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Doctor insights on: Pravastatin Dosage Versus Lipitor Dosage

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Dr. Nathan Ritter
311 Doctors shared insights

Atorvastatin (Definition)

Atorvastatin has the brand name lipitor (atorvastatin).. Its function is to lower the body's production of cholesterol and to stabilize current cholesterol plaques. The general name for this class of medication is "statins". Other statins include Crestor (rosuvastatin) ...Read more


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My doctor prefers pravastatin 80mg over Lipitor (atorvastatin) 20mg or simvastatin 40mg. Says it is safer but can't really tell me why. Anyone agree and if so, why?

My doctor prefers pravastatin 80mg over Lipitor (atorvastatin) 20mg or simvastatin 40mg. Says it is safer but can't really tell me why. Anyone agree and if so, why?

Drug interactions: Pravastatin is metabolized differently than Lipitor (atorvastatin) or simvastatin. It may reduce the risk of adverse effects caused by interactions with other medications metabolized in the liver. (lovastatin, simvastatin, or Atorvastatin are oxidized by cytochrome p450 3a4 [cyp3a4], which is inhibited by many drugs. Pravastatin or fluvastatin are not oxidized by cyp3a4). ...Read more

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Is pravastatin just as good as Lipitor (atorvastatin) cuz I feel Lipitor (atorvastatin) is giving me way too much muscle soreness? And pravastatin never did that to me

Is pravastatin just as good as Lipitor (atorvastatin) cuz I feel Lipitor (atorvastatin) is giving me way too much muscle soreness? And pravastatin never did that to me

Usually, yes: If your cholesterol levels are very high, pravastatin might not have been strong enough. For extremely high cholesterol, Lipitor (atorvastatin) and Crestor are the strongest medications. If you have severe muscle cramps, speak to your doctor about changing your medication. Sometimes, taking a supplement co q 10 at a dose of 100 mg can prevent muscle pain with these meds. ...Read more

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Pcp switched me from pravastatin to atorvastatin. Does atorvastatin pack a bigger punch? What are some differences between the two?

Pcp switched me from pravastatin to atorvastatin. Does atorvastatin pack a bigger punch? What are some differences between the two?

LDL reduction: Your individual circumstances, such as how much you need to lower your cholesterol and whether you have heart disease or have had a heart attack plays into the choice of drug used. The goal is reduction in bad cholesterol. ...Read more

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Which statins offer cardiac help when there is CAD with normal cholesterol that you recommend to ur patients: pravastatin, simvastatin or atorvastatin?

Which statins offer cardiac help when there is CAD with normal cholesterol that you recommend to ur patients: pravastatin, simvastatin or atorvastatin?

Diet, wt. Loss 1st,,: You've got a normal cholesterol and a condition of being overweight. Depending on the extent of your cad, it would be smart to talk to your doctor about a reasonable exercise program first. This and diet would help control the CAD without statins which have many side effects and seem to just lower cholesterol. If diet and exercise fail, then drug therapy should be carefully considered. ...Read more

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Can a high dosage of Lipitor (atorvastatin) cause memory problems?

Can a high dosage of Lipitor (atorvastatin) cause memory problems?

Probably not.: There may be some issues with statins, like myalgia, or hepatic inflammation, but memory loss is an insignificant concern. I f are on Lipitor (atorvastatin) and becoming forgetful, something else is more likely to be the cause of memory loss! ...Read more

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Is pravastatin dosage of 80mg equal to a 5 mg dose of crestor (rosuvastatin)?

Statins: Nope. Not in any way. The doses are nearly the same, so do not know where this myth is coming from. ...Read more

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Ever see patient side effects decrease with an increase in dosage? Ex. Increase dose from 20mg Lipitor (atorvastatin) to 40mg. I understand illogic, just curious

Possible explanation: Perhaps the perceived side effect from the lower dose was not related to the medicine and resolved as per it's natural course which simply coincided with increase in the dose of the medicine. Or perhaps the body adapted well thus overcoming the side effect which simply coincided with increase in the dose of the medicine. ...Read more

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After angioplasty recently, Lipitor (atorvastatin) meds was incr to 80mg from 10mg. I willmbe on this dosage for sometime. Why is this?

After angioplasty recently, Lipitor (atorvastatin) meds was incr to 80mg from 10mg. I willmbe on this dosage for sometime. Why is this?

Coronary artery dis: Angioplasty is done when there is vessel blockage. One of the causes is plaque deposition on the vessel. Because of this coronary artery disease, it is necessary to manage you cholesterol level. If you were on 10mg Lipitor (atorvastatin) and had an angioplasty, your risk increased for another blockade. The increase is to keep cholesterol levels optimal. Good health. ...Read more

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Can I cut dosage of lipitor (atorvastatin)?

Can I cut dosage of lipitor (atorvastatin)?

