Atorbir
Atorbir is a statin used to lower blood fat levels (cholesterol and triglycerides) and reduce the risk of heart disease.
Form
tabletti, kalvopäällysteinen
Strength
40 mg
Active Ingredient
Atorvastatin calcium trihydrate
Manufacturer
Sandoz A/S
How to Use
Dosage
The usual starting dose is 10 mg once daily for adults and children aged 10 and older, which your doctor may increase if needed.
Method
Swallow the tablets whole or in parts with a glass of water, any time of day, with or without food, but try to take them at the same time each day.
Important
The maximum daily dose of Atorbir is 80 mg once daily.
Possible Side Effects
COMMON
- •Nose and throat inflammation, sore throat, nosebleed
- •Allergic reactions
- •Increased blood sugar levels, increased blood creatinine kinase levels
- •Headache
- •Nausea, constipation, flatulence, indigestion, diarrhea
- •Joint pain, joint swelling, muscle pain, muscle spasms, and back pain
- •Abnormal liver function blood test results
RARE
- •Severe allergic reaction causing swelling of the face, tongue, and throat, which may lead to severe breathing difficulties.
- •Severe skin condition with severe skin peeling and swelling; blisters on the skin, mouth, eyes, and genitals, along with fever.
- •Muscle weakness, tenderness, pain or rupture, or reddish-brown urine, especially if you feel unwell or have a high fever (rhabdomyolysis), which can be life-threatening and lead to kidney problems.
- •Unexpected or unusual bleeding or bruising, fatigue, loss of appetite, stomach pain, nausea, yellowing of the skin or eyes (jaundice), which may indicate a liver problem.
- •Lupus-like symptoms, including rash, joint pain, and changes in blood values.
- •Loss of appetite, weight gain, decreased blood sugar levels.
- •Nightmares, insomnia.
- •Dizziness, numbness or tingling in fingers and toes, reduced pain or touch sensation, altered taste, memory loss.
- •Blurred vision.
- •Ringing in the ears and/or head.
- •Vomiting, belching, upper and lower abdominal pain, pancreatitis (inflammation of the pancreas causing stomach pain).
- •Liver inflammation (hepatitis).
- •Rash, itching, hives, hair loss.
- •Neck pain, muscle fatigue.
- •Fatigue, malaise, weakness, chest pain, swelling, especially in the ankles, fever.
- •White blood cells in urine.
- •Visual disturbances.
- •Bile duct obstruction (yellowing of the skin and whites of the eyes).
- •Tendon injury.
- •Possibly skin rash or mouth sores (lichenoid drug reaction).
- •Purplish skin lesions (signs of blood vessel inflammation or vasculitis).
- •Allergic reaction with symptoms like sudden wheezing, chest pain or tightness, swelling of eyelids, face, lips, mouth, tongue or throat, breathing difficulties, fainting.
- •Hearing loss.
- •Gynecomastia (enlargement of male breasts).
- •Persistent muscle weakness.
- •Myasthenia gravis (a disease causing general muscle weakness, sometimes affecting breathing muscles).
- •Ocular myasthenia (a disease causing weakness of the eye muscles).
- •Sexual difficulties.
- •Depression.
- •Breathing problems, including persistent cough and/or shortness of breath or fever.
- •Diabetes (more likely if you have high blood sugar, high blood fats, are overweight, and have high blood pressure).
Important Warnings
- Do not use if you are allergic to atorvastatin or any other ingredient in this medicine.
- Do not use if you have or have had liver disease or abnormal liver test results.
- Do not use if you are pregnant, trying to get pregnant, breastfeeding, or if you can become pregnant and are not using reliable contraception.
- Do not use if you are taking a combination of glecaprevir/pibrentasvir for hepatitis C.
- Talk to your doctor if you have severe lung disease.
Show 12 more warnings
- If you have taken fusidic acid (a medicine for bacterial infection) in the last 7 days or need to take it, you must temporarily stop taking Atorbir.
- Talk to your doctor if you have had a stroke with bleeding or fluid pockets in the brain.
- Talk to your doctor if you have kidney problems.
- Talk to your doctor if you have an underactive thyroid (hypothyroidism).
- Talk to your doctor if you or a family member have had repeated or unexplained muscle aches or pains.
- Talk to your doctor if you have had muscle problems with other cholesterol-lowering medicines.
- Talk to your doctor if you have myasthenia (general muscle weakness or eye muscle weakness), as statins can sometimes worsen the condition.
- Talk to your doctor if you regularly drink large amounts of alcohol.
- Talk to your doctor if you are over 70 years old.
- Do not drink more than 1-2 small glasses of grapefruit juice per day, as large amounts can change the effect of the medicine.
- Avoid heavy alcohol consumption while taking this medicine.
- If you have a sugar intolerance (e.g., lactose), talk to your doctor before taking this medicine.
Use in Elderly Patients
Category A
Suitable for older adults. Possible adverse effects include muscle pain and muscular weakness. Consider potential interactions. Avoid grapefruit. (updated 17.4.2023)