1625:(AUC). This finding initially gave rise to concerns of toxicity, and in 2000, it was recommended that people taking atorvastatin should not consume grapefruit juice "in an unsupervised manner." Small studies (using mostly young participants) examining the effects of grapefruit juice consumption on mainly lower doses of atorvastatin have shown that grapefruit juice increases blood levels of atorvastatin, which could increase the risk of adverse effects. No studies assessing the impact of grapefruit juice consumption have included participants taking the highest dose of atorvastatin (80 mg daily), which is often prescribed for people with a history of
1198:) on atorvastatin has revealed that it may still be beneficial in reducing combined cardiac events, cardiac and all-cause mortality in those with a higher baseline LDL cholesterol >3.75 mmol/L. While the SHARP study suggested that LDL cholesterol-lowering treatments (e.g. statin/ezetimibe combination) are effective in reducing the risks of major atherosclerotic events in people with CKD including those on dialysis, the subgroup analysis of the people undergoing hemodialysis had revealed no significant benefits. Whether or not hemodialysis has any impact on the statin levels was not specifically addressed in these major trials.
2003:
1991:
1167:
lowering LDL cholesterol if taken in the evening. However, the only study included in the meta-analysis of atorvastatin in people with heart disease did not specifically investigate if morning or evening dosing was more effective for reducing LDL cholesterol. The trial did confirm that, irrespective of dosing time, atorvastatin is very effective at reducing total cholesterol, LDL cholesterol and triglycerides, and increasing HDL cholesterol levels. Hence, atorvastatin should be taken at the same time each day, at a time that is most convenient for the patient, so it does not compromise compliance.
1147:
catheterisation, coronary angiography (CAG) or percutaneous coronary intervention (PCI). A meta-analysis of 21 RCTs confirmed that high dose (80 mg) atorvastatin therapy is more effective than regular dose or low dose statin therapy at preventing CI-AKI. Atorvastatin therapy can also help to prevent in-hospital dialysis post CM administration, however there is no evidence that it reduces all-cause mortality associated with CI-AKI. Overall, the evidence concludes that statin therapy, irrespective of the dose, is still more effective than no treatment or placebo at reducing the risk of CI-AKI.
769:
746:
51:
1982:
genotype when treated with atorvastatin. Another genetic variant that showed genome wide significance in
Caucasians was the SNP rs10455872 in the LPA gene that lead to higher Lp(a) levels which cause an apparent lower LDL-c response to atorvastatin. These studies were in Caucasian population, more research with a large cohort need to be conducted in different ethnicities to identify more polymorphisms that can affect atorvastatin pharmacokinetics and treatment response.
1742:
1637:) or in people at high risk of cardiovascular disease. People taking atorvastatin should consult with their doctor or pharmacist before consuming grapefruit juice, as the effects of grapefruit juice consumption on atorvastatin will vary according to factors such as the amount and frequency of juice consumption in addition to differences in juice components, quality and method of juice preparation between different batches or brands.
2162:
1311:
benefits of statin therapy in preventing fatal and non-fatal stroke, fatal coronary heart disease, and non-fatal myocardial infarction are significant. For most people the benefits of statin therapy far outweigh the risk of developing diabetes. A 2010 meta-analysis demonstrated that every 255 people treated with a statin for four years produced a reduction of 5.4 major coronary events and induced only one new case of diabetes.
1315:
low increase in muscle pain and weakness was present (5%) with no clear evidence of a dose-response relationship. Duration of treatment with atorvastatin is unlikely to increase the risk of muscle-related side effects as most occur within the first year of treatment, after which the risk is not increased further. The known cardiovascular benefits of atorvastatin over time outweigh the low risk of muscle-related side effects.
42:
8645:
1715:, high-dose atorvastatin treatment may play a plaque-stabilizing role. At high doses, statins have anti-inflammatory effects, incite reduction of the necrotic plaque core, and improve endothelial function, leading to plaque stabilization and, sometimes, plaque regression. There is a similar thought process with using high-dose atorvastatin as a form of secondary
6903:
2103:– was in the advanced stages of development. Nevertheless, Bruce Roth and his bosses, Roger Newton and Ronald Cresswell, in 1985, convinced company executives to move the compound into expensive clinical trials. Early results comparing atorvastatin to simvastatin demonstrated that atorvastatin appeared more potent and with fewer side effects.
6735:
Roth BD, Blankley CJ, Chucholowski AW, Ferguson E, Hoefle ML, Ortwine DF, et al. (1991). "Inhibitors of
Cholesterol Biosynthesis. 3. Tetrahydro-4-hydroxy-6--2H-pyran 2-one Inhibitors of HMG-CoA Reductase. 2. Effects of Introducing Substituents at Positions Three and Four of the Pyrrole Nucleus".
2207:
Ltd. voluntarily recalled 10-, 20- and 40-mg doses of its generic version of atorvastatin in the United States. The lots of atorvastatin, packaged in bottles of 90 and 500 tablets, were recalled due to possible contamination with very small glass particles similar to the size of a grain of sand (less
2049:
developed a cost-effective and scalable synthesis. In atorvastatin's case, a key element of the overall synthesis was ensuring stereochemical purity in the final drug substance, and hence establishing the first stereocenter became a key aspect of the overall design. The final commercial production of
1727:
The liver is the primary site of action of atorvastatin, as this is the principal site of both cholesterol synthesis and LDL clearance. It is the dosage of atorvastatin, rather than systemic medication concentration, which correlates with extent of LDL-C reduction. In a
Cochrane systematic review the
2187:
In other countries, atorvastatin calcium is made in tablet form by generic medication makers under various brand names including Atoris, Atorlip, Atorva, Atorvastatin Teva, Atorvastatina Parke-Davis, Avas, Cardyl, Liprimar, Litorva, Mactor, Orbeos, Prevencor, Sortis, Stator, Tahor, Torid, Torvacard,
1327:
be assessed with laboratory tests before beginning atorvastatin treatment and repeated periodically as clinically indicated - usually a clinicians' judgement. Package inserts for this statin recommend actions should liver abnormalities be detected. Ultimately, this is the judgment of the prescribing
1314:
In some case and clinical studies mild muscle pain or weakness have been reported (around 3%), compared to a placebo. However, this increase was not related to statin therapy in 90% of cases in a large meta-analysis of randomized controlled trials. In patients taking higher statin doses, a similarly
1322:
Persistent liver enzyme abnormalities (usually elevated in hepatic transaminases) have been documented. Elevations threefold greater than normal were recorded in 0.5% of people treated with atorvastatin 10 mg-80 mg rather than placebo. Usage instructions in package inserts for this statin
1310:
