ATORVA. 20 mg. 30 tablets
Atorva used to lower lipids known as cholesterol and triglycerides in the blood, as a diet low in fat and changes in life style is insufficient.
ATORVA. 20 mg. 30 tablets
ATORVA WHAT IS AND WHAT IT IS USED
Atorva belongs to a group of medicines known as statins, which regulate lipid ( fat ) .
Atorva used to lower lipids known as cholesterol and triglycerides in the blood, as a diet low in fat and changes in life style is insufficient . If you have an increased risk of heart disease Atorva can also reduce this risk even if your cholesterol levels are normal. A standard cholesterol lowering diet should be continued during the treatment .
Cholesterol is a substance that naturally occurs in the body necessary for normal growth . However, if there is too much cholesterol in your blood , it may build up on the walls of blood vessels , resulting in narrowing of the vessels , which can finally be blocked . This is one of the most common causes of heart disease. It is accepted that raised cholesterol levels increase the risk of heart disease. Other factors that will increase the risk of heart disease include high blood pressure, diabetes , obesity , lack of exercise , smoking, or family history of heart disease.
2 . BEFORE YOU TAKE ATORVA
Do not take Atorva if:
you are allergic ( hypersensitive) to atorvastatin or to any similar medicines used to lower blood lipids (eg, simvastatin) , or to any of the excipients of Atorva listed below - see . Section 6 for more details ;
are pregnant, planning to become pregnant or breast-feeding ;
you are a woman of childbearing potential not using reliable contraception ;
if you have or have ever had a disease that affects the liver ;
if you have unexplained abnormal blood tests for liver function ;
if you have a muscle injury , called myopathy ( repeated or unexplained pain or weakness of the muscles) .
Take special care with Atorva if:
if you have kidney problems ;
if you have a history of liver disease ;
if you have a thyroid gland with reduced function ( hypothyroidism ) ;
If you have repeated or unexplained muscle pain, personal or family history of muscle problems ;
if you have had previous problems with the muscles during treatment with other lipid- lowering drugs (eg other simvastatin, fenofibrate ) ;
If you regularly drink large amounts of alcohol;
if you are older than 70 years;
if you had a previous stroke with bleeding in the brain or have " pockets " of fluid in the brain as a result of previous stroke;
if your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.
If any of these apply to you , your doctor will do blood tests during your treatment with Atorva to predict your risk of muscle related side effects .
Tell your doctor immediately if you experience unexplained muscle pain or muscle weakness. This is because on rare occasions , muscle problems can become serious, including muscle rupture , leading to kidney damage .
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. It is particularly important to tell your doctor if you take:
Medicines used to treat auto- immune disorders or after transplant (cyclosporine ) ;
Certain antibiotics ( such as erythromycin, clarithromycin and rifampicin) ;
Medicines for fungal infections (eg, itraconazole, ketoconazole ) ;
Fibrates such as gemfibrozil and bezafibrati ( cholesterol-lowering drugs ) ;
Colestipol , niacin or nicotinic acid derivatives ( cholesterol-lowering drugs ) ;
Certain calcium channel blockers used to treat angina or to reduce the blood pressure (e.g., nifedipine ) ;
Drugs regulating heart rhythm (eg digoxin ) ;
Nefazodone ( an antidepressant ) ;
Drugs used to treat HIV infection (HTV- protease inhibitor ) ;
Warfarin (a medicine that reduces blood clotting) ;
Oral contraception ;
Phenytoin ( epileptics ) ;
Antacids ( indigestion products containing aluminum or magnesium) .
Taking Atorva with food and drink
Do not take more than one or two small glasses of grapefruit juice a day because large quantities of grapefruit juice can alter the effects of Atorva .
Avoid using too much alcohol while taking this medicine. For more information, see . section "Take special care with Atorva ."
Pregnancy and lactation
Atorva not take if you are pregnant , planning to become pregnant . Women of childbearing potential should take appropriate contraceptive measures.
Ask your doctor or pharmacist before taking any medicine.
Atorva not take if you are breastfeeding .
Atorva safety during pregnancy and lactation has not been established. Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
In general, this drug did not affect the ability to drive and use machines. However, do not drive , if it affects your ability to drive . Do not use any tools or machines if your ability to use them is affected by this medicine.
Important information about some of the ingredients of Atorva
Atorva contains lactose. If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.
3 . HOW TO TAKE ATORVA
Always take Atorva exactly as your doctor tells you . If you are not sure, ask your doctor or pharmacist. Swallow your tablets without chewing, with some water. You can take the tablets at any time of the day with or without food. However, try to take your tablets at the same time each day.
The usual starting dose of Atorva is 10 mg once daily. It may be increased by your doctor , if necessary, until it reaches the level you need . Your doctor will adjust the dose at intervals of 4 weeks or more. The maximum dose of Atorva is 80 mg once daily.
