Atorvastatin 20mg Film Coated Tablets
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ATORVASTATIN 10 mg film-coated tablets
ATORVASTATIN 20 mg film-coated tablets
ATORVASTATIN 40 mg film-coated tablets
ATORVASTATIN 80 mg film-coated tablets
Read all of this leaflet carefully before
you start taking this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
- If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
1. What Atorvastatin Tablets are and what they are used for
2. Before you take Atorvastatin Tablets
3. How to take Atorvastatin Tablets
4. Possible side effects
5. How to store Atorvastatin Tablets
6. Further information
1. WHAT ATORVASTATIN TABLETS ARE AND WHAT THEY ARE USED FOR
Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) regulating medicines.
Atorvastatin is used to lower lipids known as cholesterol and triglycerides in the blood when a low fat diet and life style changes on their own have failed. If you are at an increased risk of heart disease, Atorvastatin can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol lowering diet during treatment.
2. BEFORE YOU TAKE ATORVASTATIN TABLETS
Do not take Atorvastatin Tablets
• if you are hypersensitive (allergic) to atorvastatin or to any similar medicines used to lower blood lipids or to any of the other ingredients of the medicine - see Section 6 for details.
• if you have or have ever had a disease which affects the liver
• if you have had any unexplained abnormal blood tests for liver function
• if you are a woman able to have children and not using reliable contraception
• if you are pregnant or trying to become pregnant
• if you are breast-feeding.
Take special care with Atorvastatin Tablets
The following are reasons why Atorvastatin Tablets may not be suitable for you:
• if you have had a previous stroke with bleeding into the brain, or have small pockets of fluid in the brain from previous strokes
• if you have kidney problems
• if you have an under-active thyroid gland (hypothyroidism)
• if you have had repeated or unexplained muscle aches or pains, a personal history or family history of muscle problems
• if you have had previous muscular problems during treatment with other lipid-lowering medicines (e.g. other ‘-statin’ or ‘-fibrate’ medicines)
• if you regularly drink a large amount of alcohol
• if you have a history of liver disease
• if you are older than 70 years.
Check with your doctor or pharmacist before taking Atorvastatin Tablets
• if you have severe respiratory failure.
Muscle weakness
• Also tell your doctor or pharmacist if you have a muscle weakness that is constant.
Additional tests and medicines may be needed to diagnose and treat this.
If any of these apply to you, your doctor will need to carry out a blood test before and possibly during your atorvastatin treatment to predict your risk of muscle related side effects. The risk of muscle related side effects e.g rhabdomyolysis is known to increase when certain medicines are taken at the same time (see Section 2 “Taking other medicines”).
While you are on this medicine your doctor will monitor you closely if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure.
Taking other medicines
There are some medicines that may change the effect of atorvastatin or their effect may be changed by atorvastatin. This type of interaction could make one or both of the medicines less effective. Alternatively it could increase the risk or severity of side-effects, including the important muscle
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wasting condition known as m
rhabdomyolysis described in Section 4:
• Medicines used to alter the way your immune system works, e.g. ciclosporin mm
• Certain antibiotics or antifungal medicines,
e.g. erythromycin, clarithromycin, m
telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic acid
• Other medicines to regulate lipid levels, e.g. gemfibrozil, other fibrates, colestipol
• Some calcium channel blockers used for angina or high blood pressure, e.g. amlodipine, diltiazem,; medicines to regulate your heart rhythm e.g. digoxin, verapamil, amiodarone
• Medicines used in the treatment of HIV e.g. ritonavir, lopinavir, atazanavir, indinavir, darunavir, etc.
• Other medicines known to interact with atorvastatin include ezetimibe (which lowers cholesterol), warfarin (which reduces blood clotting), oral contraceptives, stiripentol (an anti-convulsant for epilepsy), cimetidine (used for heartburn and peptic ulcers), phenazone (a painkiller) and antacids (indigestion products containing aluminium or magnesium)
• Medicines obtained without a prescription:
St John’s Wort
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Taking Atorvastatin Tablets with food and drink
See Section 3 for instructions on how to take Atorvastatin Tablets. Please note the following:
Grapefruit juice
Do not take more than one or two small glasses of grapefruit juice per day because large quantities of grapefruit juice can change the effects of atorvastatin.
