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Introduction About STORVA GOLD 20 CAPSULE

STORVA GOLD 20 CAPSULE is a combination medicine used in the management of heart attack. It is commonly prescribed for patients with percutaneous coronary intervention (PCI) and myocardial infarction to reduce the risks of further heart attacks.

Take STORVA GOLD 20 CAPSULE with food, ideally at the same time every day, to maintain consistency and enhance its effectiveness. Follow your doctor's prescribed dosage and schedule, and do not discontinue use without medical advice, even if you feel better. Lifestyle modifications, such as following a low-fat diet, regular exercise, and avoiding smoking, can significantly boost the effectiveness of this medication.

Avoid drinking alcohol while taking STORVA GOLD 20 CAPSULE, as it could increase the risk of bleeding in the gastrointestinal tract.

Before starting STORVA GOLD 20 CAPSULE, inform your doctor if you have a history of liver or kidney disease. If you are pregnant, planning to conceive, or breastfeeding, consult your doctor before use. Additionally, disclose all other medications you are taking to avoid potential drug interactions.

The most common side effects of taking STORVA GOLD 20 CAPSULE are abdominal pain, indigestion, bruising, and nosebleeds. Since this medication increases the risk of bleeding, take extra precautions while shaving, trimming nails, or handling sharp objects. Seek immediate medical attention if you notice symptoms like muscle pain or weakness, yellowing of the skin, or dark urine. Avoid consuming alcohol while on this medication, as it may amplify side effects.

Uses Of STORVA GOLD 20 CAPSULE

Heart Attack

Benefits of STORVA GOLD 20 CAPSULE in heart attack:

STORVA GOLD 20 CAPSULE is a powerful medication designed to lower the risk of heart attacks by combining antiplatelet and cholesterol-lowering agents.
It prevents blood clots by stopping platelets from sticking together, ensuring smooth blood flow and reducing the risk of blockages in arteries.
Additionally, it lowers LDL (bad cholesterol) and triglycerides while boosting HDL (good cholesterol), promoting better cardiovascular health.
By reducing the chances for atherosclerosis (hardening of arteries) and reducing the recurrence of heart attacks, this medication offers comprehensive heart protection. When combined with a healthy lifestyle, such as a low-fat diet, regular exercise, and avoiding smoking, STORVA GOLD 20 CAPSULE significantly enhances heart health.

How STORVA GOLD 20 CAPSULE Works

STORVA GOLD 20 CAPSULE contains a combination of three medicines, namely aspirin, atorvastatin, and clopidogrel which works synergistically to reduce the risk of cardiovascular events like heart attacks and strokes by targeting different aspects of blood clotting and cholesterol management:

Aspirin and Clopidogrel are antiplatelet medicines that prevents platelets from sticking together, further reducing the risk of clot formation and enhancing blood flow in the arteries. By reducing platelet clumping, this medicine helps maintain smooth blood flow and prevents clots in blood vessels.

Atorvastatin is a statin that inhibits HMG-CoA reductase, the enzyme involved in cholesterol synthesis in the liver. It lowers LDL (bad cholesterol) and triglycerides while increasing HDL (good cholesterol), which reduces plaque buildup in arteries (atherosclerosis) and improves blood vessel health.

Together, this medicine offers comprehensive cardiovascular protection by reducing clot formation, improving lipid profiles, and reducing the risk for narrowing of blood vessels, significantly lowering the risk of heart attacks and strokes.

How to use STORVA GOLD 20 CAPSULE

STORVA GOLD 20 CAPSULE should be taken exactly as prescribed by your doctor for optimal results.

It is best to take this medicine with food to avoid stomach discomfort.

Take it at the same time every day to ensure consistent blood levels and maximum effectiveness.

Swallow the medicine whole with water; do not crush or chew it.

Follow your doctor’s recommended dosage schedule, and do not skip doses or stop the medication without consulting your healthcare provider.

For best results, combine this medication with a healthy lifestyle, including a low-fat diet, regular exercise, and avoiding smoking. Always consult your doctor if you have any questions about its use.

