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What is Simvastatin 20mg?
- Simvastatin 20mg is an HMG CoA reductase inhibitor. Simvastatin 20mg blocks the production of cholesterol (a type of fat) in the body.
- Simvastatin 20mg is used to reduce the total amounts of cholesterol, LDL (bad) cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. Simvastatin 20mg (Zocor) is also used to increase the level of HDL (good) cholesterol in your blood. These actions may reduce the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.
- Simvastatin 20mg may also be used for purposes other than those listed in this medication guide.
What should I discuss with my doctor before taking Simvastatin 20mg?
- Do not take Simvastatin 20mg without first talking to your doctor if you have liver disease.
- Before taking Simvastatin 20mg, tell your doctor if you
- have kidney disease,
- drink alcoholic beverages,
- have a chronic muscular disease, or
- have a blood disorder.
- You may not be able to take Simvastatin 20mg, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
- Simvastatin 20mg is in the FDA pregnancy category X. This means that Simvastatin 20mg is known to cause birth defects if it is taken during pregnancy. Do not take Simvastatin 20mg if you are pregnant or could become pregnant during treatment.
- It is not known whether Simvastatin 20mg passes into breast milk. Do not take Simvastatin 20mg without first talking to your doctor if you are breast-feeding a baby.
How should I take Simvastatin 20mg?
- Take Simvastatin 20mg exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
- Take each dose with a full glass of water.
- For the greatest effect, Simvastatin 20mg is usually taken at bedtime or with an evening meal. Follow your doctor's instructions.
- Your doctor may want to monitor your liver function with blood tests before starting treatment with Simvastatin 20mg and every six months after both the start of your treatment and any increase in dose. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
- Grapefruit and grapefruit juice may interact with Simvastatin 20mg. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
- Eat a low-fat, low-cholesterol diet. To realize beneficial effects from Simvastatin 20mg, avoid fatty, high-cholesterol foods.
- It is important to take Simvastatin 20mg regularly to get the most benefit.
- Do not stop taking Simvastatin 20mg without first talking to your doctor. Simvastatin 20mg may need to be taken on a long-term basis for the treatment of high cholesterol.
- Your doctor may want you to have blood tests or other medical evaluations during treatment with Simvastatin 20mg to monitor progress and side effects.
- Store Simvastatin 20mg at room temperature away from moisture and heat.
What happens if I miss a dose?
- Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
- Seek emergency medical attention if an overdose is suspected.
- Symptoms of a Simvastatin 20mg overdose include nausea, diarrhea, stomach distress, and indigestion.
What should I avoid while taking Simvastatin 20mg?
- Grapefruit and grapefruit juice may interact with Simvastatin 20mg. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
- Alcohol and Simvastatin 20mg can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
What are the possible side effects of Simvastatin 20mg?
- Rare cases of muscle problems and liver problems have been associated with the use of Simvastatin 20mg and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
- If you experience any of the following serious side effects, stop taking Simvastatin 20mg and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- decreased urine or rust-colored urine; or
- blurred vision.
- Other, less serious side effects may be more likely to occur. Continue to take Simvastatin 20mg and talk to your doctor if you experience
- gas, bloating, nausea, stomach upset, heartburn, abdominal pain, constipation, or diarrhea;
- cough;
- headache; or
- insomnia.
- Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Do not take Simvastatin 20mg with any of the following:
- amprenavir
- atazanavir
- clarithromycin
- delavirdine
- erythromycin
- grapefruit juice
- indinavir
- itraconazole
- ketoconazole
- lopinavir; ritonavir
- mibefradil
- nefazodone
- nelfinavir
- ritonavir
- saquinavir
- went yeast
Simvastatin 20mg may also interact with the following medications:
- alcohol
- amiodarone
- barbiturates (examples: phenobarbital, butalbital, primidone)
- bosentan
- carbamazepine
- cyclosporine
- danazol
- digoxin
- diltiazem
- efavirenz
- fluconazole
- medicines to lower cholesterol or triglycerides (examples: fenofibrate, gemfibrozil, niacin)
- medicine used to stop early pregnancy (mifepristone, RU-486)
- nicardipine
- oxcarbazepine
- phenytoin
- rifampin, rifabutin, or rifapentine
- St. John's Wort
- telithromycin
- troleandomycin
- verapamil
- voriconazole
- warfarin
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What is the shelf life of the pills?
- The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
