ATORVISTAT K table. 20 mg. 30 tab

ATORVISTAT K table. 20 mg. 30 tab
€ 19.00
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Atorvistat K belongs to a group of medicines known as statins, which regulate levels of lipids (fats).
Atorvistat K is used to reduce the levels of lipids known as cholesterol and triglycerides in the blood, as a diet low in fat

ATORVISTAT K table. 20 mg. 30 tab
 
What Atorvistat K and what it is used
Atorvistat K belongs to a group of medicines known as statins, which regulate levels of lipids (fats).
Atorvistat K is used to reduce the levels of lipids known as cholesterol and triglycerides in the blood, as a diet low in fat and changes in lifestyle alone have been unsuccessful. If you have an increased risk of heart disease Atorvistat K can also be used to reduce this risk, even if your cholesterol levels are normal. During treatment, it is necessary to follow a standard diet that lowers cholesterol levels.

2. What you should know before taking Atorvistat K
Do not take Atorvistat K
 if you are allergic to Atorvistat K or some similar medicines used to lower lipid levels in the blood, or any of the other ingredients of this medicine (listed in Section 6);
 if you have or have had a disease that affects the liver;
 if you had any unexplained, abnormal blood tests of liver function;
 if you are a woman able to have children and not using reliable contraception;
 if you are pregnant or trying to get pregnant;
 if you are breastfeeding.
 
Warnings and Precautions
Talk to your doctor or pharmacist before taking Atorvistat K.
Atorvistat K tablets may not be suitable for you because of the following reasons:
 if you had a prior stroke (stroke) with bleeding in the brain or have small, fluid-filled kuhinki in the brain due to a prior stroke;
 if you have kidney problems;
 if you have an underactive thyroid (hypothyroidism);
 If you have had repeated or unexplained muscle pain, personal or family history of muscle problems;
 if you had a pre-existing muscle problems during treatment with other lipid-lowering drugs (eg other "statin" or * '-fibrate');
 If you are regularly taking large amounts of alcohol;
 if you have a history of liver disease;
 If you are over 70 years old.
 
Ask your doctor or pharmacist before taking Atorvistat K
 If you suffer from severe respiratory failure.
 
If any of these apply to you, your doctor should do blood tests before and possibly during your treatment with Atorvistat K to predict the risk of adverse reactions associated with muscles. It is known that the risk of adverse reactions associated with the muscles, such as rhabdomyolysis is increased when certain drugs are taken at the same time (see section 2 "other medicines").
While you are taking this medicine, your doctor will closely monitor you if you have diabetes or are at risk of developing diabetes. 're Probably at risk of developing diabetes if you have high levels of sugar and fat in the blood, if you are overweight and have high blood pressure.

Other medicines and Atorvistat K
There are some medications that can alter the effect of Atorvistat K or their effect can be modified by Atorvistat K. This kind of interaction could make it less effective one or both drugs. Conversely, it could increase the risk or severity of adverse reactions, including serious wasting disease of the muscles, known as rhabdomyolysis, described in Section 4:
 Drugs employed to modify the way in which the immune system does, for example cyclosporin;
 Certain antibiotics or antifungals such as erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic acid;
 Other drugs that regulate lipid levels, such as gemfibrozil, other fibrates, colestipol;
 Certain calcium channel blockers, used for treating angina pectoris (chest pain) or high blood pressure, such as amlodipine, diltiazem, medicines which regulate heart rate, for example, digoxin, verapamil, amiodarone;
 Medicines used for the treatment of infection with HIV, e.g. ritokavir, lopinavir, atazanavir, indinavir, darunavir, etc..;
 Other drugs known to interact with N Atorvistat including ezetimibe (which lowers cholesterol), warfarin (which reduces blood clotting), oral contraceptives, stiripentol (an anticonvulsant for the treatment of epilepsy), cimetidine (used heartburn and peptic ulcers), phenoxazin (anesthetic) and antacids (medicines for indigestion containing aluminum or magnesium.)
 Medicines obtained without a prescription: St. John's wort.
 
Tell your doctor or pharmacist if you are taking, have recently taken or might take other medicines.

Atorvistat K with food, beverages and alcohol
See section 3 for instructions on how to take Atorvistat K.

Please note the following:
Grapefruit juice
Do not take more than one or two small glasses of grapefruit juice a day, as large quantities of grapefruit juice can alter the effects of Atorvistat K.

Alcohol
Avoid drinking large amounts of alcohol while taking this medicine. For details, see Section 2, "Warnings and Precautions".

Pregnancy and lactation
Do not take Atorvistat K if you are pregnant or trying to become pregnant.
Do not take Atorvistat K if it is possible to become pregnant unless they are using effective contraception.
Do not take Atorvistat K if you are breastfeeding.
Safety Atorvistat K during pregnancy and lactation has not been established.
Ask your doctor or pharmacist before taking any medicine.

Driving and using machines
Usually this medication affects your ability to drive or operate machinery. However, do not drive if this medicine affects your ability to drive or operate machinery. Do not use any tools or machines if your ability to use them will be affected by this medicine.

Atorvistat K contains lactose
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.
Atorvistat N sodium, less than 1 mmol (23 mg) per tablet, i.e. essentially sodium.