Alcohol
Avoid drinking too much alcohol while taking this medicine. See Section 2 “Take special care with Atorvastatin Tablets” for details
Pregnancy and breast-feeding
Do not take Atorvastatin Tablets if you are pregnant, or if you are trying to become pregnant.
Do not take Atorvastatin Tablets if you are able to become pregnant unless you use reliable contraceptive measures.
Do not take Atorvastatin Tablets if you are breast-feeding.
The safety of Atorvastatin Tablets during pregnancy and breast-feeding has not yet been proven. 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 operate machines.
However, do not drive if this medicine affects your ability to drive. Do not use any tools or machines if your ability to use them is affected by this medicine.
3. HOW TO TAKE ATORVASTATIN TABLETS
Before starting treatment, your doctor will place you on a low-cholesterol diet, which you should maintain also during therapy with atorvastatin.
The usual starting dose of Atorvastatin Tablets is 10 mg once a day in adults and children aged 10 years or older. This may be increased if necessary by your doctor until you are taking the amount you need. Your doctor will adapt the dose at intervals of 4 weeks or more. The maximum dose of Atorvastatin Tablets is 80 mg once daily for adults and 20 mg once daily for children.
Atorvastatin Tablets should be swallowed whole with a drink of water, and can be taken at any time of day, with or without food. However, try to take your tablet at the same time every day.
Always take Atorvastatin Tablets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The duration of treatment with Atorvastatin Tablets is determined by your doctor.
Please ask your doctor if you think that the effect of Atorvastatin Tablets is too strong or too weak.
If you take more Atorvastatin Tablets than you should
If you accidently take too many Atorvastatin Tablets (more than your usual daily dose), contact your doctor or nearest hospital for advice.
If you forget to take Atorvastatin Tablets
If you forget to take a dose, just take your next scheduled dose at the correct time.
Do not take a double dose to make up for a forgotten dose.
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If you stop taking Atorvastatin Tablets
If you have any further questions on the use of this medicine or wish to stop your treatment, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Atorvastatin Tablets can cause side effects, although not everybody gets them.
If you experience any of the following serious side effects, stop taking your tablets and tell your doctor immediately or go to the nearest hospital accident and emergency department.
Rare: affects 1 to 10 users in 10,000:
• Serious allergic reaction which causes swelling of the face, tongue and throat that can cause great difficulty in breathing.
• Serious illness with severe peeling and swelling of the skin, blistering of the skin, mouth, eyes genitals and fever. Skin rash with pink-red blotches especially on palms of hands or soles of feet which may blister.
• Muscle weakness, tenderness or pain and particularly, if at the same time, you feel unwell or have a high temperature it may be caused by an abnormal muscle breakdown which can be life-threatening and lead to kidney problems.
Very rare: affect less than 1 user in 10,000:
• If you experience problems with unexpected or unusual bleeding or bruising, this may be suggestive of a liver complaint. You should consult your doctor as soon as possible.
Other possible side effects with Atorvastatin Tablets:
Common side effects (affects 1 to 10 users in 100) include:
• inflammation of the nasal passages, pain in the throat, nose bleed
• allergic reactions
• increases in blood sugar levels (if you have diabetes continue careful monitoring of your blood sugar levels), increase in blood creatine kinase
• headache
• nausea, constipation, wind, indigestion, diarrhoea
• joint pain, muscle pain and back pain
• blood test results that show your liver function can become abnormal
Uncommon side effects (affects 1 to 10 users in 1000) include:
• anorexia (loss of appetite), weight gain, decreases in blood sugar levels (if you have diabetes you should continue careful monitoring of your blood sugar levels)
• having nightmares, insomnia
• dizziness, numbness or tingling in the fingers and toes, reductions of sensation to pain or touch, change in sense of taste, loss of memory
• blurred vision
• ringing in the ears and/or head
• vomiting, belching, abdominal pain upper and lower, pancreatitis (inflammation of the pancreas leading to stomach pain)
• hepatitis (liver inflammation)
• rash, skin rash and itching, hives, hair loss
• neck pain, muscle fatigue
• fatigue, feeling unwell, weakness, chest pain, swelling especially in the ankles (oedema), raised temperature
• urine tests that are positive for white blood cells
Rare side effects (affects 1 to 10 users in 10,000) include:
• visual disturbance
• unexpected bleeding or bruising
• cholestasis (yellowing of the skin and whites of the eyes)
• tendon injury
Very rare side effects (affects less than 1 user in 10,000) include:
• an allergic reaction - symptoms may include sudden wheezing and chest pain or tightness, swelling of the eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse
• hearing loss
• gynecomastia (breast enlargement in men and women).