is observed in a small number of people, and is an uncommon class effect of all statins. It appears it may be more likely in people who were already at a higher risk of developing diabetes before starting a statin due to multiple risk factors, for example raised fasting glucose levels. However, the
4624:
Sever PS, Dahlöf B, Poulter NR, Wedel H, Beevers G, Caulfield M, et al. (April 2003). "Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian
Cardiac Outcomes Trial—Lipid
1981:
There are several studies showing genetic variants and variable response to atorvastatin. The polymorphisms that showed genome wide significance in
Caucasian population were the SNPs in the apoE region; rs445925, rs7412, rs429358 and rs4420638 which showed variable LDL-c response depending on the
1386:
There have been rare reports of reversible memory loss and confusion with all statins, including atorvastatin; however, there has not been enough evidence to associate statin use with cognitive impairment, and the risks for cognition are likely outweighed by the beneficial effects of adherence to
1142:
There is evidence from systematic review and meta-analyses that statins, particularly atorvastatin, reduce both decline in kidney function (eGFR) and the severity of protein excretion in urine, with higher doses having greater effect. Data are conflicting for whether statins reduce risk of kidney
1190:
Hemodialysis: Although there has been moderate-to-high quality of evidence to show the lack of clear and significant clinical benefits of statins (including atorvastatin at a dose of 20mg) minimizing non-fatal myocardial infarction, stroke, and cardiovascular mortality in adults on hemodialysis
1377:
Atorvastatin has been associated with a small increase in fasting blood glucose levels over a 2-year period, particularly in patients with Type 2 Diabetes, however evidence is conflicting and clinical significance of this increase has not been determined. Regular blood glucose monitoring may be
1166:
Statins with shorter half-lives are more effective when taken in the evening, so their peak effect occurs when the body’s natural cholesterol production is at its highest. A recent meta-analysis suggested that statins with longer half-lives, including atorvastatin, may also be more effective at
1318:
Statin-induced rhabdomyolysis is rare, occurring in less than 0.1% of people who take statins. Statin induced rhabdomyolysis, as with other statin associated muscle symptoms, occurs most commonly in the first year of treatment but can occur at any time during treatment. Risk factors for statin
1146:
Prior to contrast medium (CM) administration, pre-treatment with atorvastatin therapy can reduce the risk of contrast-induced acute kidney injury (CI-AKI) in people with pre-existing chronic kidney disease (CKD) (eGFR < 60mL/min/1.73m2) who undergo interventional procedures such as cardiac
1191:(including those with diabetes and/or pre-existing cardiovascular diseases) despite the clinically relevant reduction in total/LDL cholesterol levels, there is evidence that people undergoing hemodialysis who received moderate intensity statin therapy had a lower risk of all-cause mortality.
3004:
Colhoun HM, Betteridge DJ, Durrington PN, Hitman GA, Neil HA, Livingstone SJ, et al. (2004). "Primary prevention of cardiovascular disease with atorvastatin in type 2 diabetes in the
Collaborative Atorvastatin Diabetes Study (CARDS): multicentre randomised placebo-controlled trial".
1176:
Geriatric: Plasma concentrations of atorvastatin in healthy elderly subjects are higher than those in young adults. However, clinical data suggests there is a similar reduction of LDL cholesterol and cardiovascular events at any dose in this population and adults younger than 65 years of
2212:
mm in size). The FDA received no reports of injury from the contamination. Ranbaxy also issued recalls of bottles of 10-milligram tablets in August 2012 and March 2014, due to concerns that the bottles might contain larger, 20-milligram tablets and thus cause potential dosing errors.
1242:: Small amounts of other statin medications have been found to pass into breast milk, although atorvastatin has not been studied specifically. Due to risk of disrupting a breastfeeding infant's metabolism of lipids, atorvastatin is not regarded as compatible with breastfeeding.
7756:
3747:
Ozaydin M, Dede O, Dogan A, Aslan SM, Altinbas A, Ozturk M, et al. (January 2006). "Effects of morning versus evening intake of atorvastatin on major cardiac event and restenosis rates in patients undergoing first elective percutaneous coronary intervention".
2120:
billion. Lipitor was on the market by 1996. By 2003, Lipitor had become the best selling pharmaceutical in the United States. From 1996 to 2012, under the trade name
Lipitor, atorvastatin became the world's best-selling medication of all time, with more than $
1205:. Despite these concerns, a 2017 systematic review and analysis of available evidence has shown that statins, such as atorvastatin, are relatively safe to use in stable, asymptomatic cirrhosis and may even reduce the risk of liver disease progression and death.
3819:
Olsson AG, Schwartz GG, Szarek M, Luo D, Jamieson MJ (March 2007). "Effects of high-dose atorvastatin in patients > or =65 years of age with acute coronary syndrome (from the myocardial ischemia reduction with aggressive cholesterol lowering study)".
3616:
Keech A, Simes RJ, Barter P, Best J, Scott R, Taskinen MR, et al. (November 2005). "Effects of long-term fenofibrate therapy on cardiovascular events in 9795 people with type 2 diabetes mellitus (the FIELD study): randomised controlled trial".
3089:
Gentile S, Turco S, Guarino G, Sasso CF, Amodio M, Magliano P, et al. (December 2000). "Comparative efficacy study of atorvastatin vs simvastatin, pravastatin, lovastatin and placebo in type 2 diabetic patients with hypercholesterolaemia".
2083:, who was hired by Warner-Lambert as a chemist in 1982, had synthesized an "experimental compound" codenamed CI 981 – later called atorvastatin. It was first made in August 1985. Warner-Lambert management was concerned that atorvastatin was a
2672:
Nawrocki JW, Weiss SR, Davidson MH, Sprecher DL, Schwartz SL, Lupien PJ, et al. (May 1995). "Reduction of LDL cholesterol by 25% to 60% in patients with primary hypercholesterolemia by atorvastatin, a new HMG-CoA reductase inhibitor".
3354:
Xiong B, Nie D, Cao Y, Zou Y, Yao Y, Qian J, et al. (November 2017). "Preoperative Statin
Treatment for the Prevention of Acute Kidney Injury in Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomised Controlled Trials".
1093:
of heart attack, stroke, and need for revascularization procedures in people who have risk factors such as age, smoking, high blood pressure, low HDL-C, and a family history of early heart disease, but have not yet developed evidence of
1728:
dose-related magnitude of atorvastatin on blood lipids was determined. Over the dose range of 10 to 80 mg/day total cholesterol was reduced by 27.0% to 37.9%, LDL cholesterol by 37.1% to 51.7% and triglycerides by 18.0% to 28.3%.
2112:
concluding the efficacy of statins in lowering cholesterol proving for the first time not only that a "statin reduced 'bad' LDL cholesterol but also that it led to a sharp drop in fatal heart attacks among people with heart disease."
2968:
Nissen SE, Tuzcu EM, Schoenhagen P, Brown BG, Ganz P, Vogel RA, et al. (March 2004). "Effect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial".
3310:
Amarenco P, Callahan A, Campese VM, Goldstein LB, Hennerici MG, Messig M, et al. (October 2014). "Effect of high-dose atorvastatin on renal function in subjects with stroke or transient ischemic attack in the SPARCL trial".