Missed dosage instructions for STORVA GOLD 20 CAPSULE:

If you miss a dose of STORVA GOLD 20 CAPSULE, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double up on doses to make up for the missed one, as this may increase the risk of side effects. To avoid missing doses in the future, try taking the medication at the same time every day and consider setting reminders. If you are unsure about what to do, consult your doctor or pharmacist for advice.

Overdosage instructions for STORVA GOLD 20 CAPSULE:

If you or anyone else accidentally take too much of STORVA GOLD 20 CAPSULE, contact your doctor immediately or go to a hospital straight away. Overdosage symptoms of STORVA GOLD 20 CAPSULE includes increased bleeding, confusion, disorientation, coma, convulsions, vomiting (sometimes with blood), increased body temperature, low blood sugar levels, tinnitus (ringing in the ears), vertigo (spinning sensation), sweating, warm extremities with bounding pulses, kidney failure, increased respiratory rate and hyperventilation.

Side Effects Of STORVA GOLD 20 CAPSULE

Like all medicines, STORVA GOLD 20 CAPSULE may cause certain side effects, although not everybody gets them

Some of the most common side effects of STORVA GOLD 20 CAPSULE are:

increased bleeding or bruising
bleeding from the nose
indigestion, diarrhea, stomach pain, nausea, constipation
high blood glucose
dizziness and headache
muscle cramps or pain
joint pain, back pain, swelling of joints

tingling or prickling sensation in hands or feet
weight gain
changes in taste

Stop taking STORVA GOLD 20 CAPSULE and contact your doctor immediately if you experience any of the following side effects:

severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat and neck, difficulty in breathing or swallowing)
Thrombotic thrombocytopenic purpura (a blood disorder that causes blood clots in capillaries throughout the body)
hemorrhagic vasculitis (inflammation of the blood vessels with bleeding)
abnormal heavy or prolonged menstrual periods
severe skin disorders with fever (Ex. Lyell’s syndrome, Steven-Johnsons syndrome, erythema nodosum, erythema multiforme)
rhabdomyolysis (muscle rupture with fever), myositis (inflammation of the muscle) or tendinopathy (painful tendons)

How To Manage Side Effects

Stomach Pain

Take with Food: Always take STORVA GOLD 20 CAPSULE with food to reduce stomach irritation. This can help minimize discomfort and protect your stomach lining.
Avoid Spicy or Acidic Foods: Stay away from spicy, fried, or acidic foods, as they can aggravate stomach pain and irritation. Opt for bland, easy-to-digest meals instead.
Stay Hydrated: Drink plenty of water throughout the day to support digestion and reduce stomach discomfort.
Over-the-Counter Remedies: After consulting your doctor, consider using antacids or proton pump inhibitors (PPIs) to alleviate stomach pain if recommended.
Consult Your Doctor: If the pain persists, worsens, or is accompanied by other symptoms like nausea or black stools, seek medical advice immediately, as this could indicate a more serious issue.

Warning & Precautions

Pregnancy

Contraindicated

STORVA GOLD 20 CAPSULE is not recommended for use in pregnant women due to potential risks of side effects to the growing baby. Animal studies have indicated that the use of Atorvastatin causes feotal growth abnormalities. Aspirin is generally advised not to take at later stages of pregnancy as it may increase post-partum bleeding. Although, there are no well controlled human studies, the potential risk to the growing fetus cannot be excluded. Therefore, do not take STORVA GOLD 20 CAPSULE without talking to your doctor if you are pregnant.
Women of child-bearing potential should use suitable contraceptive method to avoid pregnancy while taking STORVA GOLD 20 CAPSULE.
If you become pregnant while on therapy with this medicine, stop taking it and consult your doctor immediately.

Breastfeeding

Consult your doctor

It is not known whether Aspirin, Atorvastatin or clopidogrel pass through breast milk or not. Therefore, consult your doctor before taking STORVA GOLD 20 CAPSULE if you are breastfeeding.

Driving and Using Machines

Safe

STORVA GOLD 20 CAPSULE does not impair your ability to drive or operate any machines. Consult your doctor before taking STORVA GOLD 20 CAPSULE.

