Simvastatin is an HMG CoA reductase inhibitor. Simvastatin blocks the production of cholesterol (a type of fat) in the body.
Simvastatin is used to reduce the total amounts of cholesterol, LDL (bad) cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. Simvastatin (Zocor) is also used to increase the level of HDL (good) cholesterol in your blood. These actions may reduce the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.
Simvastatin may also be used for purposes other than those listed in this medication guide.
What should I discuss with my doctor before taking simvastatin?
Do not take simvastatin without first talking to your doctor if you have liver disease.
Before taking simvastatin, tell your doctor if you
have kidney disease,
drink alcoholic beverages,
have a chronic muscular disease, or
have a blood disorder.
You may not be able to take simvastatin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Simvastatin is in the FDA pregnancy category X. This means that simvastatin is known to cause birth defects if it is taken during pregnancy. Do not take simvastatin if you are pregnant or could become pregnant during treatment.
It is not known whether simvastatin passes into breast milk. Do not take simvastatin without first talking to your doctor if you are breast-feeding a baby.
How should I take simvastatin?
Take simvastatin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
For the greatest effect, simvastatin is usually taken at bedtime or with an evening meal. Follow your doctor's instructions.
Your doctor may want to monitor your liver function with blood tests before starting treatment with simvastatin and every six months after both the start of your treatment and any increase in dose. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
Grapefruit and grapefruit juice may interact with simvastatin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Eat a low-fat, low-cholesterol diet. To realize beneficial effects from simvastatin, avoid fatty, high-cholesterol foods.
It is important to take simvastatin regularly to get the most benefit.
Do not stop taking simvastatin without first talking to your doctor. Simvastatin may need to be taken on a long-term basis for the treatment of high cholesterol.
Your doctor may want you to have blood tests or other medical evaluations during treatment with simvastatin to monitor progress and side effects.
Store simvastatin at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
Seek emergency medical attention if an overdose is suspected.
Symptoms of a simvastatin overdose include nausea, diarrhea, stomach distress, and indigestion.
What should I avoid while taking simvastatin?
Grapefruit and grapefruit juice may interact with simvastatin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Alcohol and simvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
What are the possible side effects of simvastatin?
Rare cases of muscle problems and liver problems have been associated with the use of simvastatin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
If you experience any of the following serious side effects, stop taking simvastatin and seek emergency medical attention or contact your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
decreased urine or rust-colored urine; or
blurred vision.
Other, less serious side effects may be more likely to occur. Continue to take simvastatin and talk to your doctor if you experience
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What drug(s) may interact with simvastatin?
Do not take Simvastatin with any of the following:
amprenavir
atazanavir
clarithromycin
delavirdine
erythromycin
grapefruit juice
indinavir
itraconazole
ketoconazole
lopinavir; ritonavir
mibefradil
nefazodone
nelfinavir
ritonavir
saquinavir
went yeast
Simvastatin may also interact with the following medications:
medicines to lower cholesterol or triglycerides (examples: fenofibrate, gemfibrozil, niacin)
medicine used to stop early pregnancy (mifepristone, RU-486)
nicardipine
oxcarbazepine
phenytoin
rifampin, rifabutin, or rifapentine
St. John's Wort
telithromycin
troleandomycin
verapamil
voriconazole
warfarin
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
I already received my parcel, I had a problem as the courier wanted to deliver
to my home as they claim they cannot place the order into my postbox. This was
my preferred option.
There is not someone at home always, so we had to get the parcel to my office.
No problem with that.
I did have an enquiry into the 4 extra pills, and this was delivered within a
few days via airmail to my post box.
I would suggest you attend to this part of your process as the extra cost is
unnecessary. Include everything into one parcel.
All in all, good service.
- Jan
Why do doctors in the USA get away with being so unethical and denying women informed consent?
By tying birth control to pap smears? There is no medical reason for a pap smear to be required before getting birth control. All that's needed to safely prescribe birth control pills is a check of the circulatory system (blood pressure and heart) and a medical history.
That's not saying pap smears aren't helpful for some women, but why don't women have the right to choose their own healthcare plans like men do? We are just told and coerced into doing "what's best for us." If a woman wants to have pap smears every three or five years instead of annually that shouldn't mean a doctor can hold her birth control prescription hostage. If a woman wants to get a birth control prescription from her family doctor and go to a gyno a few months later for a pap smear, that should be her prerogative. Women should have the right to make an informed choice and accept the risks and benefits of that choice. Men aren't coerced into getting prostate exams (a MUCH more common cancer than cervical btw) in order to get viagra or condoms.
Not to mention in most other countries these "well woman" exams are not even recommended at all. Finland has the lowest rates of cervical cancer in the world and they don't start paps until age 30 and every 5 years.
megan, it doesn't matter if it's in the woman's best interest. The point is that it's for HER to decide when, where and IF she has one. A prostate exam is in the man's best interest but he is always given the option and not witheld services or treated like a naughty child for not having one.
