QTMeds

Drug Database Monograph

CRESTOR 10 mg

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Active Ingredient: ROSUVASTATINE

QTc Interval Status:
prolongation

Clinical Description (Database Summary)

Rosuvastatin (a HMG-CoA reductase inhibitor) can block hERG potassium currents and exhibits a modest adverse effect on cardiac repolarization. In a comparative population study (ChiCTR2400092701), patients receiving rosuvastatin showed a mean QTc increase of 6.57 ms from baseline, whereas those on atorvastatin saw a decrease of 0.83 ms. Rosuvastatin was associated with a 42% increased risk of newly emerged QT prolongation (95% CI 1.10–1.85, p=0.008). Clinicians should consider the potential for additive effects when combining rosuvastatin with other QT-prolonging agents.

Scientific Sources / References

https://doi.org/10.1002/jps.22809, https://doi.org/10.1016/S0735-1097(25)00742-9, https://doi.org/10.1038/s41598-025-17995-y, https://doi.org/10.1038/s41598-023-35146-z

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