contains the active ingredient atorvastatin calcium
CONSUMER MEDICINE INFORMATION
What is in this leaflet
This leaflet answers some common questions about LORSTAT.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have benefits and risks. Your doctor has weighed the risks of you taking LORSTAT against the benefits expected
If you have any concerns about taking this medicine, talk to your doctor or pharmacist.
Keep this leaflet with your medicine.
You may need to read it again.
What LORSTAT is used for
LORSTAT is used to treat
lowers high cholesterol levels
to reduce the risk of having a heart attack or stroke in people who have high blood pressure and coronary heart disease (CHD)
or who are at risk of CHD. Examples of risk factors for CHD include diabetes, a history of stroke, or small blood vessel disease.
What is cholesterol
Everyone has cholesterol and in their blood. It is a type of blood fat needed by the body for many things, such as building
cell walls, making bile acids (which help to digest food) and some hormones. However, too much cholesterol can be a problem.
Cholesterol is present in many foods and is also made in your body by the liver. If your body makes too much cholesterol or
you have too much cholesterol in your diet, then your cholesterol becomes too high.
High cholesterol is more likely to occur with certain diseases or if you have a family history of high cholesterol.
There are different types of cholesterol. LDL, or low-density lipoprotein, is the 'bad' cholesterol that can block your blood
vessels. HDL, or high density lipoprotein cholesterol is the 'good' cholesterol that is thought to remove the 'bad' cholesterol
from the blood vessels.
When you have high levels of cholesterol in your blood, it may 'stick' to the inside of your blood vessels instead of being
carried to the parts of the body where it is needed. Over time, this can form hard areas (called plaques) on the walls of
your blood vessels, making it more difficult for the blood to flow. Sometimes, the plaque can detach from the vessel wall
and float in the bloodstream; it can then reach a smaller vessel and completely block it. This blocking of your blood vessels
can lead to several types of blood vessel disease, heart attack, angina and stroke.
There is another type of fat called triglyceride, which is a source of energy. However, high levels of be associated with
low level of 'good' cholesterol and may increase your risk of heart disease.
In some patients, LORSTAT is used to treat high cholesterol and high triglycerides together.
In most people, there are no symptoms of abnormal cholesterol or triglyceride levels. Your doctor can measure your levels
with a simple blood test.
How LORSTAT works
LORSTAT belongs to a group of medicines known as HMG-CoA reductase inhibitors. It works by reducing the amount of cholesterol
made by the liver. LORSTAT 'bad' cholesterol and can raise the 'good' cholesterol. LORSTAT also helps to protect you from
a heart attack or stroke.
When you are taking LORSTAT, you also need to follow a low fat diet and other measures, such as exercise and weight control.
LORSTAT may be used alone, or in combination with other medicines, to treat your condition.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
This medicine is not addictive.
This medicine is available only with a doctor's prescription.
This medicine is not expected to affect your ability to drive a car or operate machinery.
There is not enough information to recommend the use of this medicine for children.
Before you take LORSTAT
When you must not take it
Do not take LORSTAT if you have an allergy to:
any medicine containing atorvastatin calcium
any of the ingredients listed at the end of this leaflet
Some of the symptoms of an allergic reaction may include
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take this medicine if you are pregnant or intend to become pregnant.
If you are a woman of child-bearing age and are taking this medicine, use a proven method of birth control to avoid pregnancy.
It may affect your developing baby if you take it during pregnancy.
Do not breast-feed if you are taking this medicine.
The active ingredient in LORSTAT passes into breast milk and there is a possibility that your baby may be affected.
Do not give this medicine to a child.
Information of safety and effectiveness in children is limited.
Do not take this medicine if you have active liver disease.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you have or have had any of the following medical conditions:
muscle pain, tenderness or weakness from other medicines used to treat high cholesterol or triglycerides
a type of stroke called a haemorrhagic stroke or a type of stroke called a lacunar stroke
If you have had one of these strokes before, this medicine may increase the risk of you having a haemorrhagic stroke.
Tell your doctor if you are pregnant or plan to become pregnant or are breastfeeding.
Your doctor can discuss with you the risks and benefits involved.
If you have not told your doctor about any of the above, tell him/her before you start taking LORSTAT.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from
a pharmacy, supermarket or health food shop.
