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Lovastatin extended-release tablets

Pronunciation

Generic Name: lovastatin (LOE-va-STAT-in)
Brand Name: Altoprev

Lovastatin extended-release tablets is used for:

Lowering high cholesterol and triglycerides in certain patients. It also increases high-density lipoprotein (HDL) ("good") cholesterol levels. It is used along with an appropriate diet. It is used in certain patients to reduce the risk of heart attack and chest pain caused by angina. It is also used to slow blood vessel blockage and to reduce the need for medical procedures to open blocked heart blood vessels. It may also be used for other conditions as determined by your doctor.

Lovastatin extended-release tablets is an HMG-CoA reductase inhibitor, also known as a "statin." It works by reducing the production of certain fatty substances in the body, including cholesterol.

Do NOT use lovastatin extended-release tablets if:

  • you are allergic to any ingredient in lovastatin extended-release tablets
  • you have liver problems or unexplained abnormal liver function tests
  • you are pregnant, may become pregnant, or are breast-feeding
  • you are taking boceprevir, clarithromycin, cobicistat, cyclosporine, erythromycin, gemfibrozil, HIV protease inhibitors (eg, ritonavir), itraconazole, ketoconazole, nefazodone, posaconazole, telaprevir, telithromycin, or voriconazole

Contact your doctor or health care provider right away if any of these apply to you.

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Before using lovastatin extended-release tablets:

Some medical conditions may interact with lovastatin extended-release tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are able to become pregnant
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have low blood pressure, kidney problems, diabetes, low thyroid function, muscle problems (eg, pain, weakness), metabolism problems, hormonal problems, or electrolyte problems
  • if you drink alcohol or have a history of seizures, liver problems, or alcohol abuse
  • if you have a certain type of high cholesterol (homozygous familial hypercholesterolemia)
  • if you are scheduled for major surgery, have recently had major surgery or a serious injury, or have a serious infection
  • if you have had an organ transplant and you are taking medicine to suppress a rejection reaction

Some MEDICINES MAY INTERACT with lovastatin extended-release tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Amiodarone; azole antifungals (eg, fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole); boceprevir; cobicistat; colchicine; cyclosporine; danazol; diltiazem; dronedarone; fibrates (eg, gemfibrozil, fenofibrate); HIV protease inhibitors (eg, ritonavir); macrolide antibiotics (eg, clarithromycin, erythromycin); nefazodone; niacin; ranolazine; telaprevir; telithromycin; or verapamil because they may increase the risk of lovastatin extended-release tablets's side effects, including serious muscle problems
  • Anticoagulants (eg, warfarin), cimetidine, or spironolactone because the risk of their side effects may be increased by lovastatin extended-release tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if lovastatin extended-release tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use lovastatin extended-release tablets:

Use lovastatin extended-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take lovastatin extended-release tablets by mouth with or without food.
  • Take lovastatin extended-release tablets at bedtime unless your doctor tells you otherwise.
  • Swallow lovastatin extended-release tablets whole. Do not break, crush, or chew before swallowing.
  • Eating grapefruit or drinking grapefruit juice may increase the amount of lovastatin extended-release tablets in your blood, which may increase your risk for serious side effects. The risk may be greater with large amounts of grapefruit or grapefruit juice. Avoid large amounts of grapefruit or grapefruit juice (eg, more than one quart daily). Talk with your doctor or pharmacist if you have questions about including grapefruit or grapefruit juice in your diet while you are taking lovastatin extended-release tablets.
  • Continue to take lovastatin extended-release tablets even if you feel well. Do not miss any doses.
  • If you miss a dose of lovastatin extended-release tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use lovastatin extended-release tablets.

Important safety information:

  • Lovastatin extended-release tablets may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use lovastatin extended-release tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Lovastatin extended-release tablets may cause liver problems. Rarely, severe and sometimes fatal liver problems have been reported in patients taking "statin" medicines, including lovastatin extended-release tablets. Your risk of developing liver problems may be greater if you drink alcohol daily or in large amounts with lovastatin extended-release tablets or if you have a history of liver problems. Check with your doctor before drinking alcohol while you are taking lovastatin extended-release tablets. Tell your doctor right away if you experience symptoms of liver problems (eg, dark urine; pale stools; severe or persistent nausea, loss of appetite, or stomach pain; unusual tiredness; yellowing of the skin or eyes).
  • Follow the diet and exercise program given to you by your health care provider.
  • Tell your doctor or dentist that you take lovastatin extended-release tablets before you receive any medical or dental care, emergency care, or surgery.
  • Women who may become pregnant should use effective birth control while taking lovastatin extended-release tablets. Check with your doctor if you have questions about using birth control.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Muscle problems (myopathy) may occur with lovastatin extended-release tablets. Report any unexplained muscle pain, tenderness, or weakness to your doctor right away, especially if you also have a fever or general body discomfort. Tell your doctor if you have muscle problems that persist even after your doctor has told you to stop taking lovastatin extended-release tablets.
  • Diabetes patients - Lovastatin extended-release tablets may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Lab tests, including blood cholesterol levels, liver function, and creatine phosphokinase (CPK) blood levels, may be performed while you use lovastatin extended-release tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use lovastatin extended-release tablets with caution in the ELDERLY; they may be more sensitive to its effects, especially serious muscle problems.
  • Lovastatin extended-release tablets should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Do not use lovastatin extended-release tablets if you are pregnant. It may cause harm to the fetus. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. It is not known if lovastatin extended-release tablets is found in breast milk. Do not breast-feed while you are taking lovastatin extended-release tablets.

Possible side effects of lovastatin extended-release tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; nausea; stomach pain or upset; trouble sleeping; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); burning, numbness, or tingling; chest pain; confusion; decreased urination; fever, chills, or persistent sore throat; memory problems; mental or mood changes (eg, depression); muscle pain, tenderness, or weakness (with or without fever or fatigue); red, swollen, blistered, or peeling skin; severe stomach or back pain (with or without nausea or vomiting); shortness of breath; symptoms of liver problems (eg, dark urine; pale stools; severe or persistent nausea, loss of appetite, or stomach pain; unusual tiredness; yellowing of the skin or eyes); tremor; unusual bruising or bleeding; unusual tiredness or weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of lovastatin extended-release tablets:

Store lovastatin extended-release tablets at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep lovastatin extended-release tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about lovastatin extended-release tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Lovastatin extended-release tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take lovastatin extended-release tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about lovastatin extended-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to lovastatin extended-release tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using lovastatin extended-release tablets.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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