Nestor 5 mg (Tablet)
Unit Price: ৳ 10.03 (3 x 10: ৳ 300.90)
Strip Price: ৳ 100.30
Medicine Details
Category | Details |
---|---|
Generic | Rosuvastatin calcium |
Company | Navana pharmaceuticals ltd |
Also available as |
Indications
- Heterozygous Hypercholesterolemia (Familial and Non familial)
- Homozygous Hypercholesterolemia (Familial)
- Mixed Dyslipidemia (Fredrickson Type IIa and IIb)
- Primary prevention of cardiovascular disease
Pharmacology
- Selective and competitive inhibitor of HMG-CoA reductase
- Increases hepatic LDL receptors on the cell surface
- Inhibits hepatic synthesis of VLDL and LDL particles
Dosage
- Dose range: 5-40 mg once daily
- Starting dose 20 mg/day for HoFH
- Pediatric patients with HeFH: 5-10 mg/day for patients 8 to less than 10 years age
- Pediatric patients with HoFH: 20 mg/day for patients 7 to 17 years of age
Administration
- Can be taken with or without food, at any time of day
Interaction
- Cyclosporine: Combination increases Nestor exposure. Nestor dose should be limited to 5 mg once daily
- Gemfibrosil: Combination should be avoided. If used together, Nestor dose should be limited to 10 mg once daily
- Lopinavir/Ritonavir or atazanavir/ritonavir: Combination increases Nestor exposure. Nestor dose should be to 10 mg once daily
- Coumarin anticoagulants: Combination prolongs international normalized ratio (INR). Stable INR should be achieved prior to starting Nestor. INR should be monitored frequently until stable upon initiation or alteration of Nestor therapy
- Concomitant lipid-lowering therapies: Use with fibrates and niacin products may increase the risk of skeletal muscle effects
Contraindications
- Known hypersensitivity to product components
- Liver disease, including unexplained persistent elevations in hepatic transaminase levels
- Pregnant and nursing women
Side Effects
- Headache
- Myalgia
- Constipation
- Asthenia
- Abdominal pain
- Nausea
Pregnancy & Lactation
- Safety in pregnant women not established
- Excretion in human milk not established
Precautions & Warnings
- Skeletal muscle effects risks increase with 40 mg dose, advanced age (>65 years), hypothyroidism, renal impairment, and combination use with certain drugs
- Prompt reporting of unexplained muscle pain, tenderness or weakness
- Monitoring of liver enzyme abnormalities
Use in Special Populations
- Safety and effectiveness in pediatric patients not established
Therapeutic Class
- Other Anti-anginal & Anti-ischaemic drugs
- Statins
Storage Conditions
- Keep below 30°C temperature, protected from light & moisture
- Keep out of the reach of children
Chemical Structure
- Molecular Formula : C22H28FN3O6S
Common Questions about Nestor 5 mg Tablet
- Useful against conditions like Hyperlipidemia, Hypertriglyceridemia, Type 3 Hyperlipoproteinemia, and Stroke
- Duration of usage should follow doctor's instructions
- Does not cause weight gain but may lead to tiredness and fatigue
- Should not be taken with alcohol
- Can cause muscle problems or muscle injury
Quick Tips
- Treats high cholesterol by lowering 'bad' cholesterol (LDL) and triglycerides
- Safe to take with food if experiencing diarrhea, gas, or upset stomach
- Inform doctor if experiencing fatigue, muscle weakness, or pain
- Check liver function before and during treatment and monitor signs of liver problems
- Inform doctor if having kidney disease, liver disease, or diabetes before starting treatment
- Avoid if pregnant, planning pregnancy, or breastfeeding