DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20204505

Rosuvastatin induced gynecomastia: a rare presentation of newer statin

Suman Ruhela, Manish Ruhela, Rakesh Kumar Ola, Mahesh Rao

Abstract


Gynecomastia is a common benign disease characterized by the progressive enlargement of the glandular tissue of the male breast. The etiology may vary and may be physiological, pharmacological, pathological, or even idiopathic. Among men, drug induced gynecomastia may account for 10-20% of cases. Several case reports have associated this condition to the use of statins. However, there are few case reports of rosuvastatin induced gynecomastia have been reported in literature. We describe a 45-year-old male who developed bilateral gynecomastia after one month of rosuvastatin therapy, after switching to a different or less potent statin (atorvastatin), his symptoms resolved with-in one month. Use of the Naranjo adverse drug reaction probability scale indicated a possible relationship between the patient’s development of gynecomastia and rosuvastatin therapy.


Keywords


Rosuvastatin, Gynecomastia, Naranjo scale

Full Text:

PDF

References


Carlson HE. Gynecomastia. N Engl J Med. 1980;303:795-99.

Braunstein GD. Clinical practice. Gynecomastia. N Engl J Med. 2007;357:1229-37.

Neuman JE. Evaluation and treatment of gynecomastia. Am Fam Physician. 1997;55:1835-44, 1849-50.

Bowman JD, Kim H, Bustamante JJ. Drug-induced gynecomastia. Pharmacotherap. 2012;32:1123-40.

Roberto G, Biagi C, Montanaro N, Koci A, Moretti U, Motola D. Statin-associated gynecomastia: evidence coming from the Italian spontaneous ADR reporting database and literature. Eur J Clin Pharmacol. 2012;68:1007-11.

Smals AG. Gynecomastia. Neth J Med. 1987;31:47-51.

Peyriere H, Mauboussin JM, Rouanet I. Report of gynecomastia in five male patients during antiretroviral therapy for HIV infection. AIDS. 1999;13:2167-9.

Hugues FC, Gourlot C, Le Jeunne C. Drug -induced gynecomastia. Ann Med Interne (Paris). 2000;151:10-7.

Uppsala Monitoring Centre. Vigibase online: the World Health Organization’s adverse drug reaction database. http://www.who-umc.org. Accessed on 2 August, 2007.

Pfizer Ireland Pharmaceuticals. Lipitor (atorvastatin) package insert. Dublin, Ireland. 2004.

Novartis Pharmaceuticals Corporation. Lescol (fluvastatin) package insert. East Hanover, NJ. 2003.

Merck & Co., Inc. Mevacor (lovastatin) package insert. Whitehouse Station, NJ. 2005.

Hammons KB, Edwards RF, Rice WY. Golf-inhibiting gynecomastia associated with atorvastatin therapy. Pharmacotherap. 2006;26:1165-8.

Rosenson RS. Rosuvastatin: a new inhibitor of HMG-CoA reductase for the treatment of dyslipidemia. Expert Rev Cardiovasc Ther. 2003;1:495-50.

Astrazeneca SpA. Crestor (rosuvastatin) package insert. Basiglio, Italy. 2004.