Brief Answer: Stop crestor and talk to your doctor! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these symptoms of severe muscle pains. These symptoms are suggestive of statin side effects and crestor is well known and documented to cause these symptoms. Stopping it seems the best option, at least for now but, I guess you should talk to the prescribing doctor to get his input on what you should do next. Given your strong family history of high cholesterol and heart diseases, your lipids need to be closely monitored and well managed so as to prevent you as long as possible suffering from similar conditions. This is why you need to talk to your doctor on the possibility of replacing crestor and also intensifying lifestyle measures like reduced fat intake and increased exercise so as to keep the cholesterol numbers checked. For now, stop the crestor. Take some pain medications to manage your pains(tyenol) and drink plenty of water. Intensify your life style modifications and get you cholesterol numbers under control. Also talk to your treating doctors. These symptoms are not inked to any vitamin intoxication. They are typical of crestor side effects. I hope this addresses your query fully and provides enough information for you to act on. Thank you so much for using our services and please feel free to request for more information if need be. I wish you a speedy recovery. Dr. Ditah, MD

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Brief Answer: See below Detailed Answer: Hi and thank you for following up with me. The symptoms of neck pain and tingling sensation n the neck can be explained by a decreased blood supply. Also, if you cannot feel a pulse on the right side of your neck(carotid arteries), then there may be significant blockage that explains this. with you strong family history and initial findings suggestive of atherosclerosis of the carotid arteries, I will suggest that you get these vessels evaluated again. However, I would have expected you to at least report some neurological symptoms like dizziness, feeling to faint etc which would have made this even more likely. Depending on the findings, you shall be managed accordingly whether as a blocked artery or musculoskeletal neck pains. For the pains that wake you up every night, it could have as cardiac as well as non cardiac origin. There is a form of angina called prinzmental angina which is caused by spasms in the heart vessels. This usually comes and goes and leaves no traces of a heart infarction. I will suggest that you ask your doctor to try nitrates for this pain. if it should relieve you of the symptoms, then it is of cardiac origin and should be investigated and treated as such. if it doesn't, then other possible causes like gastric reflux disease, musculoskeletal, etc would be considered, investigated and treated accordingly. I hope you find these answers helpful. Truly, it needs a thorough investigation before making a definitive call and I wish you the very best as you get these symptoms evaluated and managed. Fee free to ask for more information if need be. I wish you well. Dr. Ditah, MD

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