not proven in the meta-analysis.
References
BRUNHAM LR, et al. Dyslipidemia and the Current State of Cardiovascular Disease: Epidemiology, Risk Factors, and Effect of Lipid Lowering. Can J Cardiol. 2024; 40(8S): S4-S12.
DORAN AC. Inflammation Resolution: Implications for Atherosclerosis. Circ Res. 2022; 130(1): 130-148.
SMITH DD, COSTANTINE MM. The role of statins in the prevention of preeclampsia. Am J Obstet Gynecol. 2022; 226(2S): S1171-S1181.
ZALESKI AL, et al. Coenzyme Q10 as Treatment for Statin-Associated Muscle Symptoms-A Good Idea, but…. Adv Nutr. 2018; 9(4): 519S-523S.
MOLLAZADEH H, et al. Effects of statins on mitochondrial pathways. J Cachexia Sarcopenia Muscle. 2021; 12(2): 237-251.
FALUDI AA, et al. Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2017. Arq Bras Cardiol. 2017; 109(2 Supl 1): 1-76.
NAWARSKAS JJ. HMG-CoA reductase inhibitors and coenzyme Q10. Cardiol Rev. 2005; 13(2): 76-9.
CHEN W, et al. Coenzyme Q10 supplementation for the treatment of statin-associated muscle symptoms. Future Cardiol. 2022; 18(6): 461-470.
QU H, et al. Effects of Coenzyme Q10 on Statin-Induced Myopathy: An Updated Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc. 2018; 7(19): e009835.
KENNEDY C, et al. Effect of Coenzyme Q10 on statin-associated myalgia and adherence to statin therapy: A systematic review and meta-analysis. Atherosclerosis. 2020; 299: 1-8.
WEI H, et al. Effects of coenzyme Q10 supplementation on statin-induced myopathy: a meta-analysis of randomized controlled trials. Ir J Med Sci. 2022; 191(2): 719-725.
CASO G, et al. Effect of coenzyme q10 on myopathic symptoms in patients treated with statins. Am J Cardiol. 2007; 99(10): 1409-12.
FEDACKO J, et al. Coenzyme Q(10) and selenium in statin-associated myopathy treatment. Can J Physiol Pharmacol. 2013; 91(2): 165-70.
SKARLOVNIK A, et al. Coenzyme Q10 supplementation decreases statin-related mild-to-moderate muscle symptoms: a randomized clinical study. Med Sci Monit. 2014; 20: 2183-8.
DEROSA G, et al. Coenzyme Q10 liquid supplementation in dyslipidemic subjects with statin-related clinical symptoms: a double-blind, randomized, placebo-controlled study. Drug Des Devel Ther. 2019; 13: 3647- 3655.
TAYLOR BA, et al.. A randomized trial of coenzyme Q10 in patients with confirmed statin myopathy. Atherosclerosis. 2015; 238(2): 329-35.
YOUNG JM, et al. Effect of coenzyme Q(10) supplementation on simvastatin-induced myalgia. Am J Cardiol. 2007; 100(9): 1400-3.
BOGSRUD MP, et al. No effect of combined coenzyme Q10 and selenium supplementation on atorvastatin-induced myopathy. Scand Cardiovasc J. 2013; 47(2): 80-7.
BOOKSTAVER DA, et al. Effect of coenzyme Q10 supplementation on statin-induced myalgias. Am J Cardiol. 2012; 110(4): 526-9.
RAJAS N, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020; 161(9): 1976-1982.
BUETTNER C, et al. CoQ10 does not improve statin myalgia: a randomized controlled trial. Atherosclerosis. 2015; 241(1): e206.
POQUET N, LIN C. The Brief Pain Inventory (BPI). J Physiother. 2016; 62(1): 52.
AHMAD K, et al. Effectiveness of Coenzyme Q10 Supplementation in Statin-Induced Myopathy: A Systematic Review. Cureus. 2024; 16(8): e68316.
YASSER AN, et al. Assessment of some clinical and biochemical parameters after combining coenzyme q10 to statin in dyslipidemic patients. International Journal of Drug Delivery Technology, 2021; 11(3): 904.
ZLATOHLAVEK L, et al. The effect of coenzyme Q10 in statin myopathy. Neuro Endocrinol Lett. 2012; 33 Suppl 2:98-101.
