Atorvastatin

Statin · Cardiovascular

Generic name: Atorvastatin calcium

Indications

  • Primary hypercholesterolaemia
  • Secondary prevention CVD
  • Familial hypercholesterolaemia

Dosing

Adult
10–80 mg ON (dose titrated to LDL target)
Paediatric
Not recommended < 10 years except FH

Routes

  • Oral

Contraindications

  • Active liver disease
  • Pregnancy
  • Unexplained persistent raised liver enzymes

Side effects

  • Myalgia
  • Rhabdomyolysis (rare)
  • Raised liver enzymes
  • Headache

Monitoring

  • LFTs at baseline and if symptomatic
  • CK if myalgia develops

Key interactions

  • Clarithromycin/itraconazole (myopathy risk)
  • Ciclosporin
  • Gemfibrozil

Reviewed by DocBuddy Clinical Team on . Written as a study aid for medical students. Always check a current local formulary before prescribing.

Practise the pharmacology

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