Država: Združene države Amerike
Jezik: angleščina
Source: NLM (National Library of Medicine)
SIMVASTATIN (UNII: AGG2FN16EV) (SIMVASTATIN - UNII:AGG2FN16EV)
McKesson Contract Packaging
SIMVASTATIN
SIMVASTATIN 40 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
SIMVASTATIN- SIMVASTATIN TABLET, FILM COATED MCKESSON CONTRACT PACKAGING ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE SIMVASTATIN SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR SIMVASTATIN TABLETS, USP. SIMVASTATIN TABLETS, USP INITIAL U.S. APPROVAL: 1991 RECENT MAJOR CHANGES Dosage and Administration Coadministration with Other Drugs (2.3) 10/2012 Contraindications (4) 10/2012 Warnings and Precautions Myopathy/Rhabdomyolysis (5.1) 10/2012 INDICATIONS AND USAGE Simvastatin tablets, USP are an HMG-CoA reductase inhibitor (statin) indicated as an adjunctive therapy to diet to: Reduce the risk of total mortality by reducing CHD deaths and reduce the risk of non-fatal myocardial infarction, stroke, and the need for revascularization procedures in patients at high risk of coronary events. (1.1) Reduce elevated total-C, LDL-C, Apo B, TG and increase HDL-C in patients with primary hyperlipidemia (heterozygous familial and nonfamilial) and mixed dyslipidemia. (1.2) Reduce elevated TG in patients with hypertriglyceridemia and reduce TG and VLDL-C in patients with primary dysbeta- lipoproteinemia. (1.2) Reduce total-C and LDL-C in adult patients with homozygous familial hypercholesterolemia. (1.2) Reduce elevated total-C, LDL-C, and Apo B in boys and postmenarchal girls, 10 to 17 years of age with heterozygous familial hypercholesterolemia after failing an adequate trial of diet therapy. (1.2, 1.3) Limitations of Us Simvastatin tablets, USP have not been studied in Fredrickson Types I and V dyslipidemias. (1.4) DOSAGE AND ADMINISTRATION Dose range is 5 to 40 mg/day. (2.1) Recommended usual starting dose is 10 or 20 mg once a day in the evening. (2.1) Recommended starting dose for patients at high risk of CHD is 40 mg/day. (2.1) Due to the increased risk of myopathy, including rhabdomyolysis, use of the 80 mg dose of simvastatin tablets should be restricted to patients who have been taking simvastatin 80 mg chronically (e.g., for 12 months o Preberite celoten dokument