7746:
3397:
Zhou X, Dai J, Xu X, Wang Z, Xu H, Chen J, et al. (April 2019). "Comparative
Efficacy of Statins for Prevention of Contrast-Induced Acute Kidney Injury in Patients With Chronic Kidney Disease: A Network Meta-Analysis".
2600:
McCrindle BW, Ose L, Marais AD (July 2003). "Efficacy and safety of atorvastatin in children and adolescents with familial hypercholesterolemia or severe hyperlipidemia: a multicenter, randomized, placebo-controlled trial".
1977:
may be linked to an increase in statin-related side effects with single nucleotide polymorphisms (SNPs) in the SLCO1B1 gene showing a 45 fold higher incidence of statin related myopathy than people without the polymorphism.
2845:
Mills EJ, Wu P, Chong G, Ghement I, Singh S, Akl EA, et al. (February 2011). "Efficacy and safety of statin treatment for cardiovascular disease: a network meta-analysis of 170,255 patients from 76 randomized trials".
2708:
Bakker-Arkema RG, Davidson MH, Goldstein RJ, Davignon J, Isaacsohn JL, Weiss SR, et al. (January 1996). "Efficacy and safety of a new HMG-CoA reductase inhibitor, atorvastatin, in patients with hypertriglyceridemia".
5963:"Recommendations for Management of Clinically Significant Drug-Drug Interactions With Statins and Select Agents Used in Patients With Cardiovascular Disease: A Scientific Statement From the American Heart Association"
883:
InChI=1S/C33H35FN2O5/c1-21(2)31-30(33(41)35-25-11-7-4-8-12-25)29(22-9-5-3-6-10-22)32(23-13-15-24(34)16-14-23)36(31)18-17-26(37)19-27(38)20-28(39)40/h3-16,21,26-27,37-38H,17-20H2,1-2H3,(H,35,41)(H,39,40)/t26-,27-/m1/s1
1930:
of 14 hours. Noteworthy, the HMG-CoA reductase inhibitory activity appears to have a half-life of 20–30 hours, which is thought to be due to the active metabolites. Atorvastatin is also a substrate of the intestinal
1964:
values that are 40% and 30% higher, respectively. Additionally, healthy elderly people show a greater pharmacodynamic response to atorvastatin at any dose; therefore, this population may have lower effective doses.
7303:
3783:
Collier DJ, Poulter NR, Dahlöf B, Sever PS, Wedel H, Buch J, et al. (March 2011). "Impact of atorvastatin among older and younger patients in the Anglo-Scandinavian
Cardiac Outcomes Trial Lipid-Lowering Arm".
841:
1589:
states that the combination of digoxin and atorvastatin is reasonable. In contrast to some other statins, atorvastatin does not interact with warfarin concentrations in a clinically meaningful way (similar to
1186:
Kidney impairment: Kidney disease has no statistically significant influence on plasma concentrations of atorvastatin and dose adjustment considerations should only be made in context of the patient's overall
5787:
Mazzu AL, Lasseter KC, Shamblen EC, Agarwal V, Lettieri J, Sundaresen P (October 2000). "Itraconazole alters the pharmacokinetics of atorvastatin to a greater extent than either cerivastatin or pravastatin".
2636:
Nissen SE, Nicholls SJ, Sipahi I, Libby P, Raichlen JS, Ballantyne CM, et al. (April 2006). "Effect of very high-intensity statin therapy on regression of coronary atherosclerosis: the ASTEROID trial".
1891:. As a substrate for the CYP3A4 isozyme, it has shown susceptibility to inhibitors and inducers of CYP3A4 to produce increased or decreased plasma concentrations, respectively. This interaction was tested
7688:
4923:
Amarenco P, Bogousslavsky J, Callahan A, Goldstein LB, Hennerici M, Rudolph AE, et al. (Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) Investigators) (August 2006).
1116:
in people with established coronary artery disease. The effect is dose dependent and is amplified at higher doses. Close monitoring of liver function tests is required when high doses is used.
4371:
4491:
Sattar N, Preiss D, Murray HM, Welsh P, Buckley BM, de Craen AJ, et al. (February 2010). "Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials".
3855:
Wenger NK, Lewis SJ, Herrington DM, Bittner V, Welty FK (July 2007). "Outcomes of using high- or low-dose atorvastatin in patients 65 years of age or older with stable coronary heart disease".
5752:
Wägner AM, Jorba O, Bonet R, Ordóñez-Llanos J, Pérez A (July 2003). "Efficacy of atorvastatin and gemfibrozil, alone and in low dose combination, in the treatment of diabetic dyslipidemia".
4156:"The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial"
6997:
Scandinaviansimvastatinsurvival (November 1994). "Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S)".
5539:
Graham DJ, Staffa JA, Shatin D, Andrade SE, Schech SD, La Grenade L, et al. (December 2004). "Incidence of hospitalized rhabdomyolysis in patients treated with lipid-lowering drugs".
1163:
to manage dyslipidemia in people who also have type 2 diabetes, and a high cardiovascular disease risk; however, there is limited clinical benefit noted for most cardiovascular outcomes.
6975:
1994:
Atorvastatin synthesis in commercial production (process) chemistry. The key step of establishing this medication's stereocenters, through initial use of an inexpensive natural product (
7723:
7270:
7442:
355:
5874:
Backman JT, Luurila H, Neuvonen M, Neuvonen PJ (August 2005). "Rifampin markedly decreases and gemfibrozil increases the plasma concentrations of atorvastatin and its metabolites".
2184:. Prices for the generic version did not drop to the level of other generics—$ 10 or less for a month's supply—until other manufacturers began to supply the medication in May 2012.
3709:
Maqsood MH, Messerli FH, Waters D, Skolnick AH, Maron DJ, Bangalore S (October 2022). "Timing of statin dose: a systematic review and meta-analysis of randomized clinical trials".
2263:
2884:
LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC, et al. (April 2005). "Intensive lipid lowering with atorvastatin in patients with stable coronary disease".
1319:
induced rhabdomyolysis include older age, renal impairment, high dose statins and use of medications that reduce the breakdown of statins (such as CYP3A4 inhibitors) or fibrates.
5709:
Geng Q, Ren J, Chen H, Lee C, Liang W (March 2013). "Adverse events following statin-fenofibrate therapy versus statin alone: a meta-analysis of randomized controlled trials".
3931:
Stern RH, Yang BB, Horton M, Moore S, Abel RB, Olson SC (September 1997). "Renal dysfunction does not alter the pharmacokinetics or LDL-cholesterol reduction of atorvastatin".
1942:, plasma concentrations of atorvastatin are significantly affected by concurrent liver disease. People with Child-Pugh Stage A liver disease show a four-fold increase in both C
1183:
Gender: Plasma concentrations are generally higher in women than in men, but there is no clinically significant difference in the extent of LDL reduction between men and women.