Before starting treatment , your doctor will prescribe you a diet low in cholesterol, which should be continued during treatment with Atorva .
Atorva use in children should be carried out under medical supervision .
If you take more dose Atorva
If you take more than you should , contact your doctor or nearest hospital for advice.
If you forget to take Atorva
If you forget to take a dose , just take your next scheduled dose at its regular time . Do not take a double dose to make up for a missed dose.
If you stop taking Atorva
It is important to keep taking the tablets unless your doctor tells you to stop . Do not stop just because you feel better.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4 . POSSIBLE SIDE EFFECTS
Like all medicines Atorva tablets can cause side effects, although not everybody gets them. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet , please tell your doctor or pharmacist.
If any of the following serious side effects, stop taking the tablets and tell your doctor immediately or go to the nearest hospital or emergency room .
Rare: affects 1 to 10 users in 10,000 :
Serious allergic reactions that cause swelling of the face , tongue and throat , causing great difficulty in breathing ;
Serious illness with severe peeling and swelling of the skin with blisters on the skin, mouth , eyes, genitals , and fever. Skin rash as a pink - red spots , usually on the palms of the hands and feet, with possible blistering ;
Muscle weakness , tenderness or pain , especially if at the same time you feel sick or have a fever ; This may be caused by increased degradation of the muscle , which in turn is lethal and leads to problems with their kidneys.
Very rare: affects less than 1 in 10,000 :
If you have problems with unexpected or unusual bleeding or bruising, it may suggest liver complaint. You should consult with your doctor as soon as possible .
Other possible side effects with Atorva :
Common side effects (affects 1 to 10 users in 100 ) include:
inflammation of the pharynx , sore throat , nose bleeds ;
elevated levels of blood glucose (if you have diabetes, keep checking your levels of blood sugar) , increased levels of creatine in the blood ;
nausea, constipation, flatulence , indigestion , diarrhea ;
joint pain , muscle pain and back pain ;
abnormal blood tests for liver function.
Uncommon side effects (affects 1 to 10 patients in 1000 ) include:
anorexia (loss of appetite) , weight gain , low blood sugar levels (if you have diabetes, continue to monitor the levels of your blood sugar) ;
nightmares, insomnia ;
dizziness, numbness and tingling in fingers and toes, reduced sensitivity to pain and touch, taste changes , loss of memory ;
blurred vision ;
ringing in the ears and / or head ;
vomiting , belching , pain in the upper and lower abdomen , pancreatitis ( inflammation of the pancreas , causing abdominal pain ) ;
hepatitis ( liver inflammation ) ;
rash , skin rash and pruritus, urticaria , alopecia ;
neck pain, muscle weakness ;
fatigue , malaise , weakness, chest pain, swelling, particularly of the ankles (edema ), fever ;
white blood cells in urine tests.
Rare side effects (affects 1 to 10 patients in 10000 ) include:
visual disturbances ; unexpected bleeding or bruising ;
cholestasis (yellowing of the skin or eyes ) ;
tendon injury .
Very rare side effects ( affects less than 1 user in 10,000 ) include:
allergic reaction - symptoms may include sudden shortness of breath and chest pain or tightness , swelling of eyelids, face , lips, mouth, tongue and throat , difficulty breathing , fainting ;
hearing loss ;
gynecomastia ( breast enlargement in men and women ) .
Possible adverse events reported with some statins (drugs of the same type ):
sleep disorders ;
breathing problems including persistent cough and / or shortness of breath, and fever.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.
If any of these side effects or notice other effects not listed in this leaflet , please tell your doctor.
5 . HOW TO STORE TABLET ATORVA
Keep out of reach of children.
Atorva not use after the expiry date stated on the pack . The expiry date refers to the last day of that month.
Keep Atorva tablets at a temperature below 30 ° C.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . FURTHER INFORMATION
What does Atorva :
The active substance is atorvastatin (atorvastatin). Each tablet contains 10 mg or 20 mg of atorvastatin ( atorvastatin calcium) .
Atorva also contains the following inactive ingredients : lactose monohydrate , magnesium stearate ( E572 ), sodium lauryl sulphate , microcrystalline cellulose / colloidal silica anhydrous , butylated hydroxyanisole ( E320 ) , crospovidone ( E1202 ), sodium bicarbonate ( E500 ) and sinespum .
Atorva shell contains lactose monohydrate , hypromellose , titanium dioxide ( E 171 ) , macrogol 4000 .
Atorva looks like and contents of pack
Atorva tablets are white , oblong , and biconvex film-coated scored tablets .
The film-coated tablets are packed in blisters Al / Al , which are placed in a cardboard box.
Each box contains 30 tablets.