In this regard, it is interesting to note that in the PRIMO study, the most hydrophilic statins (pravastatin and fluvastatin) were least likely to cause myalgia, whereas simvastatin, the most lipophilic one, was most likely to be associated with muscular adverse effects (4).
Similarly one may ask, which is the statin with the least side effects?
In the analysis of 135 previous studies, which included nearly 250,000 people combined, researchers found that the drugs simvastatin (Zocor) and pravastatin (Pravachol) had the fewest side effects in this class of medications. They also found that lower doses produced fewer side effects in general.
What is the safest statin on the market?
Dr. Brinton: Fluvastatin and pravastatin each appears to have fewer drug-drug interactions than other statins. Although some clinicians have felt that the safety of pravastatin was primarily due to its water solubility, the other water-soluble statin, rosuvastatin, has yet to be fully proven as safe.