5094:
Sukhija R, Prayaga S, Marashdeh M, Bursac Z, Kakar P, Bansal D, et al. (March 2009). "Effect of statins on fasting plasma glucose in diabetic and nondiabetic patients".
3448:"Comparative efficacy of pharmacological interventions for contrast-induced nephropathy prevention after coronary angiography: a network meta-analysis from randomized trials"
7814:"The $ 10 Billion Pill Hold the fries, please. Lipitor, the cholesterol-lowering medication, has become the bestselling pharmaceutical in history. Here's how Pfizer did it"
6834:"The $ 10 Billion Pill Hold the fries, please. Lipitor, the cholesterol-lowering medication, has become the bestselling pharmaceutical in history. Here's how Pfizer did it"
2488:
7292:
6805:
2332:
7536:
7144:
2785:
Marais AD, Firth JC, Bateman ME, Byrnes P, Martens C, Mountney J (August 1997). "Atorvastatin: an effective lipid-modifying agent in familial hypercholesterolemia".
1700:. This increases LDL uptake by the hepatocytes, decreasing the amount of LDL-cholesterol in the blood. Like other statins, atorvastatin also reduces blood levels of
7203:
6936:
6642:
Thompson JF, Man M, Johnson KJ, Wood LS, Lira ME, Lloyd DB, et al. (2005). "An association study of 43 SNPs in 16 candidate genes with atorvastatin response".
6292:
Liberale L, Carbone F, Montecucco F, Sahebkar A (May 2020). "Statins reduce vascular inflammation in atherogenesis: A review of underlying molecular mechanisms".
7336:
5674:
Enger C, Gately R, Ming EE, Niemcryk SJ, Williams L, McAfee AT (December 2010). "Pharmacoepidemiology safety study of fibrate and statin concomitant therapy".
4873:"Intensive lowering of LDL cholesterol with 80 mg versus 20 mg simvastatin daily in 12,064 survivors of myocardial infarction: a double-blind randomised trial"
1581:, leading to alterations in effect or a requirement for clinical monitoring. The increase in digoxin levels due to atorvastatin is a 1.2 fold elevation in the
8251:
6010:
Schwartz JB (February 2009). "Effects of vitamin D supplementation in atorvastatin-treated patients: a new drug interaction with an unexpected consequence".
1458:, may increase serum concentrations of atorvastatin, which may lead to adverse reactions. This is less likely to happen with other CYP3A4 inhibitors such as
230:
7674:
5059:
Newman CB, Palmer G, Silbershatz H, Szarek M (September 2003). "Safety of atorvastatin derived from analysis of 44 completed trials in 9,416 patients".
6267:
2169:
Atorvastatin calcium tablets are sold under the brand name Lipitor. Pfizer also packages the medication in combination with other medications, such as
7651:
7086:
5188:"Effect of atorvastatin on glycaemia progression in patients with diabetes: an analysis from the Collaborative Atorvastatin in Diabetes Trial (CARDS)"
3135:"Impact of statin therapy on coronary plaque composition: a systematic review and meta-analysis of virtual histology intravascular ultrasound studies"
6201:
Lilja JJ, Kivistö KT, Neuvonen PJ (August 1999). "Grapefruit juice increases serum concentrations of atorvastatin and has no effect on pravastatin".
4309:
7359:
7878:
4333:"Exposure of atorvastatin is unchanged but lactone and acid metabolites are increased several-fold in patients with atorvastatin-induced myopathy"
1899:, a known CYP3A4 isozyme inhibitor, which resulted in increased plasma concentrations of atorvastatin. It is also an inhibitor of cytochrome 3A4.
7262:
7174:
7118:
2116:
In 1996, Warner-Lambert entered into a co-marketing agreement with Pfizer to sell Lipitor, and in 2000, Pfizer acquired Warner-Lambert for $ 90.2
1423:
in combination with statins or as monotherapy. While studies have suggested that the combined use of statins and the fibrate drug class (such as
7114:
2921:"Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysis"
6965:
4673:"Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials"
2149:(PPACA) in the United States, health plans may cover the costs of atorvastatin 10 mg and 20 mg for adults aged 40–75 years based on
7712:
7386:
2569:
2445:
The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)
1853:
of atorvastatin is approximately 381 L. It is highly protein bound (≥98%), and studies have shown it is likely secreted in human breastmilk.
127:
7513:
6873:
7450:
4722:"Effect of statin therapy on muscle symptoms: an individual participant data meta-analysis of large-scale, randomised, double-blind trials"
4448:
Thakker D, Nair S, Pagada A, Jamdade V, Malik A (October 2016). "Statin use and the risk of developing diabetes: a network meta-analysis".
4205:"Statin Use and Risk of Cirrhosis and Related Complications in Patients With Chronic Liver Diseases: A Systematic Review and Meta-analysis"
2150:
855:
7420:
2006:
Atorvastatin synthesis during discovery chemistry. The key step of establishing stereocenters, using of a chiral ester auxiliary approach.
2418:
4332:
3892:"Pharmacokinetics of atorvastatin and its metabolites after single and multiple dosing in hypercholesterolaemic haemodialysis patients"
2573:
2379:
2146:
3516:"Beneficial effect of statin on preventing contrast-induced acute kidney injury in patients with renal insufficiency: A meta-analysis"
8545:
1072:
5831:
Neuvonen PJ, Niemi M, Backman JT (December 2006). "Drug interactions with lipid-lowering drugs: mechanisms and clinical relevance".
1395:
A 2012 meta-analysis found that statin therapy might reduce the risk of pancreatitis in people with normal or mildly elevated blood
1065:
8130:
7480:
5504:
Cui Y, Zong H, Yan H, Zhang Y (June 2014). "The effect of statins on erectile dysfunction: a systematic review and meta-analysis".
3050:"Analysis of efficacy and safety in patients aged 65–75 years at randomization: Collaborative Atorvastatin Diabetes Study (CARDS)"
1818:, which is the main cause for the low systemic availability. Administration of atorvastatin with food produces a 25% reduction in
1265:. When rhabdomyolysis is suspected or diagnosed, atorvastatin therapy is discontinued immediately. The likelihood of developing a
1826:
1622:
1582:
1130:
therapy was significantly superior compared to moderate or low-intensity statin therapy in reducing plaque volume in people with
7540:
6797:
2324:
2129:
years. and $ 13 billion a year at its peak, Lipitor alone "provided up to a quarter of Pfizer Inc.'s annual revenue for years."
7840:
7620:
7053:
2241:
2054:
approach, where the stereochemistry of the first alcohol functional group was carried into the synthesis—through the choice of
8599:
6781:
6711:
5469:
Kostis JB, Dobrzynski JM (July 2014). "The effect of statins on erectile dysfunction: a meta-analysis of randomized trials".