Side effects of unknown frequency:
• Muscle weakness that is constant
Possible side effects reported with some statins (medicines of the same type):
• Sexual difficulties
• Depression
• Breathing problems including persistent cough and/or shortness of breath or fever
• Diabetes. This is more likely if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure. Your doctor will monitor 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 via the national reporting systems listed below:
United Kingdom:
Yellow Card Scheme
Website: www.mhra.gov.uk/yellowcard
Ireland:
HPRA Pharmacovigilance,
Earlsfort Terrace, IRL - Dublin 2;
Tel: +353 1 6764971;
Fax: +353 1 6762517;
Website: www.hpra.ie; e-mail: medsafety@hpra.ie
By reporting side effects you can help provide more information on the safety of this medicine.
5. HOW TO STORE ATORVASTATIN TABLETS
Keep out of the reach and sight of children. This medicine does not require any special storage conditions.
Do not use Atorvastatin Tablets after the expiry date which is stated on the blister and outer packaging after {EXP}. The expiry date refers to the last day of that 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. FURTHER INFORMATION
What Atorvastatin Film-Coated Tablets contain
- The active substance is atorvastatin.
Each 10mg tablet contains 10 mg atorvastatin (as atorvastatin calcium trihydrate).
Each 20mg tablet contains 20 mg atorvastatin (as atorvastatin calcium trihydrate).
Each 40 mg tablet contains 40mg atorvastatin (as atorvastatin calcium trihydrate).
Each 80mg tablet contains 80 mg atorvastatin (as atorvastatin calcium trihydrate).
- The other ingredients of Atorvastatin Film-Coated Tablets are:
Sodium lauryl sulphate, colloidal anhydrous silica, anhydrous sodium carbonate, mannitol, butylhydroxyanisole, microcrystalline cellulose, croscarmellose sodium and magnesium stearate.
The coating of Atorvastatin Tablets contains hypromellose, microcrystalline cellulose and stearic acid.
What Atorvastatin Tablets look like and contents of the pack Atorvastatin Film-Coated Tablets are white coloured, oval shaped, biconvex tablets. They are marked with 10, 20, 40 or 80 on one side and the other side is plain.
Each strength of Atorvastatin Tablets is supplied in blister packs of 28 tablets.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
Wockhardt UK Ltd,
Ash Road North, Wrexham, LL13 9UF, UK
Manufacturer
CP Pharmaceuticals Ltd,
Ash Road North, Wrexham, LL13 9UF, UK
Other formats:
To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:
0800 198 5000 (UK only).
Please be ready to give the following information:
|
Product name |
Reference number |
|
Atorvastatin 10 mg Film-Coated Tablets |
PL 29831/0467 |
|
Atorvastatin 20 mg Film-Coated Tablets |
PL 29831/0468 |
|
Atorvastatin 40 mg Film-Coated Tablets |
PL 29831/0469 |
|
Atorvastatin 80 mg Film-Coated Tablets |
PL 29831/0470 |
This is a service provided by the Royal National Institute of Blind People.
For the Republic of Ireland please call UK+44 1978 669272.
Leaflet Revised: April 2015.
These medicinal products are authorised in the Member States of the EEA under the following names:
UK and Ireland: Atorvastatin 10 mg Film-Coated Tablets, Atorvastatin 20 mg Film-Coated Tablets, Atorvastatin 40 mg Film-Coated Tablets and Atorvastatin 80 mg Film-Coated Tablets.
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