Atorvastatin 1A Farma - Atorvastatin uses, dose and side effects

Atorvastatin 1A Farma is used to treat high blood fats, so-called cholesterol and triglycerides , when the effects of altered lifestyle and diet are insufficient. If you have an increased risk of heart disease, Atorvastatin 1A Farma can also be used to reduce this risk, even if your cholesterol levels are normal.

During treatment with Atorvastatin 1A Farma, you should continue with a low cholesterol diet.

Atorvastatin contained in Atorvastatin 1A Farma may also be approved for the treatment of other conditions not mentioned in this product information. Ask your doctor, pharmacist or other healthcare professional if you have any further questions and always follow their instructions.

What you need to know before you use Atorvastatin 1A Farma

Do not use Atorvastatin 1A Farma

if you are allergic to atorvastatin or any of the other ingredients of this medicine (listed in section 6).
if you are using a combination of glacaprevir and pibrentasvir to treat hepatitis C.
if you have or have had diseases that affect the liver
if you have had unexplained abnormal liver function values
if you are a woman of childbearing potential and do not use contraception
if you are pregnant or trying to become pregnant
if you are breast-feeding

Warnings and cautions

Talk to your doctor, pharmacist or nurse before taking Atorvastatin 1A Farma: if you have severe breathing problems
if you are taking or during the last 7 days have taken a medicine called fusidic acid (a drug against bacterial infection) by mouth or injection . The combination of fusidic acid and Atorvastatin 1A Farma can lead to severe muscle problems ( rhabdomyolysis )
if you have had a previous stroke with bleeding in the brain, or have small pockets of fluid in the brain from a previous stroke
if you have kidney problems
if you have hypothyroidism (hypothyroidism)
if you have had repeated or unexplained muscle pain or muscle problems in person or in the family
if you have previously had muscle problems during treatment with other lipid-lowering drugs (eg other statins or fibrates)
if you regularly drink large amounts of alcohol
if you have or have had any liver disease
if you are over 70 years old.

If any of these apply to you, your doctor will need to take blood samples before and probably during treatment with Atorvastatin 1A Farma to assess the risk of muscle-related side effects . It is known that the risk of muscle-related side effects , such as rhabdomyolysis , increases when certain medicines are taken together (see section 2 “Other medicines and Atorvastatin 1A Farma”).

Tell your doctor or pharmacist if you have persistent muscle weakness. Additional tests and medications may be needed to investigate and treat this. During treatment with this medicine, your doctor will closely monitor you if you have diabetes or are at risk of developing diabetes . You are more likely to get diabetes if you have high blood sugar and high blood fat levels, are overweight and have high blood pressure .

Other medicines and Atorvastatin 1A Farma

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Some medicines may affect the effect of Atorvastatin 1A Farma, or their effect may be affected by Atorvastatin 1A Farma. This type of interaction may make one or both drugs less effective. Alternatively, interaction may increase the risk or severity of side effects , including the severe condition of muscle breakdown, rhabdomyolysis , as described in section 4:

Drugs that affect the immune system, such as cyclosporine
Certain antibiotics or antifungal agents, such as erythromycin, clarithromycin, telithromycin, ketoconazole , itraconazole, voriconazole, fluconazole , posaconazole, rifampicin and fusidic acid
Other lipid-lowering drugs, such as gemfibrozil, other fibrates and colestipol
Some calcium channel blockers for angina or high blood pressure , such as amlodipine, diltiazem and medicines to regulate heart rhythm such as digoxin , verapamil, amiodarone
Drugs used in the treatment of HIV , eg ritonavir, lopinavir, atazanavir, indinavir, darunavir, tipranavir / ritonavir, etc.
Some medicines used to treat hepatitis C, such as telaprevir, boceprevir and a combination of elbasvir and grazoprevir.
Other medicines that affect or are affected by Atorvastatin 1A Farma include ezetimibe (which lowers cholesterol ), warfarin (blood thinners), birth control pills, stiripentol (antispasmodic for epilepsy ), cimetidine (used for heartburn and stomach ulcers ), phenazone (painkillers), colic (used for gout ) and antacids (medicines for digestive problems that contain aluminum or magnesium )
Over-the-counter medicines: St. John’s wort

If you need to take fusidic acid by mouth to treat a bacterial infection, you will need to pause this medicine. Your doctor will tell you when it is safe to start taking Atorvastatin 1A Farma again. Concomitant intake of Atorvastatin 1A Farma and fusidic acid may in rare cases lead to muscle weakness, tenderness or pain ( rhabdomyolysis ). For more information on rhabdomyolysis, see section 4.

