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ATORVASTATIN BILLEV 40MG TBL N90

Attention: Information on this site is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for treating a health problem or disease, or prescribing any medication. iDrugs24.com is not responsible for any damage to your health as the result of self treatment.

# On 2024-Mar-28
ATORVASTATIN-BILLEV-drug/medicine -tablets aproximate price on "ATORVASTATIN BILLEV 40MG TBL N90 " in Riga city, Latvia is:
  • 10.86€  11.75$  9.31£  1254Rub  125SEK  47PLN  42.99₪ 


Maximum allowed state defined price ( from ZVA webpage) Euro:State defined maximum allowed price indicated on the picture on drug/medicine -tablets  ATORVASTATIN BILLEV 40MG TBL N90     Recheck

ATC codeC10AA05 

Active substances: Atorvastatinum

 


Vendor, principal: Krka
ATORVASTATIN BILLEV 40MG TBL N90 is compensated medicine in Latvia. 

 Prescription drug (℞) 

* This table was compiled fully automatically, independently from any advertisers, transparently and without any modification relaying the open offers available on the mentioned dates.Only the distribution of over-the-counter remedies through the website is permitted in Latvia in accordance with national laws and regulations.
 .

ATORVASTATIN TEVA 40MG N30

Package leaflet: Information for the user

Atorvastatin Teva 10 mg film-coated tablets Atorvastatin Teva 20 mg film-coated tablets Atorvastatin Teva 40 mg film-coated tablets
Atorvastatin

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

•   Keep this leaflet. You may need to read it again.
•   If you have any further questions, ask your doctor or pharmacist.
•   This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
•   If you get any of the side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1.   What Atorvastatin Teva is and what it is used for
2.   What you need to know before you take Atorvastatin Teva
3.   How to take Atorvastatin Teva
4.   Possible side effects
5.   How to store Atorvastatin Teva
6.   Contents of the pack and other information

1. What Atorvastatin Teva is and what it is used for

Atorvastatin Teva belongs to a group of medicines known as statins, which are lipid (fat) regulating medicines.
Atorvastatin Teva is used to lower lipids known as cholesterol and triglycerides in the blood when a low fat diet and lifestyle changes on their own have failed. If you are at an increased risk of heart disease, Atorvastatin Teva can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol lowering diet during treatment.

2. What you need to know before you take Atorvastatin Teva

Do not take Atorvastatin Teva

•   If you are allergic to Atorvastatin Teva or to any similar medicines used to lower blood lipids or to any of the other ingredients of this medicine (listed in section 6)
•   If you have or have ever had a    disease that    affects the liver
•   If you have had any unexplained abnormal    blood tests    for liver function
•   If you are a woman able to have children and not using reliable contraception
•   If you are pregnant or trying to become pregnant
•   If you are breast-feeding.

Warnings and precautions

Talk to your doctor or pharmacist before taking Atorvastatin Teva.
•   If you are taking or have taken in the last 7 days a medicine called fusidic acid, (a medicine for bacterial infection) orally or by injection. The combination of fusidic acid and Atorvastatin Teva can lead to serious muscle problems (rhabdomyolysis).
•   If you have had a previous stroke with bleeding into the brain, or have small pockets of fluid in the brain from previous strokes
•   If you have kidney problems
•   If you have an under-active thyroid gland (hypothyroidism)
•   If you have had repeated or unexplained muscle aches or pains, a personal history or family history of muscle problems
•   If you have had previous muscular problems during treatment with other lipid-lowering medicines (e.g. other ‘-statin’ or ‘-fibrate’ medicines)
•   If you regularly drink a large amount of alcohol
•   If you have a history of liver disease
•   If you are older than 70 years.
While you are on this medicine your doctor will monitor you closely if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure.

Talk to your doctor or pharmacist before taking Atorvastatin Teva

•   If you have severe respiratory failure.
If any of these apply to you, your doctor will need to carry out a blood test before and possibly during your Atorvastatin Teva treatment to predict your risk of muscle-related side effects. The risk of muscle-related side effects e.g rhabdomyolysis is known to increase if certain medicines are taken at the same time as Atorvastatin Teva (see section 2 “Other medicines and Atorvastatin Teva”).
Also tell your doctor or pharmacist if you have a muscle weakness that is constant. Additional tests and medicines may be needed to diagnose and treat this.