Alcohol

Consult your doctor

Avoid consumption of alcohol while taking STORVA GOLD 20 CAPSULE as it may increase the risk of stomach bleeding and aggravate your existing condition. Consult your doctor before taking STORVA GOLD 20 CAPSULE.

Kidney

Consult your doctor

STORVA GOLD 20 CAPSULE is not recommended for use in patients having severe kidney disease and should be used with caution in patients with kidney impairment. Consult your doctor before taking this medicine.

Liver

Consult your doctor

STORVA GOLD 20 CAPSULE is not recommended for use in patients having severe liver impairment and active liver disease (including persistent elevations of serum transaminases exceeding three times the upper limit) and should be used with caution in patients with liver impairment. Consult your doctor before taking this medicine.

Allergy

Contraindicated

Do not take STORVA GOLD 20 CAPSULE if you are allergic to Clopidogrel, Atorvastatin, Aspirin or Prostaglandin synthetase inhibitors (Ex. naproxen, ibuprofen, mefenamic acid and indomethacin).

Lungs

Use with Caution

STORVA GOLD 20 CAPSULE should be used with caution in patients with interstitial lung disease or other respiratory problems such as hay fever, asthma or chronic respiratory diseases due to increased risk of bronchospasm and asthma attacks. Consult your doctor before taking STORVA GOLD 20 CAPSULE.

Heart Disease

Consult your doctor

STORVA GOLD 20 CAPSULE is not recommended for use in patients with recent ischemic stroke and should be used with caution in patients with high blood pressure. Therefore, consult your doctor before taking it.

Use In Pediatrics

Contraindicated

STORVA GOLD 20 CAPSULE is generally not recommended for use in children and adolescents (under 18 years of age). Consult your child’s doctor for advice.

Use In Geriatrics

Use with Caution

STORVA GOLD 20 CAPSULE should be used with caution in elderly patients (aged 70 years or above) because of increased risk of gastro-intestinal bleeding and perforation when used for prolonged duration (if prolonged therapy is essential, patients should be reviewed regularly). Consult your doctor before taking STORVA GOLD 20 CAPSULE.

Others

STORVA GOLD 20 CAPSULE is not recommended for use if you:

have active or recurrent peptic ulcer with or without gastrointestinal bleeding
have bleeding disorders (Ex. bleeding in the brain, hemophilia or others)
have thrombocytopenia (decreased platelet count)
have gout
have menorrhagia (abnormally heavy bleeding during menstruation)

Before taking STORVA GOLD 20 CAPSULE, inform your doctor if you:

have an underactive thyroid gland
have family history of hereditary muscular disorders
have family history of muscle problems following management with cholesterol-lowering medicines
upcoming planned surgery (including dental surgery)
dehydration problem
diabetes
are alcoholic

Safety Advice

Quick tips:

Always take STORVA GOLD 20 CAPSULE with food to minimize stomach irritation.
Take it at the same time every day to maintain consistent levels in your body.
Stay away from alcohol, as it can increase the risk of side effects like bleeding and liver damage.
Use caution while shaving or handling sharp objects, as the medicine increases bleeding risk.
Inform your doctor if you experience unusual symptoms like muscle pain, yellowing of the skin, or black stools.

Diet Tips and Lifestyle Advice While Taking STORVA GOLD 20 CAPSULE:

Follow a Heart-Healthy Diet:

Include fresh fruits, vegetables, whole grains, lean proteins, and healthy fats like those found in nuts, seeds, and fish.
Avoid foods high in saturated fats, trans fats, and cholesterol to support cholesterol reduction.

Limit Salt Intake:

Reduce sodium consumption to help control blood pressure and improve heart health.

Stay Hydrated:

Drink plenty of water throughout the day to support overall health and digestion.

Avoid Alcohol and Smoking:

Alcohol can increase the risk of side effects like bleeding, and smoking worsens cardiovascular health. Quit smoking and limit or avoid alcohol entirely.

