Atorvastatin

• Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. 
• It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. 
• In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight and stopping smoking. Consult your medical provider for more details.

• Take this medication by mouth with or without food as directed by your medical provider, usually once daily.
• The dosage is based on your medical condition, response to treatment, age and other medications you may be taking. Be sure to tell your medical provider and pharmacist about all the products you use (including prescription drugs, nonprescription drugs and herbal products).
• Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your medical provider instructs you otherwise. Grapefruit can increase the amount of this medication in your bloodstream. Consult your medical provider or pharmacist for more details.
• If you also take certain other drugs to lower your cholesterol (bile acid-binding resins such as Cholestyramine or Colestipol), take Atorvastatin at least 1 hour before or at least 4 hours after taking these medications. These products can react with Atorvastatin, preventing its full absorption.
• Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day.
• Keep taking this medication even if you feel well. Most people with high cholesterol or triglycerides do not feel sick.
• It is very important to continue to follow your medical provider's advice about diet and exercise. It may take up to 4 weeks before you get the full benefit of this drug.

• Remember that this medication has been prescribed because your medical provider has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
• A very small number of people taking Atorvastatin may have mild memory problems or confusion. If these rare effects occur, talk to your medical provider.
• Rarely, statins may cause or worsen diabetes. Talk to your medical provider about the benefits and risks.

• This drug may rarely cause muscle problems (which can rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy). Tell your medical provider right away if you develop any of these symptoms during treatment and if these symptoms last after your medical provider stops this drug:

  • Muscle pain/tenderness/weakness (especially with fever or unusual tiredness)
  • Signs of kidney problems (such as change in the amount of urine).

• This medication may rarely cause liver problems. Tell your medical provider right away if you develop symptoms of liver problems, including:

  • Nausea/vomiting that doesn't stop
  • Yellowing eyes/skin
  • Dark urine
  • Stomach/abdominal pain  

• A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • Rash
  • Itching/swelling (especially of the face/tongue/throat)
  • Dizziness
  • Trouble breathing

• This is not a complete list of possible side effects. If you notice other effects not listed above, request a callback for medical advice. You may also report side effects to the FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

• Before taking Atorvastatin, tell your medical provider or pharmacist if you are allergic to it, or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
• Before using this medication, tell your medical provider or pharmacist your medical history, especially of liver disease, kidney disease or alcohol use. 
• Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs and herbal products).
• Limit alcoholic beverages. Daily use of alcohol may increase your risk for liver problems, especially when combined with Atorvastatin. Ask your medical provider or pharmacist for more information.
• Older adults may be more sensitive to the side effects of this drug, especially muscle problems.
• During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your OB/GYN.
• This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using this drug is not recommended. Consult your OB/GYN or child’s pediatrician before breastfeeding.

• Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. 
• Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your medical provider and pharmacist. 
• Do not start, stop or change the dosage of any medicines without your medical provider's approval.
• Some products that may interact with this drug include Daptomycin and Gemfibrozil.
• Other medications can affect the removal of Atorvastatin from your body, which may affect how Atorvastatin works. Examples include Cyclosporine, Glecaprevir Plus Pibrentasvir, Telithromycin and Ritonavir, among others.
• Do not take any red yeast rice products while you are taking Atorvastatin because some red yeast rice products may also contain a statin called Lovastatin. Taking Atorvastatin and red yeast rice products together can increase your risk of serious muscle and liver problems

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. If symptoms from taking this medication are less severe, call your local poison control center at 1-800-222-1222 right away.

• Do not share this medication with others.
• Lab and/or medical tests (such as blood cholesterol/triglyceride levels, liver function) should be done while you are taking this medication. Keep all medical and lab appointments. Consult your medical provider for more details.

• If you miss a dose, take it as soon as you remember. 
• If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

• Store at room temperature away from light and moisture. Do not store in the bathroom. 
• Keep all medications away from children and pets.
• Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.