2829:
2518:
2482:
1050:
1008:
968:
7871:
1614:
components are known inhibitors of intestinal CYP3A4. Drinking grapefruit juice with atorvastatin may cause an increase in
1059:
7140:
6921:
1134:. The SATURN trial, which compared the effects of high-dose atorvastatin and rosuvastatin, also confirmed these findings.
7240:
7196:
4819:"Unintended effects of statins from observational studies in the general population: systematic review and meta-analysis"
4577:"Predictors of new-onset diabetes in patients treated with atorvastatin: results from 3 large randomized clinical trials"
3486:
1841:
and AUC by 30% each. However, time of administration does not affect the plasma LDL-C-lowering efficacy of atorvastatin.
5444:
5390:
932:
Common side effects include joint pain, diarrhea, heartburn, nausea, and muscle pains. Serious side effects may include
900:
178:
8685:
7813:
6833:
6586:"Genome-wide association study of genetic determinants of LDL-c response to atorvastatin therapy: importance of Lp(a)"
2176:
Pfizer's U.S. patent on Lipitor expired on 30 November 2011. Initially, generic atorvastatin was manufactured only by
8675:
7328:
2412:
1799:
Atorvastatin undergoes rapid absorption when taken orally, with an approximate time to maximum plasma concentration (
1781:
1483:
875:
8616:
7909:
4405:
Williams D, Feely J (2002). "Pharmacokinetic-pharmacodynamic drug interactions with HMG-CoA reductase inhibitors".
7263:"Recommendation: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication"
1236:: Atorvastatin is unlikely to cause fetal anomalies but may be associated with low birth weight and preterm labor.
7864:
2188:
Torvast, Totalip, Tulip, Xarator, and Zarator. Pfizer also makes its own generic version under the name Zarator.
487:
340:
159:
1020:
1016:
6901:, Roth BD, "Trans-6--4-hydroxypyran-2-one inhibitors of cholesterol synthesis", issued 21 July 1987
3272:
Geng Q, Ren J, Song J, Li S, Chen H (August 2014). "Meta-analysis of the effect of statins on renal function".
1763:
5288:"Use of statins and the risk of dementia and mild cognitive impairment: A systematic review and meta-analysis"
2099:). Mevacor, which was first marketed in 1987, was the industry's first statin and Merck's synthetic version –
566:
1759:
1550:; these increases should be considered when selecting an oral contraceptive for a woman taking atorvastatin.
2746:"The anti-atherosclerotic effects of lipid lowering with atorvastatin in patients with hypercholesterolemia"
1935:
efflux transporter, which pumps the medication back into the intestinal lumen during medication absorption.
8680:
8134:
7900:
7643:
7616:
7082:
7075:
4107:"Atorvastatin and low-density lipoprotein cholesterol in type 2 diabetes mellitus patients on hemodialysis"
2019:
967:
Atorvastatin was patented in 1986, and approved for medical use in the United States in 1996. It is on the
764:
617:
5186:
Livingstone SJ, Looker HC, Akbar T, Betteridge DJ, Durrington PN, Hitman GA, et al. (February 2016).
4301:
1510:, which are CYP3A4 inducers, can decrease the plasma concentrations of atorvastatin. Only rarely, though,
7363:
6428:
Gaspardone A, Arca M (1 November 2007). "Atorvastatin: its clinical role in cerebrovascular prevention".
1960:
years old) exhibit altered pharmacokinetics of atorvastatin compared to young adults, with mean AUC and C
725:
4969:"A Narrative Review of Statin-Induced Rhabdomyolysis: Molecular Mechanism, Risk Factors, and Management"
8635:
7166:
6694:
Roth BD (2002). "1 the Discovery and Development of Atorvastatin, A Potent Novel Hypolipidemic Agent".
6584:
Deshmukh HA, Colhoun HM, Johnson T, McKeigue PM, Betteridge DJ, Durrington PN, et al. (May 2012).
2027:
1586:
686:
6898:
6524:"Genetic factors affecting statin concentrations and subsequent myopathy: a HuGENet systematic review"
2034:
to set the stereochemistry of the first of the two alcohol functional groups via a diastereoselective
1253:
is suspected or diagnosed after dosing of atorvastatin has begun. Very rarely, atorvastatin may cause
8560:
7507:
7229:"Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Recommendation Statement"
6151:"Serum concentrations and clinical effects of atorvastatin in patients taking grapefruit juice daily"
4015:
Fellström BC, Jardine AG, Schmieder RE, Holdaas H, Bannister K, Beutler J, et al. (April 2009).
2440:
2002:
1923:
1671:
5237:"Do statins impair cognition? A systematic review and meta-analysis of randomized controlled trials"
8459:
8425:
8340:
8082:
3184:
Nicholls SJ, Ballantyne CM, Barter PJ, Chapman MJ, Erbel RM, Libby P, et al. (December 2011).
3048:
Neil HA, DeMicco DA, Luo D, Betteridge DJ, Colhoun HM, Durrington PN, et al. (November 2006).
2042:
1705:
1143:
failure. Statins, including atorvastatin, before heart surgery do not prevent acute kidney injury.
1044:
741:
7390:
6862:
6245:
4871:
Armitage J, Bowman L, Wallendszus K, Bulbulia R, Rahimi K, Haynes R, et al. (November 2010).
1337:
The following have been shown to occur in 1–10% of people taking atorvastatin in clinical trials:
975:. In 2022, it was the most commonly prescribed medication in the United States, with more than 109
8604:
8484:
8479:
8454:
8421:
8383:
8167:
8086:
8022:
7949:
7835:
7718:
7502:
7446:
7048:
3133:
Banach M, Serban C, Sahebkar A, Mikhailidis DP, Ursoniu S, Ray KK, et al. (September 2015).
2170:
1990:
1830:
1752:
1712:
1557:
1131:
1095:
1078:
1028:
394:
216:
117:
17:
6149:
Reddy P, Ellington D, Zhu Y, Zdrojewski I, Parent SJ, Harmatz JS, et al. (September 2011).
6097:
Ando H, Tsuruoka S, Yanagihara H, Sugimoto K, Miyata M, Yamazoe Y, et al. (November 2005).
925:. For the prevention of cardiovascular disease, statins are a first-line treatment. It is taken
8700:
8469:
8464:
7412:
4671:
Baigent C, Blackwell L, Emberson J, Holland LE, Reith C, Bhala N, et al. (November 2010).
1850:
1626:
1220:
992:
918:
707:
6772:
Li JJ, Johnson DS, Sliskovic DR, Roth BD (2004). "Chapter 9. Atorvastatin Calcium (Lipitor)".
4720:
Reith C, Baigent C, Blackwell L, Emberson J, Spata E, Davies K, et al. (September 2022).