Atorvastatin 1A Farm with food and drink

See section 3 for instructions on how to use Atorvastatin 1A Farma. Note the following:

Grapefruit juice

Do not take more than one or two small glasses of grapefruit juice per day, as large amounts of grapefruit juice may affect the effect of Atorvastatin 1A Pharma.

Alcohol

Avoid drinking too much alcohol while taking this medicine. See section 2 “Warnings and Precautions” for more information.

Pregnancy and breastfeeding

Do not use Atorvastatin 1A Farma during pregnancy or if you are trying to conceive.

Do not use Atorvastatin 1A Farma if you are of childbearing potential and do not use a reliable contraceptive.

Do not use Atorvastatin 1A Farma if you are breast-feeding.

The safety of Atorvastatin 1A Farma during pregnancy and lactation has not yet been established. Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

Normally, this medicine does not affect your ability to drive or use machines. However, you should not drive if you notice that your ability is affected. Do not use any tools or machines if your ability to use them is affected by this medicine.

You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and / or side effects . Descriptions of these effects and side effects can be found in other sections. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.

Atorvastatin 1A Farma contains lactose

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before using this medicine.

How to use Atorvastatin 1A Farma

Before starting treatment, your doctor will put you on a low-cholesterol diet, which you will then continue with during treatment with Atorvastatin 1A Farma.

The usual starting dose of Atorvastatin 1A Farma is 10 mg daily for adults and children 10 years and older. Dose one can be increased gradually as needed by your doctor until you reach the dose you need. Dose one will be adjusted by the doctor at intervals of 4 weeks or more. The maximum dose of Atorvastatin 1A Farma is 80 mg once daily.

Atorvastatin 1A Farma tablets should be swallowed whole with water and can be taken at any time of the day with or without food. However, try to take the tablet at the same time each day.

Always use this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.

The treatment time is determined by your doctor.

Talk to your doctor if you think the effect of Atorvastatin 1A Farma is too strong or too weak.

If you forget to take Atorvastatin 1A Farma

If you forget to take a dose , just take the next dose at the correct time. Do not take a double dose to make up for a forgotten tablet.

If you stop using Atorvastatin 1A Farma

If you have any further questions on the use of this product or want to stop your treatment, contact your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience any of the following serious side effects or symptoms, stop taking the tablets and contact a doctor immediately or see the emergency department at the nearest hospital:

Rare (may affect up to 1 in 1,000 people):

Severe allergic reaction that causes swelling of the face, tongue and throat, which can lead to great difficulty breathing.
Severe condition with severe scaling and swelling of the skin, blisters on the skin, mouth, eyes and genitals and fever. Skin rash with pink-red spots, especially on palms or soles of the feet, which may rupture.
Muscle weakness, soreness, pain, rupture or reddish-brown discoloration of urine, especially if you also feel unwell or have a high fever. This may be due to an abnormal muscle breakdown ( rhabdomyolysis ). This abnormal muscle breakdown does not always go away even if you stop taking atorvastatin and can be life-threatening and lead to kidney problems.

Very rare (may affect up to 1 in 10,000 people):

If you have problems with unexpected or unusual bleeding or bruising, this may be due to a liver effect. You should then contact your doctor as soon as possible.
Lupus-like syndrome (including skin rash, joint problems and effects on blood cells ).

