Anyone stopped taking Repatha after trying?

Posted by bethrva @bethrva, Jun 4, 2025

I experienced stiffness and upper back pain the morning after injecting first dose of Repatha. Began taking Bayer, then Advil, when PCP suggested ibuprofen. On day two, the back pain continued to my shoulder socket and pain increased from about a 3 to about a 6. Today is day four and I am at 6x the recommended dosage of Advil to try and manage the pain. Sent note to PCP this morning that I'm leery about taking a 2nd dose of Repatha and would like to come off of it. Did everyone else soldier on through the 2nd dose? Or tempted to quit but didn't? I injured my back about 12 years ago. It healed with no problems. But the Repatha seems to be hammering at the spot of that old injury. I feel certain it's the Repatha, because nothing else has changed (i.e., not taking any other Rx's, haven't re-injured myself, and was feeling tip-top before the injection). Yoga and ibuprofen aren't having any effect. Sleep has been difficult the last two nights. I can cope okay with the stomach churning and chills; it's the increasing pain and sleeplessness that are wearing me down. If you did quit, can you say roughly how long the Repatha stayed in your system until you felt better? This is the 140 mg/mL dose that you inject twice monthly. On it for high cholesterol of 375 mg/dL.

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Hi @kyiaj and welcome to Mayo Clinic Connect! You have found a good place to share experiences with others.

As you wait for @brad331 and @tazzm2025 understanding a bit more about your experience may help others know how to comment.

What is your experience with Raptha?

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Repatha was horribly negative to my GI system, both upper and lower. Liver releasing bile into my intestines, put on medications for all side effect issues that just kept getting more horrid. Was taking medicine to counteract the side effects of Repatha. Issues still existed, d/c with internist’s approval.

Fast forward….put on Nexletol, Zetia, and Pravastatin combo. Slowly got sick, cognition issues, GI issues again, URI issues that would not resolve, horrible exhaustion. I took myself off of everything when the URI’s stayed unbearable for weeks. Feeling much improved after stopping all cholesterol med’s. Going back to lipids specialist to confess feeling great off of med’s.

Really feel like I need some lipid interventions, but laying around feeling sick 24/7 is not the solution. Cholesterol issues are hereditary.

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Profile picture for scpatient24 @scpatient24

Repatha was horribly negative to my GI system, both upper and lower. Liver releasing bile into my intestines, put on medications for all side effect issues that just kept getting more horrid. Was taking medicine to counteract the side effects of Repatha. Issues still existed, d/c with internist’s approval.

Fast forward….put on Nexletol, Zetia, and Pravastatin combo. Slowly got sick, cognition issues, GI issues again, URI issues that would not resolve, horrible exhaustion. I took myself off of everything when the URI’s stayed unbearable for weeks. Feeling much improved after stopping all cholesterol med’s. Going back to lipids specialist to confess feeling great off of med’s.

Really feel like I need some lipid interventions, but laying around feeling sick 24/7 is not the solution. Cholesterol issues are hereditary.

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If I remember correctly you took Repatha for 4 months, @scpatient24. I had taken 9 injections before making a connection.

Like you I tried other treatments for genetically high cholesterol. It wasn’t until a more integrative approach that I found some relief. I remember saying Zetia is “from the devil”. This is probably only funny to people who know me well because that is something I don’t say, and I am far from a dramatic personality. I agree with you, the cognitive issues are real! Well, I eventually tried Zetia again (after other treatment steps). Now it is added to a statin I had previously abandoned and Inclisiran. My numbers have never been better.

You mention options of lipid interventions. What are you thinking of? When do you back to your lipid specialist, and do they collaborate with your other doctor(s) (GI, PCP)?

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I took Atorvastatin for 8 months and had similar problems as described in this Repatha post. Have been off it for 3 months and am finally beginning to feel human again. I can sleep, have no more nightmares and my ability to remember things has returned. I can walk without being wiped out, the nasal symptoms have disappeared - as have the stomach issues and the chest (breathing) problems. The muscle problems of the wrists and shoulders, however, persist. Remember, this all happened when I was on a statin.
When I stopped the statin, the cardiologist prescribed Repatha. Given the hell I went through in the 8 months of being on the statin, I was not overly delighted to jump into another drug - so I did not start on Repatha. Tomorrow, however, is my regular appointment with said cardiologist - who is a very good doctor - but can't really understand my fear of taking another drug that just MAY cause the same symptoms that may be lasting. I suppose it has become psychological for me. I'm scared of even TRYING the drug, for fear of having the same reactions as I had to the statin – and those reactions perhaps becoming permanent disabilities. After reading all the comments here in this column, that fear has more reality attached than before. Thank you to all wrote and took the time to describe their experiences. It has been a huge help in deciding that, in my case, I should ask for an alternative rather than pursuing the Repatha route.

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Profile picture for valleylil @valleylil

I took Atorvastatin for 8 months and had similar problems as described in this Repatha post. Have been off it for 3 months and am finally beginning to feel human again. I can sleep, have no more nightmares and my ability to remember things has returned. I can walk without being wiped out, the nasal symptoms have disappeared - as have the stomach issues and the chest (breathing) problems. The muscle problems of the wrists and shoulders, however, persist. Remember, this all happened when I was on a statin.
When I stopped the statin, the cardiologist prescribed Repatha. Given the hell I went through in the 8 months of being on the statin, I was not overly delighted to jump into another drug - so I did not start on Repatha. Tomorrow, however, is my regular appointment with said cardiologist - who is a very good doctor - but can't really understand my fear of taking another drug that just MAY cause the same symptoms that may be lasting. I suppose it has become psychological for me. I'm scared of even TRYING the drug, for fear of having the same reactions as I had to the statin – and those reactions perhaps becoming permanent disabilities. After reading all the comments here in this column, that fear has more reality attached than before. Thank you to all wrote and took the time to describe their experiences. It has been a huge help in deciding that, in my case, I should ask for an alternative rather than pursuing the Repatha route.

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@valleylil Just started Repatha to help with high (320) LP (a). All good so far. Not many other options until new drugs are available

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