Atorvastatin Dosage: Form, Strengths, How to Take, and More
The absolute bioavailability of the medication is about 14%, but the systemic availability for HMG-CoA reductase activity is approximately 30%. Atorvastatin undergoes high intestinal clearance and first-pass metabolism, which is the main cause for the low systemic availability. Administration of atorvastatin with food produces a 25% reduction in Cmax (rate of absorption) and a 9% reduction in AUC (extent of absorption), although food does not affect the plasma LDL-C-lowering efficacy of atorvastatin. Evening dose administration is known to reduce the Cmax and AUC by 30% each. However, time of administration does not affect the plasma LDL-C-lowering efficacy of atorvastatin. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
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A large review of 13 studies (called a meta-analysis) with over 90,000 patients found that use of statins does lead to a small but statistically significant increased risk of developing diabetes (9%). Statins appear to elevate diabetes risk by impairing insulin sensitivity and insulin secretion, although the exact causes are not fully known. One study suggested an immune response may stop insulin from doing its job properly. Statins typically start to lower your cholesterol levels in about 2 weeks. Roughly 1 to 2 months after you start statin therapy your doctor will check your cholesterol levels with a simple blood test to see how well the drug is working for you.
Persistent increases to more than three times the ULN in serum transaminases have occurred in approximately 0.7% of patients receiving atorvastatin in clinical trials. There have been rare postmarketing reports of fatal and non-fatal hepatic failure in patients taking statins, including atorvastatin. Atorvastatin is a substrate of CYP3A4 and transporters (e.g., OATP1B1/1B3, P-gp, or BCRP).
Taking this medication is only part of a total heart healthy program. Ask your care team if there are other changes you can make to improve your overall health. Take it as directed on the label at the same time every day.
4 Increases in HbA1c and Fasting Serum Glucose Levels
You are encouraged to report negative side effects of prescription drugs to the FDA. Tell your healthcare provider if you are or plan to become pregnant. If you become pregnant, stop taking atorvastatin right away and contact your healthcare provider. Atorvastatin should not be taken if your liver is not working as well as it should be.
Common Atorvastatin Dosages
Ask your pharmacist if there is a grapefruit interaction if you take a statin. The use of statins may lead to a small increased risk of high blood sugar (glucose) levels and type 2 diabetes. In general, most doctors agree that the benefits of statins in lowering your heart risk clearly outweigh any risk from the development of diabetes. Moderate alcohol consumption is generally considered acceptable while taking Atorvastatin. However, excessive alcohol intake may increase the risk of liver damage and can counteract the cholesterol-lowering effects of the medication. Alternatives include other statins like Rosuvastatin (Crestor) or Simvastatin (Zocor), as well as non-statin medications like Ezetimibe (Zetia).
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Atorvastatin is generally well-tolerated, but like all medications, it can cause side effects. Contact your healthcare provider if you experience any unusual symptoms, and schedule a telemedicine appointment if necessary. Atorvastatin comes as a tablet and suspension (liquid) to take by mouth. The tablet is usually taken once a day with or without food. The suspension is usually taken once a day on an empty stomach (at least 1 hour before or 2 hours after a meal).Take atorvastatin at around the same time every day.
Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine works by stopping the body from producing too many of the immune cells that are responsible for the swelling and inflammation. It is very important that your doctor check your progress at regular visits to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for any unwanted effects. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of resmetirom in the elderly. Resmetirom is used atorvastatin oral route description and brand names together with diet and exercise to treat non-alcoholic steatohepatitis with moderate to advanced liver scarring (fibrosis), but not with cirrhosis of the liver.
- If you have problems (such as pain or other symptoms) with one particular prescription statin, you may have fewer side effects with an alternative statin drug.
- Moderate alcohol consumption is generally considered acceptable while taking Atorvastatin.
- Atorvastatin is not recommended for use during pregnancy as it may harm the unborn baby.
- Statins, including Atorvaliq, decrease cholesterol synthesis and possibly the synthesis of other biologically active substances derived from cholesterol and may cause harm to the breastfed infant.
- Lipitor passes into breast milk and could harm a nursing baby.
Atorvastatin Dosage and Administration
Live virus vaccines should not be given while receiving this medicine. Check with your doctor right away if you are having burning, numbness, tingling, or painful sensations in the arms, hands, legs, or feet. These could be symptoms of a condition called peripheral neuropathy. Leflunomide may also cause birth defects if the father is using it when his sexual partner becomes pregnant. Men taking leflunomide should use condoms as a form of birth control during sexual intercourse.
- Use of LIPITOR for this indication is based on a double-blind, placebo-controlled clinical trial in 187 pediatric patients 10 years of age and older with HeFH.
- Or they may use it along with other therapies to lower LDL-C.
- In patients with chronic alcoholic liver disease, plasma concentrations of ATORVALIQ are markedly increased.
- Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking.
Atorvastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing the production of cholesterol in the body to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body. Atorvastatin (Lipitor) is a medication prescribed by a doctor to lower cholesterol in people who have been diagnosed with high cholesterol (high levels of cholesterol in the blood).
Dosage for Atorvaliq
Extent of absorption increases in proportion to ATORVALIQ dose. Administration of ATORVALIQ with high fat meal resulted in a 30% and 63% decrease in atorvastatin AUC and Cmax, respectively compared with what was observed in the fasted state. The decrease in exposure can be clinically significant, and therefore ATORVALIQ should be taken only on an empty stomach (1 hour before or 2 hours after a meal). There is no information about the presence of atorvastatin in human milk, the effects of the drug on the breastfed infant or the effects of the drug on milk production. However, it has been shown that another drug in this class passes into human milk. Studies in rats have shown that atorvastatin and/or its metabolites are present in the breast milk of lactating rats.
In hepatic insufficiency, plasma concentrations of atorvastatin are significantly affected by concurrent liver disease. People with Child-Pugh Stage A liver disease show a four-fold increase in both Cmax and AUC. People with Child Pugh stage B liver disease show a 16-fold increase in Cmax and an 11-fold increase in AUC.