Atasin 40 mg (Tablet)

Unit Price: ৳ 28.00 (3 x 10: ৳ 840.00)
Strip Price: ৳ 280.00

Medicine Details

Title

  • Atasin 40 mg Tablet

Categories

  • Medicine
  • Healthcare
  • Pharmaceutical

Description

  • Atasin is indicated as an adjunct to diet to reduce elevated total cholesterol, LDL cholesterol, apolipoprotein B (Apo-B) and triglycerides levels. It is a selective inhibitor of HMG-CoA reductase, lowering plasma cholesterol and lipoprotein levels. It is used to prevent heart attacks, treat conditions such as Mixed Dyslipidemia and Hypertriglyceridemia.

Dosage

  • Adults: Usually 10 mg once daily; if necessary, may be increased at intervals of at least 4 weeks to max. 80 mg once daily.

Administration

  • Take by mouth once daily, at the same time each day. Can be taken with or without food.

Primary Hypercholesterolaemia and Combined Hyperlipidaemia Dosage

  • Child (10-18 years): Initially 10 mg once daily, increased if necessary at intervals of at least 4 weeks to usual max. 20 mg once daily.

Familial Hypercholesterolaemia Dosage

  • Child (10-18 years): Initially 10 mg once daily, increased if necessary at intervals of at least 4 weeks to usual max. 80 mg once daily.

Prevention of Cardiovascular Events Dosage

  • Initially 10 mg once daily, adjusted according to response.

Another Guideline

  • The patient should be placed on a standard cholesterol-lowering diet before receiving Atorvastatin and should continue on this diet during treatment with Atorvastatin. The recommended starting dose of Atorvastatin is 10 or 20 mg once daily.

Side Effects

  • Constipation
  • Flatulence
  • Dyspepsia
  • Abdominal pain
  • Infection
  • Headache
  • Back pain
  • Rash
  • Asthenia
  • Arthralgia
  • Myalgia

Pregnancy

  • Contraindicated during pregnancy.

Lactation

  • Atorvastatin or its metabolites are contraindicated during breastfeeding.

Precautions

  • Liver function tests should be performed before the initiation of treatment and periodically thereafter.

Interaction

  • Risk of myopathy is increased with concurrent administration of cyclosporine, fibric acid derivatives, niacin (nicotinic acid), erythromycin, azole antifungals.

Contraindications

  • Hypersensitivity to any component of this medication
  • Active liver disease or unexplained persistent elevations of serum transaminases
  • History of serious adverse reaction to prior administration of HMG-CoA reductase inhibitors

Pharmacology

  • Selective inhibitor of HMG-CoA reductase
  • Absorption within 1 to 2 hours
  • Distribution with mean volume of approximately 381 liters
  • Metabolism by cytochrome P450 3A4
  • Excretion primarily in bile

Storage Conditions

  • Keep in a dry place away from light and heat. Keep out of the reach of children.

Chemical Structure

  • Molecular Formula: C33H35FN2O5
  • Chemical Structure image available

Common Questions

  • Atorvastatin 40 mg Tablet is a selective inhibitor of HMG-CoA reductase
  • How to take Atorvastatin 40 mg Tablet
  • Side effects of Atorvastatin 40 mg Tablet
  • Storage and disposal instructions for Atorvastatin 40 mg Tablet
  • Atorvastatin 40 mg Tablet causes a lowering cholesterol
  • Risk of diabetes with Atorvastatin 40 mg Tablet
  • Duration and safety of Atorvastatin 40 mg Tablet use
  • Weight loss and memory loss effects of Atorvastatin 40 mg Tablet
  • Safety in children and blood thinning effect of Atorvastatin 40 mg Tablet

Use in Special Populations

  • Higher plasma concentrations in healthy elderly subjects
  • No clinically significant difference in LDL-C reduction between genders
  • Renal disease has no influence on the plasma concentrations or LDL-C reduction
  • Hepatic insufficiency leads to markedly increased plasma concentrations

Overdose Effects

  • Specific treatment not available
  • Symptomatic treatment and supportive measures required
  • Monitor liver function tests and serum CK levels

Therapeutic Class

  • Other Anti-anginal & Anti-ischaemic drugs
  • Statins

Precautions & Warnings

  • Discontinue if markedly elevated CPK levels occur or myopathy is diagnosed or suspected

Mode of Action

  • Selective inhibitor of HMG-CoA reductase
  • Lowers plasma cholesterol and lipoprotein levels
  • Increases hepatic LDL receptors for enhanced uptake and catabolism of LDL

Absorption

  • Rapidly absorbed after oral administration
  • Maximum plasma concentrations occur within 1 to 2 hours

Distribution

  • Mean volume of distribution approximately 381 liters
  • 98% bound to plasma proteins
  • Likely to be secreted in human milk

Metabolism

  • Extensively metabolized to ortho- and parahydroxylated derivatives
  • Importance of metabolism by cytochrome P450 3A4
  • Ortho-hydroxy metabolite undergoes further glucuronidation

Excretion

  • Eliminated primarily in bile following hepatic and/or extra-hepatic metabolism
  • Mean plasma elimination half-life in humans approximately 14 hours

Interaction Details

  • Antacid coadministration decreases plasma concentrations of Atorvastatin
  • Increased LDL-C reduction with coadministration of Atorvastatin and colestipol
  • Steady-state plasma digoxin concentrations increased by approximately 20% with coadministration of atorvastatin and digoxin
  • Plasma concentrations of Atorvastatin increased approximately 40% with coadministration of Atorvastatin and erythromycin
  • Increased AUC values for norethindrone and ethinyl estradiol by approximately 30% and 20% with coadministration of Atorvastatin and an oral contraceptive
  • No clinically significant effect on prothrombin time

Pregnancy & Lactation

  • Contraindicated during pregnancy and breastfeeding
  • May reduce fetal levels of mevalonate
  • Plasma concentrations of Atorvastatin and its active metabolites similar to those in milk

Chemical Structure Details

  • Molecular Formula: C33H35FN2O5
  • Chemical Structure image available

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