Atorvastatin

Brand names: ATORVASTATIN CALCIUM, Atorvastatin Calcium, Lipitor

Warnings

Key warnings include: - Myopathy/Rhabdomyolysis: Risk factors include age ≥65 years, uncontrolled hypothyroidism, renal impairment, concomitant drugs, and higher doses. "Discontinue atorvastatin calcium if markedly elevated CK levels occur or myopathy is diagnosed or suspected." - Immune-Mediated Necrotizing Myopathy (IMNM): Rare autoimmune myopathy reported with statins; discontinue if suspected. - Hepatic Dysfunction: Transaminase increases reported; contraindicated in acute liver failure or decompensated cirrhosis. "If serious hepatic injury with clinical symptoms...occurs, promptly discontinue." - HbA1c/Glucose: Increases in blood sugar levels reported. - Hemorrhagic Stroke Risk: Increased hemorrhagic stroke incidence at 80 mg dose in patients with recent hemorrhagic stroke.

Uses

Atorvastatin calcium tablets are indicated to: - Reduce risk of MI, stroke, revascularization procedures, and angina in adults with multiple CHD risk factors but without clinically evident CHD - Reduce risk of MI and stroke in adults with type 2 diabetes with CHD risk factors - Reduce risk of non-fatal MI, fatal/non-fatal stroke, revascularization, heart failure hospitalization, and angina in adults with clinically evident CHD - As adjunct to diet to reduce LDL-C in adults and pediatric patients (age 10+) with primary hyperlipidemia and familial hypercholesterolemia - Treat adults with primary dysbetalipoproteinemia and hypertriglyceridemia

Dosage forms & strengths

Tablet Tablet, Film Coated POWDER
ATORVASTATIN CALCIUM 40 mg ATORVASTATIN CALCIUM 80 mg ATORVASTATIN CALCIUM TRIHYDRATE 10 mg ATORVASTATIN CALCIUM TRIHYDRATE 20 mg ATORVASTATIN CALCIUM TRIHYDRATE 40 mg ATORVASTATIN CALCIUM TRIHYDRATE 80 mg Atorvastatin Calcium Trihydrate 10 mg Atorvastatin Calcium Trihydrate 20 mg Atorvastatin Calcium Trihydrate 40 mg Atorvastatin Calcium Trihydrate 80 mg ATORVASTATIN CALCIUM TRIHYDRATE 1 kg/kg ATORVASTATIN CALCIUM TRIHYDRATE 25 kg/25kg

All identified pills

Side effects

Most common adverse reactions (≥5%) from clinical trials: - Nasopharyngitis - Arthralgia - Diarrhea - Pain in extremity - Urinary tract infection Other notable reactions: dyspepsia, nausea, musculoskeletal pain, muscle spasms, myalgia, insomnia, and pharyngeal pain. Postmarketing reports include rhabdomyolysis, hepatic failure, cognitive impairment, interstitial lung disease, and severe skin reactions.

Official source

DailyMed