(2) Even if properly counseled to take statins with a shorter half-life at bedtime, some patients do not comply which may result in decreased efficacy. This includes people with pre-existing coronary heart disease, diabetes, peripheral vessel disease, a previous history of stroke and stroke-like events or heart attack, or with multiple risk factors (such as older age, smoking, high blood pressure, low HDL-C, family history of heart disease). Kidney Int. Maximal blood pressure values were significantly (P = 0.01) decreased by both treatment regimens, whereas nightly minimum values remained unchanged. HHS Take atorvastatin exactly as directed by your doctor. Results: Of the 204 hyperlipidemic patients receiving atorvastatin, 64 met the inclusion criteria and were enrolled in the study, 32 of whom took the drug in the morning (before noon) and an equal number who took the drug at night (after 6 p.m. but before midnight). The effects of morning versus evening administration of atorvastatin in hyperlipidemic patients were studied. the elimination half-lives of atorvastatin, pravastatin and rosuvastatin are significantly longer than that of simvastatin and this is probably significant in the ability to take these other statins in the morning with non-significant changes in lipid lowering compared to evening administration: half-lives We comply with the HONcode standard for trustworthy health information -, https://www.drugs.com/ppa/atorvastatin.html. Jung SH, Lee OS, Kim HS, Park CS, Lee HJ, Kwon KH, Lee HY. May also affect some diabetes markers (such as HbA1c or fasting glucose), and may not be suitable in those with liver or kidney disease, or those who have recently had a stroke or a TIA (transient ischemic attack). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The elimination half-life of statins, or the amount of time it takes for half the dose to leave your body, determines if the drug should be taken in the evening when the cholesterol-making enzyme is more active, or if it can be taken anytime. Tell your doctor if you regularly drink grapefruit juice. No statistically significant differences in lipid values measured were found between the morning and evening administration group after four weeks. Atorvastatin is also used to lower the risk of coronary events (such as a heart attack, stroke, or angina) in patients at high risk of these events. simvastatin, lovastatin, pravastatin, atorvastatin) are the first-choice treatments for preventing CVD when high blood cholesterol exists. Try to avoid second-hand smoke. Limit your alcohol intake and avoid drinking more than two glasses of alcohol per day while you are taking atorvastatin. Muscle pain, tenderness, or weakness. Initially, this needs further investigating to rule out more serious muscle effects (such as rhabdomyolysis - the destruction of muscle cells). Timing of Administration: For Commonly-Prescribed Medicines in Australia. COVID-19 is an emerging, rapidly evolving situation. Atorvastatin. Revised 05/2020. Continuous ambulatory peritoneal dialysis. Atorvastatin should not be taken during pregnancy or while breastfeeding. Atorvastatin (Lipitor), rosuvastatin (Crestor), and other cholesterol-lowering statin drugs can be affected by taking supplements and can affect your ability to absorb certain vitamins and minerals. Methods: Take once daily. Speak to your doctor about how drug interactions should be managed. Take once daily. 2019 Nov;34(11):2559-2566. doi: 10.1007/s11606-019-05180-7. Conclusion: Alternatively, the longer half-lives of rosuvastatin, atorvastatin, pitavastatin, and pravastatin allow these agents to maintain a therapeutic drug concentration over a 24-hour period and allow alternate administration times. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Take this medicine with or without food. Computer 'Nudge' Spurs Doctors to Prescribe Statins to Heart Patients, Statins Going Generic Saved Medicare Billions. Of the 204 hyperlipidemic patients receiving atorvastatin, 64 met the inclusion criteria and were enrolled in the study, 32 of whom took the drug in the morning (before noon) and an equal number who took the drug at night (after 6 p.m. but before midnight). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Revision date: June 10, 2020. Cochrane Database Syst Rev. Atorvastatin is effective at lowering cholesterol; however, its use may be limited by side effects such as muscle pain. Copyright 1996-2020 Drugs.com. Diet-Induced Circadian Enhancer Remodeling Synchronizes Opposing Hepatic Lipid Metabolic Processes. Of the 204 hyperlipidemic patients receiving atorvastatin, 64 met the inclusion criteria and were enrolled in the study, 32 of whom took the drug in the morning (before noon) and an equal number who took the drug at night (after 6 p.m. but before midnight). Atorvastatin: an updated review of its pharmacological properties and use in dyslipidaemia. Purpose: A placebo-controlled trial examining atorvastatin in dyslipidemic patients undergoing CAPD. May be taken at any time of the day (morning or night); however, it is best to be consistent with the time you take your tablets.
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