Other possible side effects with Atorvastatin 1A Farma:

Common (may affect more than 1 user in 10):

inflammation of the nasal mucosa, pain in the throat, nosebleeds
allergic reactions
increase in blood sugar levels (if you have diabetes you should carefully monitor your blood sugar levels), increased creatine kinase in the blood
– headache
nausea, constipation, gas, indigestion, diarrhea
joint pain, muscle aches, and back pain
blood test results that show that your liver function may be abnormal

Uncommon (may affect up to 1 in 100 people):

anorexia (loss of appetite), weight gain, decrease in blood sugar levels (if you have diabetes , you should carefully monitor your blood sugar levels)
nightmares, insomnia
dizziness, numbness or tingling in fingers and toes, decreased sensation of pain or touch, changes in taste experience, memory loss
– dimsyn
ringing in the ears and / or head
vomiting, belching, pain in the upper and lower abdomen, pancreatitis ( inflammation of the pancreas leading to abdominal pain)
hepatitis (inflammation of the liver)
rash, rash and itching , hives, hair loss
neck pain, muscle fatigue
fatigue, malaise, weakness, chest pain, swelling especially in the ankles ( edema ), elevated temperature
white blood cells in the urine

Rare (may affect up to 1 in 1,000 people):

visual disturbances
unexpected bleeding or bruising
bile stasis (yellowing of the skin and whites of the eyes)
senskada

Very rare (may affect up to 1 in 10,000 people):

an allergic reaction – symptoms may include sudden wheezing and chest pain or shortness of breath, swelling of the eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse
hearing loss
gynecomastia (breast augmentation in men).

Has been reported (occurs in an unknown number of users):

muscle weakness that is persistent.

Possible side effects reported for certain statins (medicines of the same type):

sexual difficulties
Depression
difficulty breathing including persistent cough and / or shortness of breath or fever
diabetes . This is more likely if you have high blood sugar and high blood fats, are overweight and have high blood pressure . Your doctor will check you while you are taking this medicine.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Medical Products Agency, www.lakemedelsverket.se. By reporting side effects, you can help increase drug safety information.

5. How to store Atorvastatin 1A Farma

Keep out of sight and reach of children.

Do not store above 25 ° C.

Do not use this medicine after the expiry date which is stated on the label and outer carton after EXP. The expiration date is the last day of the specified month.

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. Contents of the packaging and other information

Content declaration

The active substance is atorvastatin.

Each film-coated tablet contains 10 mg of atorvastatin (as atorvastatin calcium trihydrate).

Each film-coated tablet contains 20 mg of atorvastatin (as atorvastatin calcium trihydrate).

Each film-coated tablet contains 40 mg of atorvastatin (as atorvastatin calcium trihydrate).

Each film-coated tablet contains 80 mg of atorvastatin (as atorvastatin calcium trihydrate).

Other ingredients are:

lactose monohydrate , microcrystalline cellulose E460, calcium carbonate E170, copovidone, crospovidone, croscarmellose sodium, sodium lauryl sulphate, anhydrous colloidal silica, talc and magnesium stearate E470b.

The film coating contains: hypromellose E464, titanium dioxide E171 and macrogol 400.

What the medicine looks like and contents of the pack

10 mg: Atorvastatin 1A Farma film-coated tablets are white, round, biconvex tablets with a score line on one side. Each tablet is approximately 7.0 mm in diameter.

20 mg: Atorvastatin 1A Farma film-coated tablets are white, round, biconvex tablets with a score line on one side. Each tablet is approximately 9.0 mm in diameter.

40 mg: Atorvastatin 1A Farma film-coated tablets are white, round, biconvex tablets with a score line on one side. Each tablet is approximately 11.0 mm in diameter.

80 mg: Atorvastatin 1A Farma film-coated tablets are white, oval, biconvex tablets with a score line on one side. Each tablet is approximately 20.0 mm

Atorvastatin 1A Farma film-coated tablets are available in packs of 4, 7, 10,14, 20, 28, 30, 50, 56, 84, 90, 98 and 100 film-coated tablets.

Not all pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing Authorisation Holder:

1A Farma A / S

Edvard Thomsens Vej 14

2300 Copenhagen S

Denmark

Manufacturer:

Sandoz A / S