Thank you for the additional information. Yes, I got your response, but it takes tiem to type a complete answer. I will post what I have already typed and will finish the rest of the answer.
As you know, any of the statins can cause a problem with the skeletal muscles, called statin myopathy. There are many other causes of muscle weakness or pain, but there should be some consideration of statin myopathy when that person is taking a statin. It is also appropriate to also consider an evaluation for other causes of muscle symptoms.
The current guidelines for managing muscle symptoms in someone taking a statin recommend decision making based on the severity of symptoms and the level of CK. CK, or creatine kinase, is a muscle enzyme, and will increase in the blood when there is muscle inflammation or damage.
If there is no elevation in CK or only mild elevation in CK and the muscle symptoms are tolerable, it is recommended to continue the statin, while monitoring symptoms and CK levels. If there is moderate elevation in CK or the muscle symptoms are intolerable, then it would be reasonable to stop the statin for a short period and then resume a statin once the symptoms improve. If the CK is severely elevated, i.e., 10x the upper limit of the normal range, that is considered a severe elevation, and the statin should be stopped and the use of statin reassisses.
I ask about the clinical situation, because the current guidelines for use of statins are that statins should be used for everyone with nown cardiovascular disease, in someone with an LDL cholesterol above 190, in diabetics, and in someone with other clinical risk factors that increases the risk for cardiovascular disease. It is not apparent from the information that you have provided that you satisfy any of these four criteria, so it may be reasonable to reconsider whether statins are needed.
So, there are several steps that can be taken at this point. You did not comment upon whether the CK was checked, and if it was not checked, that would be the first step.