Cholesterol meds: The dosage of your cholesterol medication is based on your cholesterol levels. If you cut back on the dose the cholesterol will go up. Talk to your doctor if you are having problems with the medication or cost. ...Read more

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Dizziness upon arising has ceased since increasing dosage of pravachol (pravastatin) from 20 mg to 40mg. Is it possible there is a correlation between the two?

Dizziness upon arising has ceased since increasing dosage of pravachol (pravastatin) from 20 mg to 40mg. Is it possible there is a correlation between the two?

Increased = ceased: Your observation about the chronology of when the dizziness became worse and the increased dose likely confirm this. Contact your md if this is anything more than minor and in particular continues for more than 3-5 days. ...Read more

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On 80mg Lipitor (atorvastatin) 25mg coreg 25mg twice daily. Lisinopril 40mg, normal angiogram, normal echo, mvp asside. Question is, why such high med dosages?

Meds: Lipitor (atorvastatin) dose seems high usually reserved for patients with known coronary diseases. I am guessing the other meds are for blood pressure so the dose will depend on BP control. ...Read more

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I just started lipitor, (atorvastatin)up dosage of metformin to 1000mg suddenlt have high bp and chest palpitations I do also think I have gerd too please help.

I just started lipitor, (atorvastatin)up dosage of metformin to 1000mg suddenlt have high bp and chest palpitations I do also think I have gerd too please help.

Lipitor (atorvastatin) doesn't: Cause palpitations, high BP or palpitations. Metformin decreases blood sugar, low blood sugar can cause all kinds of symptoms, including high BP and palps. GERD doesn't cause these. Let your doc know. He/She might do a holter monitor to check your heart rhythm, and check your BP. Good Luck.

Visit http://CardioGauge. Com to learn how to prevent heart attacks. ...Read more

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Since I've succeeded in lowering my LDL to 69 now, can't I lower my dose of lipitor (atorvastatin)?

Depends on reason: For the general population, treatment of LDL doesn't begin until over 160 (or 190) mg/dl and goal is to lower to under 130. For those at high risk of coronary disease, goal is 100, and those who have proven cad, goal is further reduced to 70 mg/dl. If you were started on it because of cad, you are appropriately treated and should continue. Discuss with your doctor. ...Read more

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Is it true you can't get muscle definition on strong dose of statins (40mgs pravastatin) - no matter how much you exersize?

Is it true you can't get muscle definition on strong dose of statins (40mgs pravastatin) - no matter how much you exersize?

Doubtful: I've heard of statins being blamed for all sorts of issues-but not that one! I doubt that allegation. However, like all meds certainly want to have clearcut indications for taking a statin. Please refer to webmd or the heart. Org for newest guidelines on statin therapy. Thanks for the question! ...Read more

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Is 40mg of Lipitor (atorvastatin) twice as effective as 20mg? And is 80mg twice as effective as a 40mg dose?

No linear relations: There is no linear relationship to doses. Most studies are directed at levels of low density lipid (LDL-C) levels, with significant benefits in patients with known coronary artery disease and less (or no) benefits in patients without it who are considered to be at low risk. High risk patients did better when LDL-C levels of 75 mg/dl. ...Read more

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I am now taking pravastatin 40 mg the price just went up 10 fold. What dose of lobs station is the equivalent?

I am now taking pravastatin 40 mg the price just went up 10 fold. What dose of lobs station is the equivalent?

40 mg: The relative strength of Pravachol (pravastatin) and Mevacor (generic = lovastatin) are the same. They are metabolized in different ways so it varies from person to person. ...Read more

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Read Lipitor (atorvastatin) can cause rd. How likely is it to get renal disease from Lipitor (atorvastatin) on a low dose 10mg and is 10mg too low to help the cholesterol go down?

Unlikely: Although it is listed as possible adverse reaction it is quite unlikely that Lipitor (atorvastatin) at that dosage may cause renal disease. Still it may be good enough to lower your cholesterol.
Like with any meds: if you are worried, you should discuss with the doctor that prescribed it. ...Read more

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For cad, which low dose of statin you use if you have perfect cholesterol numbers tc 93 tg 96& LDL 42. Pravachool, lipitor, (atorvastatin) or simvastatin. What dose?

For cad, which low dose of statin you use if you have perfect cholesterol numbers tc 93 tg 96& LDL 42. Pravachool, lipitor, (atorvastatin) or simvastatin. What dose?

May not need: With those numbers, you may not need a statin. The ncep atp-3 goals are all met by you, even if you are at high risk, which would be an LDL less than 70. Keep up the good work, save your money and continue your diet, it appears to be working. Best wishes. ...Read more

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Coreg, lisinopril, lipitor, (atorvastatin) low dose aspirin. Are these meds a good combo for preventing a cardiac event? Anything holistic I can and should add?

Coreg, lisinopril, lipitor, (atorvastatin) low dose aspirin. Are these meds a good combo for preventing a cardiac event? Anything holistic I can and should add?

