Statins help lower total cholesterol and reduce the risk of a heart attack or stroke. Statins include atorvastatin (Lipitor), fluvastatin (Lescol XL), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin, rosuvastatin (Crestor) and simvastatin (Zocor).
Atorvastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing the production of cholesterol in the body to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body.
A: Yes. There have been several clinical studies — many of them done here at Cleveland Clinic — that show statins can reverse plaque buildup. Two statins in particular, atorvastatin, which is sold under the brand name Lipitor, and rosuvastatin, which is sold under the brand name Crestor, are the strongest statins.
Serious side effects
you get unexplained muscle pain, tenderness, weakness or cramps – these can be signs of muscle breakdown and kidney damage.
Atorvastatin can stabilize atherosclerotic plaque, but it can not reverse atheromatous plaque.
You might be familiar with statins. More than one in four Americans over 40 take these cholesterol-lowering drugs, for good reason: By reducing blockage in blood vessels, statins reduce the chances of cardiovascular disease (better known as heart disease) and strokes.
If you've made lifestyle changes through diet and exercise that have lowered your cholesterol levels, you may not need to continue taking a statin. These changes can help reduce your risk of heart attack, stroke, or blocked arteries while allowing you to take one less medication.
Atorvastatin is safe to take for a long time, even many years.
You should not use atorvastatin if you are allergic to it, or if you have liver disease. Do not use if you are pregnant. This medicine can harm an unborn baby. Use effective birth control to prevent pregnancy.
You usually have to continue taking statins for life because if you stop taking them, your cholesterol will return to a high level. If you forget to take your dose, do not take an extra one to make up for it.
The American College of Cardiology and American Heart Association developed some prescription guidelines. Typically, if a person's LDL cholesterol (bad cholesterol) is 190 or higher, they're often advised to start a statin.
Because many factors are involved, your cholesterol numbers may be considered normal and yet you may still be found to be at an elevated risk for heart problems. As a result, statin medications are now used to lower the risk of heart disease and heart events in most anyone found to be at high risk.
Medications can help lower bad cholesterol and reduce plaque buildup in the arteries. Such drugs include statins, niacin, fibrates and bile acid sequestrants. Aspirin. Aspirin helps thin the blood and prevent blood clots.
Atorvastatin competitively inhibits 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase. By preventing the conversion of HMG-CoA to mevalonate, statin medications decrease cholesterol production in the liver.
Common side effects of Lipitor are diarrhea, upset stomach, muscle and joint pain, and changes in some blood tests, according to Pfizer Inc. The drug label also warns of serious side effects such as liver problems and muscle problems that can lead to kidney failure.
Take atorvastatin once a day. You can choose to take it at any time, as long as you stick to the same time every day. This prevents your blood levels from becoming too high or too low. Sometimes doctors may recommend taking it in the evening.
Most cholesterol is created at night, when the body is closer to a fasting state. Because atorvastatin is prescribed to block the production of excess cholesterol, it's often recommended to be taken at night - though it will generally work if you take it during the day, too.
Grapefruit juice is the only food or drink that has a direct interaction with statins. Statins do not directly interact with any food but people taking statins should moderate their intake of saturated fats to help lower their LDL cholesterol and overall risk of cardiovascular disease.
Most statins should be taken every 24 hours; however, some people may have to take them twice a day. So, why do people take statins at night? Many statins work more effectively when they are taken at night. This is because the enzyme which makes the cholesterol is more active at night.
If you stop taking your statin medication, like atorvastatin (Lipitor), you could have a higher risk of heart problems, including heart attack and stroke. Your healthcare provider may recommend stopping your statin if you have serious side effects.
Atorvastatin has a rapid onset of action; approximately 90% of the LDL cholesterol reduction from baseline occurred within the first 2 weeks of treatment (Figure). Increasing doses of atorvastatin produced progressive increases in efficacy.
Atorvastatin has an average rating of 4.2 out of 10 from a total of 284 reviews on Drugs.com. 28% of reviewers reported a positive experience, while 57% reported a negative experience.
We have data now from over 20 statin trials of over 135,000 patients that show statins compared with placebo or no medication result in a 23 percent reduction in heart attacks, 17 percent reduction in fatal or non-fatal stroke and 19 percent reduction in death from cardiovascular causes. So, they definitely work.