And you're clearly deceived if you think a pap smear has one thing to do with safety of birth control. A pap smear is a cancer test, period. It has nothing to do with birth control safely. This question is not about me anyway, this is about the sorry way women are treated.
megan you just aren't getting the point. It's great if a woman goes in for regular paps and they can be useful, but there is no reason for it to be tied to birth control! That "policy" is just a paternalistic attitude on part of the doctors. A woman can get birth control on one visit and come back later for a pap smear, there's no reason it should have to go hand in hand.
When they withhold your birth control, yes they are pretty much forcing you, and for no medical necessary reason. Because it's either have the pap right then, or not get pills and probably get pregnant. And once again you just really don't understand that it's about the difference between how men and women are treated, not about whether the exam is important or not because I agree with you pap smears are helpful. But it's not right to take away informed consent just by virtue of someone being female.
about longer hair growth?
I am 33 years old male. I am suffering from androgenic alopecia, i am using minoxidil and finasteride even my hair not growing properly. It is very short and i would like to my hair to grow long. Any body please suggest me how to grow hair healthy and long. please please please..........
How long do I wait after drinking vodka before I can take tramadol ?
I want to drink vodka but I take tramadol if I'm going to stop taking tramadol tommorow morning and not have them untill after I drink in aprox 45 hours time how long do I wait before I can take my 50 my tablet
JUST TRYING TO FINISH MY OTHER.?
Well my question got put in Earth Day and I don't know how to move it. My previous question was in Diabetic? MY CONCLUSION IS: MY DOG TOOK DEREMAXX AT 0630 and then became disoriented and ate the poo which in effect had NOTHING TO DO WITH THESE LIFE THREATENING SEIZURES. SHE WOULD BE LETHARGIC, DISORIENTED, LISTLESS, CATATONIC, NO EATING,I WAS JUST TRYING TO FIND OUT IF DIABETIC INSULIN CAT POO COULD BE TOXIC SO I WOULD KNOW HOW TO TREAT HER FOR WHAT I ORIGINALLY THOUGHT WAS SEVERE HYPOGLYCEMIA OR ADESONIAN CRISIS. Please be careful with DEREMAXX. It helped my dog for months but then something went WRO G OR TOXIC OR SOMETHING AND I KEPT DIGGING TO FIGURE IT OUT. I think I came just shy of killing my dog because it didn't seem there was any answer for these episodes until I read a blog about DEREMAXX. So I stopped the DEREMAXX 8 Days ago and there has been NO SEIZURE/HYPOGLYCEMIC/ADESONIAN EPISODES AND I WASN'T TROLLING (whatever that is) and LASTLY MY DOG HASN'T MESSES WITH THE CATBOX EITHER BECAUSE WE HAVE BLOCKED HER FROM GETTING TO IT ESPECIALLY IN THE NIGHT. Conclusion DEREMAXX: CAUTION. Now I just give my dog Tramadol and DASEQUIN and she is happier than she has been in months. Thank you!
Problems with tramadol hcl 50mg?
I got prescribed this for middle ear infections in both my ears a few days ago and now I'm feeling really weird. Like...I'm laying in my bed about to fall asleep and it feels like everything is jumping. And my heart feels like it's racing really fast. I don't know if this is supposed to happen or what. But it's really freaking me out and I don't want to go to sleep. Anyone ever experienced this before with this medicine? What do I do to make it stop? I'm not gonna take these pills anymore. I'll just deal with the pain. But idk what to do. Please help me.
medication jumble.... too many combinations?
I'm usually on Prozac for depression, birth control (irrelevant), Buspar for anxiety, weening off xanax (4mg) (doc said to take a little buspar and ease it in as im easing off xanax), cyclobenzaprine for tmj pain and tramadol (100mg) for tmj pain. This is a lot and I don't know if they are a doctor or not but is this a lot?
What are the side affects of ( ETODOLAC ) 500mg blue tablet?
What are the side affects of ( ETODOLAC ) 500mg blue tablet?
And what are the side affects of one ( 500mg ETODOLAC & five 50mg TRAMADOL )
I took 5 tramadol and 1 etodolac only because i have a very high tollerance to pain pills and it made me feel really loopy for almost 12 hours now, is that normal?
If anyone has any thoughts or more information about these two pill being taken together or seperate please feel free to add on,
Thanks
Prescribed Ultram and Tramadol at the same time?
Today my doctor gave me 2 prescriptions for pain medications 1 was Ultram, and the other was Tramadol. He said I could take these together. I looked up both and they seem to be the same thing. I also read that they can cause seizures if you take too much. Im not sure whether or not to trust my doctor on this one. Does anyone know anything about these medications or have any advice on what I should do?
has anyone tried pink viagra for women?
If anyone has or you know someone who did, did it work? Im considering ordering it online since the FDA has not approved it but I want to make sure Im not buying some useless pill.
Voting Question: What medications should I avoid touching in the pharmacy if I'm pregnant?
I'm a pharmacy tech, and I'm 15 weeks pregnant. I was just told by the pharmacist yesterday that there are a few medications I should avoid touching. She only named Methotrexate, Avodart, and Finasteride. She couldn't remember what else. I can't find a list anywhere online, can someone please help?