Yes: These are good meds for lowering BP and cholesterol which, in turn, lowers your risk. Holistic measures include: attain and maintain normal body weight (bmi =25); daily exercise:at least 30 minutes, the more the better; eat a mediterranean diet (google this if you're not familiar). Don't smoke. Don't chew. Drink alcohol in moderation (not >2 drinks daily). Relax, be happy. Don't stress. ...Read more

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Taking low dose aspirin for CVE and stroke prevention. Also on 80mg of Lipitor (atorvastatin). Taking fish oil also. Am I at serious risk for hemorrhagic stroke?

Taking low dose aspirin for CVE and stroke prevention. Also on 80mg of Lipitor (atorvastatin). Taking fish oil also. Am I at serious risk for hemorrhagic stroke?

Excellent Question: ScottK, you ask an excellent question. There is some evidence that having too low a blood cholesterol level can be dangerous as well as high cholesterol. Blood vessel walls need cholesterol for flexibility, and if two low can become fragile. Although the likelihood of a problem is low, I would discuss with your doctor. You might also want to think about adding Co-Q10. Take care and stay well! ...Read more

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Side effects of pravastatin?

Pravastatin: More serious side effects include:
unexplained muscle pain, tenderness, or weakness;fever, unusual tiredness, and dark colored urine;chest pain;swelling, weight gain, urinating less than usual or not at all; or
nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes) and others perhaps less signficant. ...Read more

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Cholestrol level is 187 should I take pravastatin?

Ask your doctor: There are different levels that your cholesterol needs to be at for different health conditions. Your doctor knows you, so you should ask your doctor. ...Read more

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Does pravastatin lower CRP levels?

Yes: This was investigated in the prince trial, published in jama 2001. http://www. Ncbi. Nlm. Nih. Gov/m/pubmed/11434833/. ...Read more

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Can Lipitor (atorvastatin) cause tinnitus?

Can Lipitor (atorvastatin) cause tinnitus?

Not likely: Refer to the pdr for more information. If you have tinnitus, seek an exam with ent. ...Read more

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Will Lipitor (atorvastatin) reduce Libido?

Unlikely: Reduced libido has MANY different causes, most of them non organic (psychological) ...Read more

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How to wean off of lipitor (atorvastatin)?

Lipitor (atorvastatin): You don't really need to wean off lipitor (atorvastatin). ...Read more

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Is Zetia better than lipitor (atorvastatin)?

Is Zetia better than lipitor (atorvastatin)?

Zetia (ezetimibe): Lipitor (atorvastatin) data is stronger than Zetia data for lowering lipids and decreasing atherosclerotic complications. ...Read more

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Can pregnant women take Lipitor (atorvastatin)?

Can pregnant women take Lipitor (atorvastatin)?

No: I believe it is pregnancy class X which means it would be contraindicated. ...Read more

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Does Lipitor (atorvastatin) cause rapid heartbeat?

Does Lipitor (atorvastatin) cause rapid heartbeat?

Not usually: Lipitor (atorvastatin) does not commonly affect the heart rate or rhythm. Rarely, patients are allergic… patients who take Lipitor (atorvastatin) may have other associated cardiac conditions that may themselves be the cause of the rapid heart beat. The best recommendation is to have an ekg done and perhaps wear a 24 hour cardiac (holter) monitor. That will help you and your doctor determine the cause of your rapid heart beat. ...Read more

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Can pravastatin cause excessively low triglycerides?

Can pravastatin cause excessively low triglycerides?

Not usually.: Pravastatin has a weak effect on lowering triglycerides. Not really sure that there is an excessively low trig. Some folks are born with a rather low baseline number. ...Read more

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Is Lipitor (atorvastatin) a better drug than tricor?

Is Lipitor (atorvastatin) a better drug than tricor?

They're different: They are used for different profiles of abnormal cholesterol. Lipitor, or generic atorvastatin, is a medication that mostly is used to lower LDL the "bad cholesterol." that is enough for most people. Tricor (fenofibrate) is used to correct a mixed profile, when someone has not only high ldl, but also high triglycerides (blood fat level) and low hdl, the "good cholesterol.". So they're used differently. ...Read more

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Are pravastatin and fenofibrate available as generics?

Are pravastatin and fenofibrate available as generics?

Yes: Both are avalable as generic medications in the us. ...Read more

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How does simvastatin compare to lipitor (atorvastatin)?

How does simvastatin compare to lipitor (atorvastatin)?

Anti Lipid meds: Both medication are good for lowering the cholesterol but Lipitor (atorvastatin) is some what better since it has less side effect. It also has less incidence of rhabdomyelosis when used with certain other medication. ...Read more

Lipitor (Definition)

Atorvastatin is a HMG-CoA enzyme blocker which is a kind of cholesterol/lipid ...Read more