Other medicines and Atorvastatin Teva

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
There are some medicines that may change the effect of Atorvastatin Teva, or their effect may be changed by Atorvastatin Teva. This type of interaction could make one or both of the medicines less effective. Alternatively it could increase the risk or severity of side effects, including the important muscle-wasting condition known as rhabdomyolysis described in section 4:
•   If you need to take oral fusidic acid to treat a bacterial infection you will need to temporarily stop using this medicine. Your doctor will tell you when it is safe to restart Atorvastatin Teva. Taking Atorvastatin Teva with fusidic acid may rarely lead to muscle weakness, tenderness or pain (rhabdomyolysis). See more information regarding rhabdomyolysis in section 4.
•   Medicines used to alter the way your immune system works, e.g. ciclosporin
•   Other antibiotics (medicines for bacterial infections) or antifungal medicines, e.g. erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampicin
•   Other medicines to regulate lipid levels, e.g. gemfibrozil, other fibrates, colestipol
•   Some calcium channel blockers used for angina or high blood pressure, e.g. amlodipine, diltiazem; medicines to regulate your heart rhythm e.g. digoxin, verapamil, amiodarone
•   Medicines used in the treatment of HIV, e.g. ritonavir, lopinavir, atazanavir, indinavir, darunavir, etc.
•   Other medicines known to interact with Atorvastatin Teva include ezetimibe (which lowers cholesterol), warfarin (which reduces blood clotting), oral contraceptives, stiripentol (an anticonvulsant for epilepsy), cimetidine (used for heartburn and peptic ulcers), phenazone (a painkiller) and antacids (indigestion products containing aluminium or magnesium)
•   Medicines obtained without a prescription: St. John’s wort.

Atorvastatin Teva with food, drink and alcohol

See section 3 for instructions on how to take Atorvastatin Teva. Please note the following:
Grapefruit juice
Do not take more than one or two small glasses of grapefruit juice per day because large quantities of grapefruit juice can change the effects of Atorvastatin Teva.
Alcohol
Avoid drinking too much alcohol while taking this medicine. See section 2 “Warnings and precautions” for details.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Do not take Atorvastatin Teva if you are pregnant, or if you are trying to become pregnant.
Do not take Atorvastatin Teva if you are able to become pregnant unless you use reliable contraceptive measures.
Do not take Atorvastatin Teva if you are breast-feeding.
The safety of Atorvastatin Teva during pregnancy and breast-feeding has not yet been proven. Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

Normally this medicine does not affect your ability to drive or operate machines. However, do not drive if this medicine affects your ability to drive. Do not use any tools or machines if your ability to use them is affected by this medicine.

3. How to take Atorvastatin Teva

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Before starting treatment, your doctor will place you on a low-cholesterol diet, which you should maintain also during therapy with Atorvastatin Teva.
The recommended starting dose of Atorvastatin Teva is 10 mg once a day in adults. This may be increased if necessary by your doctor until you are taking the amount you need. Your doctor will adapt the dosage at intervals of 4 weeks or more. The maximum dose of Atorvastatin Teva is 80 mg once daily for adults.

Use in children and adolescents

The recommended starting dose is 10 mg once a day in children aged 10 years or older. The dose may be increased by a doctor to a maximum dose of 20 mg once daily.
The use of Atorvastatin Teva is not recommended in children below 10 years of age.
Atorvastatin Teva tablets should be swallowed whole with a drink of water, and can be taken at any time of day, with or without food. However, try to take your tablet at the same time every day.
The duration of treatment with Atorvastatin Teva is determined by your doctor.
Please ask your doctor if you think that the effect of Atorvastatin Teva is too strong or too weak.

If you take more Atorvastatin Teva than you should

If you accidentaly take too many Atorvastatin Teva tablets (more than your usual daily dose), contact your doctor or nearest hospital for advice.

If you forget to take Atorvastatin Teva

If you forget to take a dose, just take your next scheduled dose at the correct time.
Do not take a double dose to make up for a forgotten dose.

If you stop taking Atorvastatin Teva

If you have any further questions on the use of this medicine or wish to stop your treatment, ask your doctor or pharmacist.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience any of the following serious side effects, stop taking your tablets and tell your doctor immediately or go to the nearest hospital accident and emergency department.

Rare: may affect up to 1 in 1,000 people
•   Serious allergic reaction which causes swelling of the face, tongue and throat that can cause great difficulty in breathing.
•   Serious illness with severe peeling and swelling of the skin, blistering of the skin, mouth, eyes genitals and fever. Skin rash with pink-red blotches especially on palms of hands or soles of feet which may blister.
•   Muscle weakness, tenderness or pain (rhabdomyolysis) and particularly, if at the same time, you feel unwell or have a high temperature it may be caused by an abnormal muscle breakdown which can be life-threatening and lead to kidney problems.
Very rare: may affect up to 1 in 10,000 people
•   If you experience problems with unexpected or unusual bleeding or bruising, this may be suggestive of a liver complaint. You should consult your doctor as soon as possible.