Some medicines and LORSTAT may interfere with each other. These include:
digoxin, a medicine used to treat some heart problems
digoxin, a medicine used to treat some heart problems
antacids, medicines used to treat reflux or ulcers
the antibiotics erythromycin, clarithromycin and rifampicin or fusidic acid
phenytoin, a medicine used to treat epilepsy (seizures)
oral contraceptives for birth control
cyclosporin, a medicine used to suppress the immune system
some medicines used to treat some fungal infections, such as itraconazole and ketoconazole
efavirenz and protease inhibitors which are used to treat HIV infections
spironolactone, a medicine used to treat high blood pressure and certain types of swelling
These medicines may be affected by LORSTAT or may affect how well it works. You may need different amounts of your medicines,
or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
How to take LORSTAT
Follow all directions given to you by your doctor and pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box/bottle, ask your doctor or pharmacist for help.
How much to take
Take LORSTAT only when prescribed by your doctor.
Your doctor will tell you how many tablets you need to take each day. This may depend on your condition and whether or not
you are taking any other medicines.
The usual dose of LORSTAT is between 10-80 mg taken once a day.
Follow all directions given to you by your doctor and pharmacist carefully.
If you do not understand the instructions ask your doctor or pharmacist for help.
How to take it
Swallow the tablets/capsules whole with a full glass of water.
Do not crush or chew the tablets.
When to take it
Take your medicine at about the same time each day.
Taking it at the same time each day will have the best effect. It will also help you remember when to take it.
It does not matter if you take this medicine before or after food.
How long to take it
Continue taking your medicine for as long as your doctor tells you to.
This medicine helps to control your condition, but does not cure it. It is important to keep taking your medicine even if
you feel well.
If you forget to take it
If it is less than 12 hours before your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and
Emergency at the nearest hospital, if you think that you or anyone else may have taken too much LORSTAT. Do this even if
there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are taking LORSTAT
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking LORSTAT.
Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine.
It may affect other medicines used during surgery.
If you become pregnant while taking this medicine, tell your doctor immediately.
If you are about to have any blood tests, tell your doctor that you are taking this medicine.
It may interfere with the results of some tests.
Keep all of your doctor's appointments so that your progress can be checked.
Your doctor will ask you to have your liver function tested form time to time while you are taking LORSTAT to make sure the
medicine is working and to prevent unwanted side effects.
Your cholesterol and triglyceride levels also need to be checked regularly while you are taking this medicine.
Things you must not do
Do not take LORSTAT to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as you.
Do not stop taking your medicine or change the dosage without checking with your doctor.
If you stop taking it suddenly, your condition may worsen or you may have unwanted side effects.
If possible, your doctor will gradually reduce the amount you take each day before stopping the medicine completely.
Things to be careful of
Be careful driving or operating machinery until you know how LORSTAT affects you.
LORSTAT generally does not cause any problems with your ability to drive a car or operate machinery. However, as with many
other medicines, LORSTAT may cause dizziness in some people. If you have any of these symptoms, do not drive, operate machinery
or do anything else that could be dangerous.
Be careful when drinking alcohol while you are taking this medicine.
Drinking large quantities of alcohol may increase your chance of LORSTAT causing liver problems.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position
and blood pressure. If this problem continues or gets worse, talk to your doctor.
Be careful when drinking large quantities of grapefruit juice.
Grapefruit juice contains one or more constituents that alter the metabolism of some medicines, including LORSTAT. Therefore,
drinking very large quantities of grapefruit juice (over 1 litre) each day increases the chance of LORSTAT causing side effects.
Lifestyle measures that help reduce heart disease risk
By following these simple measures, you can further reduce the risk from heart disease.
Quit smoking and avoid second-hand smoke.
Limit alcohol intake.
Enjoy healthy eating by:
eating plenty of vegetables and fruit;
reducing your saturated fat intake (eat less fatty meats, full fat dairy products, butter, coconut and palm oils, most take-away
foods, commercially-baked products).
Be active. Progress, over time, to at least 30 minutes of moderate-intensity physical activity on 5 or more days each week.
Can be accumulated in shorter bouts of 10 minutes duration. If you have been prescribed anti-angina medicine, carry it with
you when being physically active.