Exercise Regularly:

Engage in moderate physical activities such as walking, swimming, or cycling for at least 30 minutes a day, five times a week, to strengthen the heart and maintain a healthy weight.

Maintain a Healthy Weight:

Aim for a balanced calorie intake to manage weight and reduce stress on the heart.

Manage Stress:

Practice relaxation techniques like yoga, meditation, or deep breathing to lower stress levels and improve heart health.

Monitor Your Health:

Keep an eye on your cholesterol levels, blood pressure, and any unusual symptoms. Schedule regular check-ups with your doctor.

Interactions

A. Drug-Drug interactions:

Before taking STORVA GOLD 20 CAPSULE inform to your doctor, if you are taking any of these medicines:

other anticoagulants (used for blood thinning) Ex. warfarin, coumarin, heparin, phenindione
other cholesterol-lowering medicines (Ex. clofibrate, gemfibrozil, fenofibrate, ezetimibe, colestipol)
other non-steroidal anti-inflammatory drugs (Ex. ibuprofen, indomethacin)
medicines used to manage HIV infection (Ex. glecaprevir/pibrentasvir, delavirdine, ritonavir with lopinavir and/or atazanavir or sofosbuvir with velpatasvir and voxilaprevir)
st. john's wort (herbal medicine), selective serotonin reuptake inhibitors (used to manage depression) Ex. fluoxetine, sertraline, paroxetine or fluvoxamine
medicines used to manage stomach ulcers such as antacids (Ex. aluminium hydroxide, magnesium hydroxide) and proton-pump inhibitors (Ex. omeprazole or esomeprazole)
other medicines used during percutaneous coronary intervention (Ex. abciximab, eptifibatide and tirofiban)
antibiotics (used to manage bacterial infections) such as macrolides (Ex. azithromycin, telithromycin, erythromycin, roxithromycin, and clarithromycin) or fusidic acid
medicines used to manage epilepsy (Ex. phenytoin, valproic acid, stiripentol)
medicines used to manage diabetes (Ex. insulin, glipizide, glimepiride)
ciclosporin or tacrolimus (used to manage graft rejection or manage auto-immune disease)
azole antifungal agents (used to manage fungal infection) Ex. clotrimazole, fluconazole
methotrexate (used to manage cancer or other auto-immune diseases)
lithium (used to manage mental illness)
corticosteroids (used to manage pain and inflammation) Ex. prednisolone, dexamethasone
acetazolamide (used to manage or manage altitude sickness)
mifepristone (used to manage pregnancy)
metoclopramide (used to manage vomiting)
deferasirox (used to manage iron overload)
zafirlukst (used to manage asthmatic symptoms)
digoxin, amiodarone and verapamil (used to manage abnormal heart rhythm)
angiotensin-converting enzyme (ACE) inhibitors such as captopril, enalapril and diuretics such as hydrochlorothiazide (used to manage high blood pressure)
rifampin (used to manage tuberculosis)
colchicine, probenecid or sulfinpyrazone (used to manage gout)

B. Drug - Food interaction:

During management with STORVA GOLD 20 CAPSULE, do not take more than one or two small glasses of grapefruit juice per day because large quantities of grapefruit juice can alter the effects of this medicine.

Synopsis

Drug	:	Aspirin, Clopidogrel, Atorvastatin
Pharmacological Category	:	Antiplatelets, HMG-CoA reductase inhibitors
Therapeutic Indication	:	Heart Attack
Dosage Forms	:	Tablet, Capsule

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FAQs About STORVA GOLD 20 CAPSULE

Q: What is STORVA GOLD 20 CAPSULE used for?

A: STORVA GOLD 20 CAPSULE is a combination medicine used to reduce the risk of heart attacks and strokes. It works by thinning the blood to prevent clots and lowering cholesterol levels to improve heart health. It is commonly prescribed for individuals with a history of cardiovascular events or those at high risk of developing such conditions.

Q: How should I take STORVA GOLD 20 CAPSULE?

A: Take STORVA GOLD 20 CAPSULE as directed by your doctor. It is typically taken once daily with food to reduce stomach irritation. Swallow the capsule whole with water and take it at the same time each day for the best results. Do not skip doses or stop taking the medicine without consulting your doctor.

