ATORVIN. 20 mg. 30 tablets
Atorvin used to lower lipids known as cholesterol and triglycerides in the blood, as a diet low in fat and changes in life style is not sufficient.
ATORVIN. 20 mg. 30 tablets
What Atorvin tablets and what it is used
Atorvin belongs to a group of medicines known as statins - drugs that regulate lipids (fats).
Atorvin used to lower lipids known as cholesterol and triglycerides in the blood, as a diet low in fat and changes in life style is not sufficient. If you have an increased risk of heart disease Atorvin 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 can build up in the walls of blood vessels, which may eventually clog. This is one of the most common causes of heart disease. It is assumed that elevated 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. What you should know before taking Atorvin tablets
Do not take tablets Atorvin
if you are hypersensitive (allergic) to atorvastatin or any of the other ingredients of this medicine (listed and section 6) or to any similar drugs used to lower blood lipids;
if you have or have ever had a disease which affects the liver;
if you have unexplained abnormal blood tests for liver function;
if you are a woman of childbearing age not using reliable contraception;
if you are pregnant, trying to become pregnant or breast-feeding.
Take special care with Atorvin tablets
Tell your doctor if any of the following apply to you:
if you have kidney problems;
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 "statins" or "fibrates");
If you regularly drink large amounts of alcohol;
if you are older than 70 years;
if you have liver disease;
if you have trouble breathing.
If any of the above applies to you, your doctor will do blood tests before and possibly during your treatment with Atorvin to predict your risk of muscle related side effects.
Please tell your doctor if you have had a heart attack; Your doctor will choose the most appropriate treatment and dosage for you.
Other medicines and tablets Atorvin
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
There are some drugs that can alter the effect of Atorvin or their effect can be changed by Atorvin. This kind of interaction could reduce the effectiveness of one or both drugs. Conversely, it could increase the risk or severity of side effects, including severe muscle wasting condition known as rabdiomioliza:
drugs used to alter the way your immune system works, such as cyclosporine or antihistamines such as terfenadine, astemizole;
certain antibiotics or antifungals, e. erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic acid;
other medicines that control lipid levels, eg. gemfibrozil, other fibrates, nicotinic acid, colestipol;
certain calcium channel blockers, used for angina, or hypertension, for example. nifedipine, amlodipine, diltiazem; medications to regulate your heart rate, for example. digoxin, verapamil, amiodarone;
drugs used in the treatment of AIDS, for example. ritonavir, lopinavir, atazanavir, indinavir, darunavir, etc..;
other drugs known to interact with Atorvin including ezetimibe (cholesterol lowering), warfarin (blood clotting), oral contraceptives, stiripentol (anti-product), cimetidine (used for ulcers and heartburn), phenazone (anodyne product) and antacids (indigestion products containing aluminum or magnesium);
medicines obtained without a prescription: St. John's Wort.
Atorvin tablets 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 effect of Atorvin.
Avoid drinking too much alcohol while taking this medicine.
Pregnancy and lactation
If you are pregnant or breast-feeding, you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.
Atorvin safety during pregnancy and lactation has not been established.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
Atorvin negligible influence on the ability to drive and use machines. Do not drive or use machines if your ability is affected by this medicine.
Important information about some of the ingredients of Atorvin tablets
Atorvin tablets contain lactose. If your doctor has told you that you have an intolerance to some sugars (eg lactose), contact your doctor before taking this medicine.
3. Atorvin How to take tablets
Always take Atorvin tablets exactly as your doctor tells you. If you are not sure, ask your doctor or pharmacist.
Before starting treatment, your doctor will prescribe you a diet low in cholesterol, which should be continued during treatment with Atorvin.
The usual starting dose is 10 mg once daily. It can be increased if necessary by your doctor until you are taking the amount you need. Your doctor will adjust the dosage at intervals of 4 weeks or more. The maximum dose is 80 mg once daily.
Atorvin tablets should be swallowed whole with a little water can be taken at any time of day, with or without food. However, try to take your tablet at the same time each day.
If you take more tablets dose Atorvin
If you accidentally take too many tablets, contact your doctor.
If you forget to take tablets Atorvin
If you miss a dose, take your next dose as prescribed. Do not take a double dose to make up for a missed dose.
If you stop taking the tablets Atorvin
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Common: Side effects that may occur in less than 1 person in every 10;
Uncommon: Side effects that may occur in less than 1 person in 100 patients;
Rare: Side effects that may occur in less than 1 person per 1000 patients;
Very rare: Side effects that may occur in less than 1 person in 10 000 patients;
Isolated cases: Side effects that may occur with even smaller number of patients.
The following side effects are important and will require immediate attention if you have:
Angioneurotic edema (swelling of the face, tongue and trachea, which can cause great difficulty in breathing). This is a very rare reaction, which can be serious, if it appears. You should immediately stop taking Atorvin and tell your doctor if this happens.
Sometimes patients develop muscle wasting or muscle inflammation and very rarely it can lead to serious life-threatening condition (called 'rhabdomyolysis'). If you have muscle weakness, tenderness or pain, especially if at the same time you feel sick or have a fever, stop taking Atorvin and contact your doctor immediately.
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:
inflammation of the pharynx, sore throat, nosebleeds, allergic reactions, elevated levels of blood glucose (if you have diabetes, continue to monitor the levels of your blood sugar), increased levels of kreatininkinazata blood, headache, nausea, constipation, flatulence , indigestion, diarrhea, joint pain, muscle pain and back pain, abnormal blood tests for liver function.
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, memory loss, 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 urine tests
visual disturbances, unexpected bleeding or bruising, cholestasis (yellowing of the skin of the eyes), tendon injury.
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, seizures, hearing loss, gynecomastia (breast enlargement in men and women).
Possible side effects reported with some statins (drugs of the same type):
sexual dysfunction, depression, breathing problems including persistent cough and / or shortness of breath, and fever.
If you get any side effects, tell your doctor or pharmacist. This includes all listed in this leaflet.
5. How to store Atorvin film-coated tablets
Keep out of reach of children.
Store in the original package to protect from moisture.
Do not store above 25 º C.
Atorvin not use tablets after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Contents of the pack and other information
What does Atorvin 20 mg film-coated tablets
The active substance is atorvastatin. Each tablet contains 20 mg of atorvastatin in the form of atorvastatin calcium.
Other ingredients are: calcium carbonate, lactose monohydrate, microcrystalline cellulose, sodium krospomeloza, polysorbate 80, low-viscosity hydroxypropylcellulose, magnesium stearate, and Opadry.