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A history of renal impairment may be a risk factor for the development of rhabdomyolysis. Such patients merit closer monitoring for skeletal muscle effects. There have been rare reports of immune-mediated necrotizing myopathy IMNM, an Lipitor generic No Prescription myopathy, associated with statin use. IMNM is characterized by: Patients should be advised to report promptly unexplained muscle pain, tenderness, or weakness, particularly if accompanied by malaise or fever or if muscle signs and symptoms persist after discontinuing LIPITOR.
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