Q: What are the common side effects of STORVA GOLD 20 CAPSULE?

A: Common side effects include stomach pain, indigestion, bruising, and nosebleeds. In rare cases, muscle pain, weakness, or yellowing of the skin may occur. If you experience any unusual or severe symptoms, consult your doctor immediately.

Q: Can I take STORVA GOLD 20 CAPSULE during pregnancy?

A: STORVA GOLD 20 CAPSULE is not generally recommended during pregnancy unless your doctor determines it is essential. Limited human studies are available, but animal research suggests potential risks to the baby. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding before starting this medication.

Q: What should I do if I miss a dose of STORVA GOLD 20 CAPSULE?

A: If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for the missed one.

Q: Can I consume alcohol while taking STORVA GOLD 20 CAPSULE?

A: It is advisable to avoid alcohol while taking STORVA GOLD 20 CAPSULE, as it can increase the risk of side effects like stomach irritation and bleeding. Additionally, alcohol can interfere with cholesterol management and reduce the effectiveness of the medication.

Q: What precautions should I take while using STORVA GOLD 20 CAPSULE?

A: Use caution while performing activities that may cause injuries, as this medicine increases the risk of bleeding. Avoid over-the-counter NSAIDs like ibuprofen unless prescribed. Inform your doctor about any other medications you are taking to prevent interactions. Regularly monitor your cholesterol levels and report any unusual symptoms to your doctor.

Q: How long do I need to take STORVA GOLD 20 CAPSULE?

A: STORVA GOLD 20 CAPSULE is often prescribed as part of a long-term treatment plan for cardiovascular health. Your doctor will determine the duration based on your condition. Do not stop taking the medication without medical advice, even if you feel better.

Q: Are there any dietary restrictions while taking STORVA GOLD 20 CAPSULE?

A: Yes, follow a heart-healthy diet for the best results. Avoid foods high in saturated fats, trans fats, and cholesterol. Incorporate fresh fruits, vegetables, whole grains, and lean proteins. Reduce sodium intake and quit smoking to improve overall heart health.

Q: Can STORVA GOLD 20 CAPSULE interact with other medications?

A: Yes, STORVA GOLD 20 CAPSULE may interact with blood thinners, NSAIDs, and certain antibiotics, increasing the risk of side effects. Inform your doctor about all medications, supplements, or herbal products you are taking to avoid adverse interactions.

References

KD. Tripathi. Drugs Affecting Coagulation, Bleeding and Thrombosis and Hypolipidemic Drugs and Plasma Expanders. Essentials of medical pharmacology. Seventh edition. 2013. Page – 629-633 & 636-638.
Jeffery I. Weitz. Blood coagulation and Anticoagulant, Fibrinolytic and Antiplatelet Drugs. Thomas P. Bersot. Drug therapy for hypercholesterolemia and dyslipidemia. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 868-870 & 892-898.
Goeng Bae Kim, Jeong Kyung Kim, Sul Park, Jae Jin Jeong, Hyung Sik Yoon, Sang Hun Ko, Jae Ee Ko, Soo Jin Park, Seon Woo Nam, Jae Hwan Lee and Min Soo Hyon. Effect of Atorvastatin and Clopidogrel Co-Administration After Coronary Stenting in Korean Patients With Stable Angina. NCBI; PMC US National Library of Medicine, National Institute of Health. January 2011. [Accessed on 7th October 2021] click here
Torrent pharmaceuticals ltd. Deplatt-CV. Torrentian.com. [Revised in July 2019]. [Accessed on 7th October 2021] click here
Torrent pharmaceuticals ltd. Deplatt-CV 20 Forte (Clopidogrel, Atorvastatin and Aspirin Capsules). Torrentian.com. [Revised in July 2019] [Accessed on 7th October 2021] click here

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Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. Thamada Manikanta Praveen - MBBS, MD (General Medicine)

Last updated on 07 Dec 2024 | 10:52 AM(IST)