Coenzyme Q10 Ubiquinol and Rosuvastatin, a synergy.
Rosuvastatin, like all statins, inhibits the mevalonate pathway and reduces endogenous CoQ10 production. This depletion may contribute to statin-associated muscle symptoms. CoQ10 supplementation can help restore levels and may alleviate myalgia in some patients.
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At a glance
- Substances
- Coenzyme Q10 Ubiquinol and Rosuvastatin
- Pair type
- Synergy
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Moderate evidence
Synergy
What is happening. Rosuvastatin, like all statins, inhibits the mevalonate pathway and reduces endogenous CoQ10 production. This depletion may contribute to statin-associated muscle symptoms. CoQ10 supplementation can help restore levels and may alleviate myalgia in some patients.
Mechanism. Rosuvastatin inhibits HMG-CoA reductase in the mevalonate pathway, which supplies precursors for both cholesterol and CoQ10 synthesis. Reduced CoQ10 levels impair mitochondrial ATP production in muscle cells, potentially contributing to myalgia and myopathy.
Recommendation. Consider CoQ10 supplementation (100-200mg/day ubiquinol) if experiencing statin-related muscle symptoms. CoQ10 does not interfere with rosuvastatin's cholesterol-lowering effect.
Sources (2)
- Caso G et al. Effect of coenzyme Q10 on myopathic symptoms in patients treated with statins. Am J Cardiol. 2007;99(10):1409-1412. PMID 17493470
- Kang Y, Park JM, Lee SH. Moderate-Intensity Rosuvastatin/Ezetimibe Combination versus Quadruple-Dose Rosuvastatin Monotherapy: A Meta-Analysis and Systemic Review. Yonsei Medical Journal. 2024. PMID 38154476
Stack Score
How this pair moves the number.
Effect on the composite score
If both Coenzyme Q10 Ubiquinol and Rosuvastatin are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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