Maintain a healthy weight.
Discuss your lifestyle and lifestyle plans with your doctor.
For more information and tools to improve your heart health, call Heartline, the Heart Foundation's national telephone information
service, on 1300 36 27 87 (local call cost).
Know warning signs of heart attack and what to do:
Tightness, fullness, pressure, squeezing, heaviness or pain in your chest, neck, jaw, throat, shoulders, arms or back.
You may also have difficulty breathing, or have a cold sweat or feel dizzy or light headed or feel like vomiting (or actually
If you have heart attack warning signs that are severe, get worse or last for 10 minutes even if they are mild, call triple
zero (000). Every minute counts.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking LORSTAT.
This medicine helps most people with lowering high cholesterol levels and reducing the risk of having a heart attack or stroke
in people who have high blood pressure and coronary heart disease (CHD) or who are at risk of CHD, but it may have unwanted
side effects in some people.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention
if you get some of the side effects.
Do not be alarmed by the following list of side effects.
You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
muscle and joint pain
stomach or belly pain, nausea (feeling sick)
heartburn, indigestion or wind
unusual tiredness or weakness
stuffy or runny nose
The above list includes the more common side effects of your medicine. They are usually mild and short-lived.
Tell your doctor as soon as possible if you notice any of the following:
yellowing of the skin and eyes and dark coloured urine
problems with breathing, including shortness of breath, persistent cough and fever
The above list includes serious side effects that may require medical attention. Serious side are rare.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
symptoms of allergy such as skin rash, itching, swelling of the face, lips, mouth, throat or neck which may cause difficulty
in swallowing or breathing
unexpected muscle pain, tenderness or weakness not caused by exercise
sudden severe headache, which may be accompanied by nausea, vomiting, loss of sensation, tingling in any part of the body
or ringing in the ears
severe blisters and bleeding of the lips, eyes, mouth, nose or genitals
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects
are very rare.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
Some of these side effects (for example, changes in thyroid function, cholesterol level or blood pressure) can only be found
when your doctor does tests from time to time to check your progress.
After taking LORSTAT
Keep your tablets in the pack/bottle until it is time to take them.
If you take the tablets out of the pack/bottle they may not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25°C.
Do not store LORSTAT or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any
medicine that is left over.
What it looks like
LORSTAT tablets are available in 4 different strengths:
LORSTAT 10 mg - White, oval, biconvex, film coated tablet plain on one side and debossed '10' on the other side.
LORSTAT 20 mg - White, oval, biconvex, film coated tablet with break line on one side and debossed '20' on the other side.
LORSTAT 40 mg - White, oval, biconvex, film coated tablet with break line on one side and debossed '40' on the other side.
LORSTAT 80 mg - White, oval, biconvex, film coated tablet with break line on one side and debossed '80' on the other side.
Each blister pack contains 30 tablets. Discard blister pack 30 days after the first tablet is taken.
LORSTAT 10 mg contains 10.844 mg of atorvastatin calcium as the active ingredient.
LORSTAT 20 mg contains 21.688 mg of atorvastatin calcium as the active ingredient.
LORSTAT 40 mg contains 43.376 mg of atorvastatin calcium as the active ingredient.
LORSTAT 80 mg contains 86.751 mg of atorvastatin calcium as the active ingredient.
It also contains the following inactive ingredients:
colloidal anhydrous silica
sodium carbonate anhydrous
Opadry AMB white OY-B-28920 (Proprietary Ingredient ARTG no. 10274)
This medicine contain lactose.
LORSTAT is supplied in Australia by:
Alphapharm Pty Limited
(ABN 93 002 359 739)
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: (02) 9298 3999
Phone: 1800 028 365
Australian registration numbers:
LORSTAT 10 mg blister pack: AUST R 181407
LORSTAT 10 mg bottle:
AUST R 181403
LORSTAT 20 mg blister pack: AUST R 181404
LORSTAT 20 mg bottle:
AUST R 181410
LORSTAT 40 mg blister pack: AUST R 181405
LORSTAT 40 mg bottle:
AUST R 181409
LORSTAT 80 mg blister pack: AUST R 181406
LORSTAT 80 mg bottle:
AUST R 181408.
This leaflet was prepared on
18 February 2014