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Lipitor- Atorvastatin
(a tore' va sta tin)
Why is this medication
prescribed?
Lipitor is used with diet
changes (restriction of cholesterol and fat intake) to reduce the amount
of cholesterol and certain fatty substances in the blood. Lipitor is in a
class of medications called HMG-CoA reductase inhibitors (statins). It
works by slowing the production of cholesterol in the body. Buildup of
cholesterol and fats along the walls of the blood vessels (a process known
as atherosclerosis) decreases blood flow and, therefore, the oxygen supply
to the heart, brain, and other parts of the body. Lowering blood levels of
cholesterol and fats may help to prevent heart disease, angina (chest
pain), strokes, and heart attacks.
How should this medicine
be used?
Lipitor comes as a tablet
to take by mouth. It is usually taken once a day with or without food. To
help you remember to take Lipitor, take it around the same time every day.
Follow the directions on your prescription label carefully, and ask your
doctor or pharmacist to explain any part you do not understand. Take
Lipitor exactly as directed. Do not take more or less of it or take it
more often than prescribed by your doctor.
Your doctor may start you
on a low dose of Lipitor and gradually increase your dose.
Continue to take Lipitor
even if you feel well. Do not stop taking Lipitor without talking to your
doctor.
Other uses for this
medicine
This medication may be
prescribed for other uses; ask your doctor or pharmacist for more
information.
What special precautions
should I follow?
Before taking Lipitor,
tell your doctor and pharmacist if you
are allergic to Lipitor or any other medications.
tell your doctor and pharmacist what
prescription and nonprescription medications, vitamins, nutritional
supplements, and herbal products you are taking. Be sure to mention any
of the following: antifungal medications such as itraconazole (Sporanox)
and ketoconazole (Nizoral); cimetidine (Tagamet); digoxin (Lanoxin);
erythromycin (E.E.S., E-Mycin, Erythrocin); medications that suppress
the immune system such as cyclosporine (Neoral, Sandimmune); oral
contraceptives (birth control pills); other cholesterol-lowering
medications such as fenofibrate (Tricor), gemfibrozil (Lopid), and
niacin (nicotinic acid, Niacor, Niaspan); and spironolactone (Aldactone).
Your doctor may need to change the doses of your medications or monitor
you carefully for side effects.
tell your doctor if you drink large
amounts of alcohol and if you have or have ever had liver or kidney
disease.
tell your doctor if you are pregnant,
plan to become pregnant, or are breast-feeding. If you become pregnant
while taking Lipitor, stop taking Lipitor and call your doctor
immediately. Lipitor may harm the fetus.
if you are having surgery, including
dental surgery, tell the doctor or dentist that you are taking Lipitor.
if you have a severe infection, surgery,
an injury, low blood pressure, or seizures while taking Lipitor, talk to
your doctor about stopping the medication for a while.
What special dietary
instructions should I follow?
Eat a low-cholesterol,
low-fat diet. This kind of diet includes cottage cheese, fat-free milk,
fish (not canned in oil), vegetables, poultry, egg whites, and
polyunsaturated oils and margarines (corn, safflower, canola, and soybean
oils). Avoid foods with excess fat in them such as meat (especially liver
and fatty meat), egg yolks, whole milk, cream, butter, shortening, lard,
pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato
chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil,
and fried foods.
What should I do if I
forget a dose?
Take the missed dose as
soon as you remember it. However, if it is almost time for the next dose,
skip the missed dose and continue your regular dosing schedule. Do not
take a double dose to make up for a missed one.
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