PIVASTA 4mg Tablet is used to reduce elevated total cholesterol, low-density lipoprotein (LDL) cholesterol, and triglyceride levels in the blood. It is also used to increase high-density lipoprotein (HDL) cholesterol in the blood. This drug is used for the treatment of primary hyperlipidaemia and mixed dyslipidaemia.

PIVASTA 4mg Tablet should be used in conjunction with diet and other lifestyle changes to reduce the risk of stroke or heart attack.

PIVASTA 4mg Tablet may also be prescribed for other conditions as determined by the doctor.

PIVASTA 4mg Tablet belongs to the class of drugs called HMG Co-A reductase inhibitors or statins. This drug acts by blocking HMG Co-A reductase enzyme, which is required for the synthesis of cholesterol. Thus, inhibition of HMG Co-A reductase enzyme activity helps in normalising the levels of cholesterol in the blood.

The dosage and the drug form depend on the age, weight and medical condition of an individual. Take PIVASTA 4mg Tablet as prescribed by your doctor.

Swallow the tablet whole. Do not crush or chew the tablet. Take the tablet with or without food, usually once in a day. If you have to take other cholesterol-lowering medications, you must take PIVASTA 4mg Tablet at least 1 hour before or 4 hours after taking these drugs.

If you miss a dose of PIVASTA 4mg Tablet, please take it immediately once you remember. However, if it is almost time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed dose.

Drugs that interact with PIVASTA 4mg Tablet include the following:

• Clarithromycin
• Cyclosporin
• Erythromycin
• Fenofibrate
• Gemfibrozil
• Niacin
• Rifampicin
• Telithromycin
• Warfarin

This is not a comprehensive list of drug interactions. Consult your doctor to know more about other possible drug interactions.

The following are the most common side effects of PIVASTA 4mg Tablet:

• Back pain
• Diarrhoea
• Constipation
• Muscle pain
• Pain in your arms or legs

The following are the severe side effects and you may require immediate medical attention:

• Impaired kidney function
• Jaundice
• Dark-coloured urine
• Pale-coloured or dark, tarry stools
• Tiredness
• Bruising easily

This is not a complete list of side effects and others may occur. Please consult your doctor to know more about other possible side effects.

• Avoid using the medicine if you are allergic to PIVASTA 4mg Tablet or similar drugs such as Atorvastatin or Simvastatin.
• Avoid consumption of alcohol while using PIVASTA 4mg Tablet, as it may increase the risk of liver damage.
• Be cautious while using PIVASTA 4mg Tablet if you have a history of uncontrolled hypothyroidism, kidney or liver disease.
• Consult the doctor immediately if you experience any allergic symptoms, such as rash, hives, and itching while using PIVASTA 4mg Tablet.

You are advised not to take PIVASTA 4mg Tablet if

• it has passed the expiry date of the medicine printed on the pack.
• the foil or packaging is torn or shows signs of tampering or there is discolouration.

• Tell your doctor if you have any history of kidney damage, liver disease, hypothyroidism, clotting disorder, or diabetes.
• Inform the doctor if you are taking any other drugs, OTC medications, herbal products or nutritional supplements.
• Inform the doctor if you are pregnant or breastfeeding.

1. What is the usual recommended dose of PIVASTA 4mg Tablet?

The usual recommended dosage of PIVASTA 4mg Tablet is 4 mg once daily. Consult your doctor for further information.

2. Should I follow any special dietary instructions while taking PIVASTA 4mg Tablet?

You must avoid the intake of foods rich in saturated fat and cholesterol while using PIVASTA 4mg Tablet. The efficacy of PIVASTA 4mg Tablet can be enhanced when used with a healthy diet plan.

3. What are the symptoms of impaired kidney function that may occur with the use of PIVASTA 4mg Tablet?

The symptoms of impaired kidney function include tiredness, confusion, nausea, shortness of breath, swelling of legs, ankles, or feet, and decreased urination. You must consult your doctor if you experience any of the above symptoms.

4. What happens if PIVASTA 4mg Tablet is used along with Gemfibrozil?

Gemfibrozil is a cholesterol-lowering agent. When Gemfibrozil is taken with PIVASTA 4mg Tablet, it may increase the risk of muscle pain or rhabdomyolysis. You must consult the doctor before using any other drug with PIVASTA 4mg Tablet.

5. Do I need to be monitored for any laboratory parameters while taking PIVASTA 4mg Tablet?

You should monitor the blood sugar levels, kidney function, and liver function while taking PIVASTA 4mg Tablet.