Is there a statin that does not cause muscle ache?

All may do it: The vast majority of patients on any currently approved statin at recommended doses have no muscle aches. At high doses, all statins likely may produce myalgias, but some patients are exquisitely sensitive to even minimal doses. Cutting the dose (not stopping) may alleviate the symptoms, or trying an alternate statin may help. Non-statin therapies (and future agents) may be effective options.