OBJECTIVE: To probe into the characteristics and regularities of the occurrence of allergic reactions induced by statins
so as to provide reference for clinical rational drug application. METHODS: Cases of allergic reactions induced by statins reported on the adverse dug reaction monitoring network in this hospital from Jan. 2015 to Mar. 2021 were selected
and literature related to allergic reactions induced by statins from Jan. 2000 to Mar. 2021 were retrieved from CNKI
Wanfang Data and VIP database
and the cases were statistically analyzed. RESULTS:There were 4 cases of allergic reactions induced by statins reported in this hospital
and 26 case reports( 26 cases) of allergic reactions induced by statins were retrieved from the literature search
with a total of 30 cases; among them
19 cases( 63. 33%) were male and 11 cases( 36. 67%) were female; the ages of patients ranged from 32 to 85 years old
with a mean age of 61. 4 years old; the shortest time of allergic reactions was 5 minutes after oral administration
and the longest time was 6 months after continuous oral administration
of which 17 cases( 56. 67%) occurred ≤3 d after drug administration; allergic reactions included skin allergy( 19 cases)
allergic shock( 3 cases)
angioneurotic edema( 5 cases)
drug fever( 2 cases)
and allergic asthma( 1 case); 5 cases( 16. 67%) reported changing to other lipidregulating drugs as an alternative treatment regimen. CONCLUSIONS: Statins can lead to allergic reactions such as shock
angioneurotic edema and allergic asthma
so that attention to patient ’s medication monitoring during administration should be paid
especially at the initial stage of first administration; and adverse reactions should be reported promptly; for patients whose benefits from statins outweigh the disadvantages
alternative treatment regimens of allergic reactions should be clarified to provide reference for clinical medication.