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Doctor insights on: Pravastatin Dosage Versus Lipitor Dosage

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Dr. Nathan Ritter
309 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

Lipitor (Definition)

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