Other possible side effects with Atorvastatin Teva

Common: may affect up to 1 in 10 people
•   inflammation of the nasal passages, pain in the throat, nose bleed
•   allergic reactions
•   increases in blood sugar levels (if you have diabetes continue careful monitoring of your blood sugar levels), increase in blood creatine kinase
•   headache
•   nausea, constipation, wind,    indigestion, diarrhoea
•   joint pain, muscle pain and    back pain
•   blood test results that show your liver function can become abnormal Uncommon : may affect up to 1 in 100 people
•   anorexia (loss of appetite), weight gain, decreases in blood sugar levels (if you have diabetes you should continue careful monitoring of your blood sugar levels)
•   having nightmares, insomnia
•   dizziness, numbness or tingling in the fingers and toes, reductions of sensation to pain or touch, change in sense of taste, loss of memory
•   blurred vision
•   ringing in the ears    and/or head
•   vomiting, belching, abdominal pain upper and lower, pancreatitis (inflammation of the pancreas leading to stomach pain)
•   hepatitis (liver inflammation)
•   rash, skin rash and itching, hives, hair loss
•   neck pain, muscle fatigue
•   fatigue, feeling unwell, weakness, chest pain, swelling especially in the ankles (oedema), raised temperature
•   urine tests that are positive for white blood cells
Rare : may affect up to 1 in 1,000 people
•   visual disturbance
•   unexpected bleeding or bruising
•   cholestasis (yellowing of the skin and whites of the eyes)
•   tendon injury
Very rare : may affect up to 1 in 10,000 people
•   an allergic reaction - symptoms may include sudden wheezing and chest pain or tightness, swelling of the eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse
•   hearing loss
•   gynecomastia (breast enlargement in men and women).
Not known (frequency cannot be estimated from the available data) include:
•   muscle weakness that is constant
Possible side effects reported with some statins (medicines of the same type):
•   Sexual difficulties
•   Depression
•   Breathing problems including persistent cough and/or shortness of breath or fever
•   Diabetes. This is more likely if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure. Your doctor will monitor you while you are taking this medicine.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via www.ravimiamet.ee.
By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Atorvastatin Teva

Keep out of the sight and reach of children.
Store below 30° C.
Do not use this medicine after the expiry date which is stated on the carton after “EXP:”. The expiry date refers to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What Atorvastatin Teva contains

• The active substance is Atorvastatin Teva
Teva calcium Teva calcium Teva calcium Teva calcium
Each 10 mg tablet contains 10 mg of Atorvastatin Teva as Atorvastatin Each 20 mg tablet contains 20 mg of Atorvastatin Teva as Atorvastatin Each 40 mg tablet contains 40 mg of Atorvastatin Teva as Atorvastatin Each 80 mg tablet contains 80 mg of Atorvastatin Teva as Atorvastatin
•   The other ingredients in the tablet core are microcrystalline cellulose, sodium carbonate anhydrous, maltose, croscarmellose sodium and magnesium stearate.
The other ingredients in the film-coating are hypromellose (E464), hydroxypropylcellulose, triethyl citrate (E1505), polysorbate 80 and titanium dioxide (E171).
What Atorvastatin Teva looks like and the contents of the pack
•   10 mg: Atorvastatin Teva Film-Coated Tablets are white to off-white, elliptic, biconvex and smooth film-coated tablets. The dimensions of each tablet are approximately 9.7 mm x 5.2 mm.
20 mg: Atorvastatin Teva Film-Coated Tablets are white to off-white, elliptic, biconvex and smooth film-coated tablets. The dimensions of each tablet are approximately 12.5 mm x 6.6 mm.
40 mg: Atorvastatin Teva Film-Coated Tablets are white to off-white, elliptic, biconvex and smooth film-coated tablets. The dimensions of each tablet are approximately 15.6 mm x 8.3 mm.
80 mg: Atorvastatin Teva Film-Coated Tablets are white to off-white, elliptic, biconvex and smooth film-coated tablets. The dimensions of each tablet are approximately 18.8 mm x 10.3 mm.
•   Atorvastatin Teva is available in aluminium-aluminium blisters containing 7, 10, 14, 15, 20, 28, 30, 50, 50x1, 56, 60, 84, 90, 98, 100 or 200 tablets and in high density polyethylene bottle containing 50 or 100 tablets and as multipack containing 100 tablets (2 bottles of 50 tablets).
•   Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder Teva Pharma B.V.
Swensweg 5 2031 GA Haarlem The Netherlands
Manufacturers
Teva Pharma, S.L.U.
C/C, n. 4, Poligono Industrial Malpica
50016 Zaragoza
Spain
TEVA UK Ltd
Brampton Road, Hampden Park Eastbourne, East Sussex, BN22 9AG United Kingdom
Teva Operations Poland Sp. z o.o. ul. Mogilska 80 31-546 Krakow Poland
Merckle GmbH Ludwig-Merckle-Straße 3 89143 Blaubeuren Germany
Pharmachemie B.V.
Swensweg 5 2031 GA Haarlem The Netherlands
This leaflet was last revised in June 2018.





  Instruction, annotation source for medicine: State Agency of Medicines, Estonia




[*1]

DDD. Information source: WHO Collaborating Centre for Drug Statistics Methodology. Norwegian Institute of Public Health


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