
Official Site: www.lipitor.com
Lipitor (Atorvastatin) Information : LIPITOR (atorvastatin) is an HMG-CoA
reductase inhibitor (also known as a "statin") used to lower
cholesterol and triglyceride levels in your blood. LIPITOR (atorvastatin)
may also be used to treat other conditions as determined by your doctor.
It may be taken with or without food, preferably in the evening. LIPITOR
(atorvastatin) should be stored in a tightly sealed container in a dry
place away from heat and direct light.
Lipitor (Atorvastatin) Side Effects : LIPITOR (atorvastatin) may INFREQUENTLY
cause muscle damage (which can rarely lead to a very serious condition
called rhabdomyolysis). Stop taking this drug and tell your doctor immediately
if you develop muscle pain, tenderness, or weakness (especially with
fever or unusual tiredness). Consult your doctor if you are taking cyclosporine,
gemfibrozil, niacin, antibiotics, especially erythromycin, or medications
for fungal infections. All of these drugs may increase the risk of myositis
(muscle inflammation) when taken with atorvastatin and may lead to kidney
failure.
INDICATIONS AND USAGE LIPITOR (atorvastatin) is indicated: 1) as an
adjunct to diet to reduce elevated total-C, LDL-C, apo B, and TG levels
and to increase HDL-C in patients with primary hypercholesterolemia
(heterozygous familial and nonfamilial) and mixed dyslipidemia (Fredrickson
Types IIa and IIb); 2) as an adjunct to diet for the treatment of patients
with elevated serum TG levels (Fredrickson Type IV); 3) for the treatment
of patients with primary dysbetalipoproteinemia (Fredrickson Type III)
who do not respond adequately to diet; 4) to reduce total-C and LDL-C
in patients with homozygous familial hypercholesterolemia as an adjunct
to other lipid-lowering treatments (e.g., LDL apheresis) or if such
treatments are unavailable; 5) as an adjunct to diet to reduce total-C,
LDL-C, and apo B levels in boys and postmenarchal girls, 10 to 17 years
of age, with heterozygous familial hypercholesterolemia if, after an
adequate trial of diet therapy, the following findings are present:
LDL-C remains 190 mg/dL or LDL-C remains 160 mg/dL and: there is a positive
family history of premature cardiovascular disease or two or more other
CVD risk factors are present in the pediatric patient Therapy with lipid-altering
agents should be a component of multiple-risk-factor intervention in
individuals at increased risk for atherosclerotic vascular disease due
to hypercholesterolemia. Lipid-altering agents should be used in addition
to a diet restricted in saturated fat and cholesterol only when the
response to diet and other nonpharmacological measures has been inadequate.
DOSAGE AND ADMINISTRATION The patient should be placed on a standard
cholesterol-lowering diet before receiving LIPITOR (atorvastatin) and
should continue on this diet during treatment with Lipitor. Hypercholesterolemia
(Heterozygous Familial and Nonfamilial) and Mixed Dyslipidemia (Fredrickson
Types IIa and IIb) The recommended starting dose of LIPITOR (atorvastatin)
is 10 or 20 mg once daily. Patients who require a large reduction in
LDL-C (more than 45%) may be started at 40 mg once daily. The dosage
range of LIPITOR (atorvastatin) is 10 to 80 mg once daily. LIPITOR (atorvastatin)
can be administered as a single dose at any time of the day, with or
without food. The starting dose and maintenance doses of LIPITOR (atorvastatin)
should be individualized according to patient characteristics such as
goal of therapy and response. After initiation and/or upon titration
of v, lipid levels should be analyzed within 2 to 4 weeks and dosage
adjusted accordingly. Since the goal of treatment is to lower LDL-C,
the NCEP recommends that LDL-C levels be used to initiate and assess
treatment response. Only if LDL-C levels are not available, should total-C
be used to monitor therapy.