
(ah tor’ va stah tin)
Lipitor
PREGNANCY CATEGORY X
Drug Classes
Antihyperlipidemic
HMG-CoA reductase inhibitor
Therapeutic Actions
Inhibits HMG-CoA reductase, the enzyme that catalyzes the first step in the cholesterol synthesis pathway, resulting in a decrease in serum cholesterol, serum LDLs (associated with increased risk of CAD), and increases serum HDLs (associated with decreased risk of CAD); increases hepatic LDL recapture sites, enhances reuptake and catabolism of LDL; lowers triglyceride levels.
Indications
Adjunct to diet in treatment of elevated total cholesterol, serum triglycerides, and LDL cholesterol and to increase HDL-C in patients with primary hypercholesterolemia (types IIa and IIb) and mixed dyslipidemia and primary dysbetalipoproteinemia, whose response to dietary restriction of saturated fat and cholesterol and other nonpharmacologic measures has not been adequate
To reduce total cholesterol and LDL-C in patients with homozygous familial hypercholesterolemia as adjunct to lipid-lowering treatments
Reduction of risk of MI and stroke in patients with type 2 diabetes and in those with multiple risk factors for CAD (such as age 55 or older, smoking, hypertension, low HDL-C, family history of early CAD) but no clinical evidence of CAD
Adjunct to diet to treat elevated serum triglyceride levels (Fredrickson Type IV)
Adjunct to diet in treatment of boys and postmenarchal girls ages 10–17 with
heterozygous familial cholesterolemia if diet alone is not adequate to control lipid levels and LDL-C levels are 190 mg/dL or greater or if LDL-C level is 160 mg/dL or greater and there is a family history of premature CV disease or the child has two or more risk factors for the development of coronary disease
Reduction of risk of MI, fatal and nonfatal stroke, revascularization procedures, heart failure, hospitalization, and angina in patients with clinically evident CAD
Prevention of CV disease in adults without clinically evident coronary disease but with multiple risk factors for CAD; to reduce the risk of MI and risk for revascularization procedures and angina
Contraindications and Cautions
Contraindicated with allergy to atorvastatin, fungal byproducts, active hepatic disease, or unexplained and persistent elevations of transaminase levels, pregnancy, lactation.
Use cautiously with impaired endocrine function, history of liver disease, alcoholism.
Available Forms
Tablets—10, 20, 40, 80 mg