3567:"Meta-analysis of rosuvastatin efficacy in prevention of contrast-induced acute kidney injury"
2472:
2402:
2264:"Prescription medicines: registration of new generic medicines and biosimilar medicines, 2017"
666:
8474:
7941:
7747:"Indian drugmaker Ranbaxy recalls more than 64,000 bottles of its generic version of Lipitor"
5345:
Samaras K, Makkar SR, Crawford JD, Kochan NA, Slavin MJ, Wen W, et al. (November 2019).
5018:
Kashani A, Phillips CO, Foody JM, Wang Y, Mangalmurti S, Ko DT, et al. (December 2006).
3890:
Lins RL, Matthys KE, Verpooten GA, Peeters PC, Dratwa M, Stolear JC, et al. (May 2003).
1883:
metabolites. The ortho- and parahydroxylated metabolites are responsible for 70% of systemic
1815:
1679:
1630:
1289:
1105:
557:
7562:
5235:
Ott BR, Daiello LA, Dahabreh IJ, Springate BA, Bixby K, Murali M, et al. (March 2015).
3868:
2565:
2371:
1922:
elimination follows hepatic and/or extrahepatic metabolism. There does not appear to be any
521:
8515:
8241:
8100:
5299:
5020:"Risks associated with statin therapy: a systematic overview of randomized clinical trials"
4776:
LaRosa JC, Grundy SM, Waters DD, Shear C, Barter P, Fruchart JC, et al. (April 2005).
4154:
Baigent C, Landray MJ, Reith C, Emberson J, Wheeler DC, Tomson C, et al. (June 2011).
2204:
2181:
2065:
2015:
1974:
1556:
can rarely decrease the plasma concentrations of statin medications, but do not affect the
1408:
1101:
1004:
626:
606:
454:
5961:
Wiggins BS, Saseen JJ, Page RL, Reed BN, Sneed K, Kostis JB, et al. (November 2016).
1538:, which are also CYP3A4 inducers, can decrease the plasma concentrations of atorvastatin.
1439:, there is insufficient evidence to firmly establish this association with atorvastatin.
8:
7887:
7751:
7584:
6338:
Rosa GM, Carbone F, Parodi A, Massimelli EA, Brunelli C, Mach F, et al. (May 2014).
5139:"Statin therapy on glycemic control in type 2 diabetic patients: A network meta-analysis"
4575:
Waters DD, Ho JE, DeMicco DA, Breazna A, Arsenault BJ, Wun CC, et al. (April 2011).
3660:
Ginsberg HN, Elam MB, Lovato LC, Crouse JR, Leiter LA, Linz P, et al. (April 2010).
1819:
1615:
1258:
512:
223:
7472:
5303:
768:
745:
8499:
7945:
7818:
7022:
6970:
6838:
6667:
6612:
6548:
6523:
6499:
6453:
6369:
6317:
6226:
6175:
6150:
6123:
6098:
6035:
5992:
5899:
5856:
5813:
5734:
5656:
5608:
5583:
5564:
5412:
Preiss D, Tikkanen MJ, Welsh P, Ford I, Lovato LC, Elam MB, et al. (August 2012).
5322:
5263:
5212:
5187:
5168:
5119:
4995:
4968:
4897:
4872:
4845:
4746:
4721:
4697:
4672:
4650:
4606:
4516:
4473:
4430:
4363:
4278:
4269:
4253:
4229:
4204:
4180:
4155:
4131:
4106:
4082:
4057:
3956:
3944:
3686:
3661:
3642:
3593:
3542:
3478:
3423:
3336:
3161:
3115:
3030:
1667:
1539:
1090:
1040:
972:
189:
7796:
7010:
6703:
6099:"Effects of grapefruit juice on the pharmacokinetics of pitavastatin and atorvastatin"
5072:
5036:
5019:
4888:
4737:
4688:
4638:
4552:
4535:
4504:
4331:
Hermann M, Bogsrud MP, Molden E, Asberg A, Mohebi BU, Ose L, et al. (June 2006).
4171:
3630:
3018:
2945:
2920:
2744:
Ozaki K, Kubo T, Imaki R, Shinagawa H, Fukaya H, Ohtaki K, et al. (August 2006).
2614:
8690:
8665:
8494:
8163:
8120:
8018:
7800:
7612:
7014:
6777:
6754:
6717:
6707:
6659:
6617:
6553:
6504:
6457:
6445:
6441:
6410:
6361:
6321:
6309:
6218:
6180:
6166:
6128:
6114:
6076:
6027:
5984:
5940:
5891:
5848:
5805:
5769:
5726:
5691:
5648:
5613:
5556:
5521:
5486:
5436:
5368:
5327:
5268:
5217:
5160:
5111:
5076:
5041:
5000:
4946:
4902:
4850:
4799:
4778:"Intensive lipid lowering with atorvastatin in patients with stable coronary disease"
4751:
4702:
4642:
4598:
4557:
4508:
4465:
4422:
4418:
4355:
4283:
4234:
4185:
4136:
4105:
März W, Genser B, Drechsler C, Krane V, Grammer TB, Ritz E, et al. (June 2011).
4087:
4038:
3997:
3948:
3913:
3872:
3837:
3801:
3765:
3726:
3691:
3634:
3598:
3547:
3470:
3415:
3372:
3328:
3289:
3251:
3230:"Effect of Statins on Kidney Disease Outcomes: A Systematic Review and Meta-analysis"
3207:
3166:
3107:
3103:
3071:
3022:
2986:
2950:
2901:
2863:
2825:
2802:
2767:
2726:
2722:
2690:
2654:
2618:
2478:
2408:
2046:
1884:
1811:
1800:
1716:
1688:
1663:
1567:
1282:
1195:
1113:
949:
697:
381:
368:
151:
7829:
7042:
6373:
6039:
5996:
5860:
5817:
5660:
5568:
5172:
4610:
4520:
4477:
4367:
3646:
3427:
3119:
3034:
2540:
2233:
1814:
activity is approximately 30%. Atorvastatin undergoes high intestinal clearance and
8695:
7792:
7684:
7679:
7026:
7006:
6746:
6699:
6671:
6651:
6607:
6597:
6543:
6535:
6494:
6489:
6484:
6472:
6437:
6400:
6351:
6301:
6257:
6230:
6210:
6170:
6162:
6118:
6110:
6066:
6019:
5974:
5930:
5903:
5883:
5840:
5797:
5761:
5738:
5718:
5683:
5640:
5603:
5595:
5548:
5513:
5478:
5428:
5358:
5317:
5307:
5258:
5248:
5207:
5199:
5150:
5123:
5103:
5068:
5031:
4990:
4980:
4936:
4892:
4884:
4840:
4830:
4789:
4741:
4733:
4692:
4684:
4654:
4634:
4588:
4547:
4500:
4457:
4434:
4414:
4347:
4273:
4265:
4224:
4216:
4175:
4167:
4126:
4118:
4077:
4069:
4028:
3987:
3940:
3903:
3864:
3829:
3793:
3757:
3718:
3681:
3673:
3626:
3588:
3578:
3537:
3527:
3482:
3462:
3407:
3364:
3340:
3320:
3281:
3241:
3197:
3156:
3146:
3099:
3061:
3014:
2978:
2940:
2932:
2893:
2855:
2794:
2757:
2718:
2682:
2646:
2610:
2448:
2031:
1692:
cholesterol synthesis, increasing expression of low-density lipoprotein receptors (
1659:
1611:
1547:
1032:
781:
419:
323:
313:
303:
293:
283:
273:
263:
253:
243:
68:
6214:
5687:
4817:
Macedo AF, Taylor FC, Casas JP, Adler A, Prieto-Merino D, Ebrahim S (March 2014).
