Atorvastatin 10 mg, 20 mg, 40 mg
Class: HMG-CoA Reductase Inhibitor (Statin) – Lipid-lowering agent
Manufacturer: Zydus Cadila
Dosage Form: Film-coated tablets
Similar Brands: Atorid (atorvastatin) and Lolip 20mg (artorvastatin)
Uses:
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Hypercholesterolaemia
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Mixed dyslipidaemia
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Prevention of cardiovascular events (MI, stroke)
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Secondary prevention in patients with established cardiovascular disease
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Diabetic patients at high cardiovascular risk
Dosage:
Adults:
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Usual starting dose: 10–20 mg once daily
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High-risk patients: 40 mg once daily
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Maximum dose: 80 mg daily
Can be taken any time of day, with or without food.
Dose adjustment based on lipid profile response.
Side Effects:
Common:
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Headache
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Nausea
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Abdominal pain
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Muscle aches (myalgia)
Less common:
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Elevated liver enzymes
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Muscle weakness
Rare but serious:
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Myopathy
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Rhabdomyolysis
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Severe liver injury
Warnings & Precautions:
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Check baseline liver function tests before initiation.
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Monitor for unexplained muscle pain or weakness.
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Use cautiously in patients with liver disease.
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Avoid excessive alcohol intake.
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Risk increases when combined with certain interacting drugs.
Pregnancy & Lactation:
Contraindicated in pregnancy (Category X).
Contraindicated during breastfeeding.
Drug Interactions:
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Strong CYP3A4 inhibitors (e.g., clarithromycin, erythromycin)
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Azole antifungals
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Protease inhibitors
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Cyclosporine
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Fibrates (↑ risk of myopathy)
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Grapefruit juice (↑ atorvastatin levels)
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Warfarin (monitor INR)
Contraindications:
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Active liver disease
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Persistent unexplained elevation of transaminases
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Pregnancy and breastfeeding
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Hypersensitivity to atorvastatin
Price: Ksh 1200/- (Artorva Tablets 20mg)
Notes: