Pitavastatin Calcium

Generic Details

Generic Name

Pitavastatin-Calcium

Other Names

  • Livalo

Drug Class

  • HMG-CoA reductase inhibitor
  • Statins

Chemical Formula

C50H46CaF2N2O8

Molecular Weight

880.04 g/mol

Mechanism of Action

  • Inhibits HMG-CoA reductase enzyme to reduce cholesterol synthesis

Indications

  • Hyperlipidemia
  • Dyslipidemia
  • Hypercholesterolemia

Common Dosage Forms

  • Tablets

Typical Dosage

  • 2-4 mg once daily

Pediatric Dosage

  • Not established

Geriatric Dosage

  • Adjust dose cautiously in elderly patients

Side Effects

  • Muscle pain
  • Weakness
  • Rhabdomyolysis
  • Headache
  • Nausea

Contraindications

  • Active liver disease
  • Pregnancy
  • Breastfeeding

Pregnancy Category

  • Category X - contraindicated in pregnancy

Lactation Safety

  • Not recommended during breastfeeding

Drug Interactions

  • Cyclosporine
  • Gemfibrozil
  • Erythromycin

Overdose Symptoms

  • Muscle pain
  • Myopathy
  • Liver dysfunction

Antidote for Overdose

  • There is no specific antidote, treatment is supportive

Storage Conditions

  • Store at room temperature (20-25°C)
  • Protect from light and moisture

Pharmacokinetics

  • Absorption: Rapidly absorbed
  • Distribution: Highly bound to plasma proteins
  • Metabolism: Metabolized by CYP2C9 and CYP2C8 enzymes
  • Excretion: Primarily excreted in feces

Precautions

  • Monitor liver function tests before and during therapy
  • Consider dose reduction in hepatic impairment

Warnings

  • Risk of myopathy and rhabdomyolysis
  • Regular monitoring of liver function

Others

  • It may be taken with or without food