3974:
Wanner C, Krane V, März W, Olschewski M, Mann JF, Ruf G, et al. (July 2005).
3960:
3833:
3761:
3285:
2510:
1946:
and AUC. People with Child Pugh stage B liver disease show a 16-fold increase in C
546:
50:
8649:
8379:
8195:
6868:
6696:
The discovery and development of atorvastatin, a potent novel hypolipidemic agent
6405:
6388:
6305:
6262:
5979:
5962:
5107:
3797:
3324:
2650:
2084:
2055:
1888:
1866:
1807:
1307:
1246:
1120:
437:
427:
3976:"Atorvastatin in patients with type 2 diabetes mellitus undergoing hemodialysis"
3532:
3515:
8670:
8610:
8336:
8176:
5887:
5844:
5363:
5346:
5312:
5287:
5286:
Chu CS, Tseng PT, Stubbs B, Chen TY, Tang CH, Li DJ, et al. (April 2018).
4593:
4576:
4351:
3246:
3229:
2088:
2035:
2011:
1932:
1880:
1543:
1475:
1436:
1420:
1324:
1254:
1156:
933:
137:
7856:
7228:
5935:
5918:
5253:
5236:
5203:
4220:
3466:
3447:
3368:
3151:
3134:
2936:
1600:
supplementation lowers atorvastatin and active metabolite concentrations, yet
1419:
Fibrates are a class of drugs that can be used for severe or refractory mixed
8659:
7983:
7973:
6738:
5584:"Long-term safety of pravastatin-gemfibrozil therapy in mixed hyperlipidemia"
5552:
5413:
5386:
3722:
3411:
2798:
1939:
1872:
1573:
Some statins may also alter the concentrations of other medications, such as
1527:
1515:
1451:
1262:
1239:
757:
33:
5801:
5722:
4835:
4818:
4073:
4017:"Rosuvastatin and cardiovascular events in patients undergoing hemodialysis"
3186:"Effect of two intensive statin regimens on progression of coronary disease"
2982:
2686:
1201:
Liver impairment: Increased drug levels can be seen in people with advanced
8585:
8261:
8256:
8223:
8214:
8186:
8115:
8066:
8056:
8036:
7891:
7804:
6721:
6663:
6655:
6621:
6557:
6508:
6449:
6414:
6365:
6313:
6222:
6184:
6132:
6080:
6031:
5988:
5944:
5895:
5852:
5809:
5773:
5765:
5730:
5695:
5652:
5599:
5560:
5525:
5490:
5440:
5432:
5372:
5331:
5272:
5221:
5164:
5115:
5080:
5045:
5004:
4950:
4906:
4854:
4803:
4755:
4706:
4646:
4602:
4561:
4512:
4469:
4426:
4359:
4287:
4238:
4189:
4140:
4091:
4042:
4001:
3917:
3876:
3841:
3805:
3769:
3730:
3695:
3638:
3602:
3551:
3474:
3419:
3376:
3332:
3293:
3255:
3211:
3170:
3111:
3075:
3026:
2990:
2954:
2905:
2867:
2859:
2771:
2658:
2622:
1896:
1701:
1693:
1640:
A few cases of myopathy have been reported when atorvastatin is given with
1591:
1503:
1479:
1471:
1463:
1455:
1447:
1396:
1278:
1270:
1036:
1012:
988:
922:
318:
308:
298:
288:
278:
268:
258:
248:
238:
7018:
6758:
6698:. Progress in Medicinal Chemistry. Vol. 40. Elsevier. pp. 1–22.
6023:
5617:
5347:"Effects of Statins on Memory, Cognition, and Brain Volume in the Elderly"
4033:
4016:
3952:
3677:
3202:
3185:
2806:
2730:
2694:
586:
8565:
8540:
8520:
8489:
8397:
8369:
8364:
8359:
8354:
8349:
8301:
8296:
8286:
8281:
8246:
8153:
8143:
8071:
8061:
8041:
7991:
7958:
4985:
4941:
4924:
4794:
4777:
4122:
3992:
3975:
3908:
3891:
3583:
3566:
2897:
2474:
The Top 100 Drugs e-book: Clinical Pharmacology and Practical Prescribing
2100:
2092:
2051:
1995:
1876:
1683:
1605:
1511:
1467:
1428:
1424:
1216:
1024:
961:
145:
7563:"Pfizer Completes Transaction to Combine Its Upjohn Business with Mylan"
7360:"Atorvastatin Calcium (Lipitor Tablets) – Uses, Dosage and Side Effects"
6750:
6602:
6585:
6539:
6340:"Update on the efficacy of statin treatment in acute coronary syndromes"
2453:
2010:
The first synthesis of atorvastatin at Parke-Davis that occurred during
1887:
activity. The ortho-hydroxy metabolite undergoes further metabolism via
8580:
8555:
8535:
8530:
8525:
8434:
8407:
8402:
8392:
8306:
8276:
8271:
8266:
8200:
8148:
8110:
8051:
8046:
7968:
7963:
7926:
5155:
5138:
2762:
2745:
2108:
2080:
2023:
1953:
1862:
1766: in this section. Unsourced material may be challenged and removed.
1697:
1675:
1641:
1531:
1523:
1495:
1491:
1341:
1054:
817:
597:
6356:
6339:
5644:
5631:
Shek A, Ferrill MJ (July 2001). "Statin-fibrate combination therapy".
5517:
5482:
4922:
4625:
Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial".
3066:
3049:
2707:
8291:
7978:
7931:
7921:
7713:"Ranbaxy Recalls More Than 64,000 Bottles of Generic Lipitor in U.S."
6071:
6054:
5414:"Lipid-modifying therapies and risk of pancreatitis: a meta-analysis"
4461:
4252:
Chang JC, Chen YJ, Chen IC, Lin WS, Chen YM, Lin CH (December 2021).
4058:"Statins and All-Cause Mortality in Patients Undergoing Hemodialysis"
1927:
1837:
of atorvastatin. Evening dose administration is known to reduce the C
1597:
1535:
1519:
1507:
1487:
1459:
1351:
1233:
1224:
1202:
1180:
Pediatric: Pharmacokinetic data is not available for this population.