3. How to take Atorvistat K
Before starting treatment, your doctor will prescribe you a diet low in cholesterol, you will need to follow and during treatment with Atorvistat K.
The recommended starting dose of Atorvistat K is 10 mg once daily in adults and children aged 10 years and older. If necessary, it can be increased by your doctor while taking the amount you need. Your doctor will adjust the dose at intervals of four weeks or more. The maximum dose of Atorvistat K is 80 mg once for adults and 20 mg once daily for children.
Tablet Atorvistat K should be swallowed whole with a little water and can be taken at any time of the day, with or without food. However, try to take your tablet at the same time each day.
Always take this medicine exactly as prescribed by your doctor or pharmacist. If you are not sure, ask your doctor or pharmacist.
The duration of treatment with Atorvistvt K is determined by your doctor.
Please ask your doctor if you think that the effect of Atorvistat K is too strong or too weak.

If you take more than you should Atorvistat K
If you accidentally take too many tablets Atorvistat K (more than your usual daily dose), contact your doctor or nearest hospital for advice.

If you forget to take Atorvistat K
If you forget to take a dose, take your next scheduled dose at the right time. Do not take a double dose to make up for a missed dose.

If you stop taking Atorvistat K
If you have any further questions on the use of this drug or you want to stop your treatment, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine may cause side effects, although not everybody gets them.
If any of the following serious side effects, stop taking the tablets and tell your doctor immediately or go to casualty and emergency care at the nearest hospital.

Rare: may affect up to 1 in 1,000 people:
 Serious allergic reaction that causes swelling of the face, tongue, and throat that may cause severe breathing difficulties;
 Serious disease with scaling and swelling of the skin, blistering of the skin, mouth, eyes, genitals and fever. Skin rash with pinkish-red spots on the palms of the hands or feet, which can develop into blisters;
 Muscle weakness or pain and tension, especially if at the same time feel sick or have a high temperature, which may be caused by abnormal muscle breakdown, which may be lethal, leading to kidney problems.
 
Very rare: may affect up to 1 in 10 000 people:
 If you have any problems with unexpected or unusual bleeding or bruising, it may suggest liver disease. You should consult with your doctor as soon as possible.
 
Other possible side effects with Atorvistat K:
Common side effects (may affect up to 1 in 10 people):
 inflammation of the nasal passages, throat pain, bleeding from the nose;
 allergic reactions;
 elevated blood sugar (if you have diabetes, keep careful track of the values of blood glucose), elevated creatine kinase in the blood;
 headache;
 nausea, constipation, flatulence, indigestion, diarrhea;
 joint pain, muscle pain and back pain;
 results of blood tests showed abnormal changes in liver function.
 
Uncommon side effects (may affect up to 1 in 100 people):
 anorexia (loss of appetite), weight gain, decreased blood sugar (if you have diabetes, keep careful track of the values of blood sugar);
 nightmares, insomnia;
 dizziness, numbness or tingling of the fingers and toes, decreased sense of 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 abdominal, pancreatitis (inflammation of the pancreas, causing abdominal pain);
 hepatitis (inflammation of liver);
 rash, skin rash and itching, hives, hair loss;
 neck pain, muscle fatigue;
 fatigue, malaise, weakness, chest pain, swelling, particularly of the ankles (edema), fever;
 urine tests that are positive for the presence of white blood cells.
 
Rare side effects (may affect up to 1 in 1,000 people):
 disturbances in vision;
 unexpected bleeding or bruising;
 cholestasis (yellowing of the skin and whites of the eyes);
 tendon injury.
 
Very rare side effects (may affect up to 1 in 10,000 people):
 allergic reactions - the signs may include sudden wheezing and pain or tightness in the chest, swelling of eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse (fainting);
 hearing loss;
 gynecomastia (breast enlargement in men and women).
 
Possible side effects reported with some statins (drugs of the same type):
 sexual difficulties;
 depression;
 breathing problems including persistent cough and / or shortness of breath or fever;
 diabetes. Its appearance is more likely if you have high levels of sugar and fat in the blood, if you are overweight and have high blood pressure. Your doctor will: monitor while taking this medicine.
 
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. How to store Atorvistat K
Keep out of reach of children.
Do not store above 25 ° C.
Do not use Atorvistat K tablets after the expiry date stated on the carton and blister. 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. Package Contents and more information
What does Atorvistat K 20 mg tablets
The active substance in tablets Atorvistat K is atorvastatin as atorvastatin calcium trihydrate.
Each tablet contains 20 mg of atorvastatin.

Other ingredients are:
Tablet core: cellulose microcrystalline (E460), lactose monohydrate, silica colloidal anhydrous, croscarmellose sodium (E468), sodium bicarbonate, sodium carbonate anhydrous, hydroxypropyl cellulose (E463), magnesium stearate (E470b), butylated hydroxyanisole, butylated.

Film coating: Opadry YS-1-7040, white, (E464), macrogol 8000, titanium dioxide (E171), talc (E553b).

Looks like Atorvistat K 20 mg tablets and contents of the pack
White to off-white, oval film-coated tablets with a width of about 6,6 mm and a length of 12,1 mm, embossed with "A31" on one side and plain on the other side.

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