941:
532:
472:
467:
131:
7117:. Crain's New York Business via Associated Press. 28 December 2011.
3228:
Su X, Zhang L, Lv J, Wang J, Hou W, Xie X, et al. (June 2016).
1741:
8575:
8570:
8550:
8322:
8095:
7987:
2161:
2058:, an inexpensive and easily sourced plant-derived natural product.
1834:
1574:
1570:
also is proved to increase the risk of myopathy or rhabdomyolysis.
1561:
1499:
1432:
1346:
1266:
1250:
1228:
937:
926:
863:
O=C(O)C(O)C(O)CCn2c(c(c(c2c1ccc(F)cc1)c3ccccc3)C(=O)Nc4ccccc4)C(C)C
646:
577:
173:
6389:"High-dose statins should only be used in atherosclerotic strokes"
5919:"Efficacy and safety of rosuvastatin in treatment of dyslipidemia"
4925:"High-dose atorvastatin after stroke or transient ischemic attack"
3662:"Effects of combination lipid therapy in type 2 diabetes mellitus"
1810:
of the medication is about 14%, but the systemic availability for
840:
713:
8417:
8233:
6291:
4870:
3003:
2192:
2177:
2096:
2069:
1911:
1908:
1829:(extent of absorption), although food does not affect the plasma
1601:
1578:
1553:
1356:
1274:
1160:
7783:
Maggon K (June 2005). "Best-selling human medicines 2002–2004".
6734:
5185:
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Cui JY, Zhou RR, Han S, Wang TS, Wang LQ, Xie XH (August 2018).
4967:
Safitri N, Alaina MF, Pitaloka DA, Abdulah R (8 November 2021).
4014:
3309:
2541:"Atorvastatin Drug Usage Statistics, United States, 2013 - 2022"
2145:
Atorvastatin is relatively inexpensive. Under provisions of the
2106:
In 1994, the findings of a Merck-funded study were published in
8105:
8014:
7913:
7443:"Price to UK for 28 tablets from £3.25 (10mg) to £10.00 (80mg)"
6996:
6966:"Pfizer Gets Its Deal to Buy Warner-Lambert for $ 90.2 Billion"
4670:
3183:
3132:
2153:(USPSTF) recommendations. Some plans only cover other statins.
1869:
1653:
1634:
1443:
1361:
1127:
1109:
953:
914:
677:
446:
41:
6583:
6096:
5873:
5751:
1387:
statin therapy on cardiovascular and cerebrovascular disease.
104:
8005:
5093:
5058:
4719:
3708:
2671:
2470:
1915:
1286:
957:
945:
831:
657:
442:
7830:"The Birth of a Blockbuster: Lipitor's Route out of the Lab"
7043:"The Birth of a Blockbuster: Lipitor's Route out of the Lab"
6294:
The International Journal of Biochemistry & Cell Biology
5786:
4966:
3854:
2824:. Adelaide, S. Aust: Australian Medicines Handbook Pty Ltd.
730:
80:
7293:"SignatureValue Zero Cost Share Preventive Medications PDL"
6337:
6148:
5344:
5234:
4254:"Perinatal Outcomes After Statin Exposure During Pregnancy"
4153:
3889:
2967:
1919:
1155:
Statins (predominantly simvastatin) have been evaluated in
1119:
Myocardial infarction and stroke prevention in people with
637:
86:
71:
4330:
3446:
Ma WQ, Zhao Y, Wang Y, Han XQ, Zhu Y, Liu NF (June 2018).
2132:
Pfizer's patent on atorvastatin expired in November 2011.
7170:
5538:
3973:
3782:
2635:
2439:
987:
The primary uses of atorvastatin is for the treatment of
979:
million prescriptions filled for over 27 million people.
98:
6990:
5017:
4447:
4104:
3659:
3088:
3047:
2784:
1490:, and only rarely with other CYP3A4 inhibitors, such as
6915:
6913:
5711:
Clinical and Experimental Pharmacology & Physiology
5673:
5411:
4775:
4623:
4490:
3818:
2883:
2743:
1670:
compound. HMG-CoA reductase catalyzes the reduction of
969:
World Health Organization's List of Essential Medicines
6771:
6641:
6521:
6287:
6285:
4816:
4574:
4111:
Clinical Journal of the American Society of Nephrology
8633:
7738:
7033:
6522:
Canestaro WJ, Austin MA, Thummel KE (November 2014).
5960:
4203:
Kim RG, Loomba R, Prokop LJ, Singh S (October 2017).
4056:
Jung J, Bae GH, Kang M, Kim SW, Lee DH (March 2020).
3746:
3565:
Zhang J, Guo Y, Jin Q, Bian L, Lin P (October 2018).
2228:
2226:
1658:
As with other statins, atorvastatin is a competitive
1112:, major coronary events, ischaemic heart disease and
948:. Like all statins, atorvastatin works by inhibiting
92:
74:
7133:
6910:
6798:"Fig. 1. Chemical structure of Atorvastatin Calcium"
6200:
5830:
5754:
The Journal of Clinical Endocrinology and Metabolism
5387:"Atorvastatin: A medicine used to lower cholesterol"
4294:
4202:
3930:
3615:
2471:
Hitchings A, Lonsdale D, Burrage D, Baker E (2014).
101:
95:
83:
77:
7357:
6282:
2844:
2325:"Lipitor- atorvastatin calcium tablet, film coated"
565:
89:
7828:
7711:
7329:"Affordable Care Act Implementation FAQs - Set 12"
7041:
6861:
5285:
2787:Arteriosclerosis, Thrombosis, and Vascular Biology
2675:Arteriosclerosis, Thrombosis, and Vascular Biology
2599:
2372:"Atorvastatin Calcium Monograph for Professionals"
2223:
1666:. Unlike most others, however, it is a completely
1585:, resulting in a minor drug-drug interaction. The
1372:
4536:"Statins and risk of new-onset diabetes mellitus"
1686:biosynthesis. Inhibition of the enzyme decreases
8657:
6827:
6825:
6823:
6776:. John Wiley & Sons, Inc. pp. 113–125.
6579:
6577:
6575:
6573:
6571:
6569:
6567:
6470:
5956:
5954:
5468:
4918:
4916:
4866:
4864:
4251:
3305:
3303:
2319:
2317:
2315:
2313:
2311:
2309:
2307:
2305:
545:
7886:
7465:
7159:
6855:
6853:
6851:
6849:
6637:
6635:
6633:
6631:
6243:
5581:
5503:
4962:
4960:
4771:
4769:
4767:
4765:
4666:
4664:
4400:
4398:
4396:
4394:
4392:
3742:
3740:
3564:
2918:
2595:
2593:
2591:
2400:
2303:
2301:
2299:
2297:
2295:
2293:
2291:
2289:
2287:
2285:
520:
7613:"FDA Statement on Ranbaxy Atorvastatin Recall"
7109:
7107:
6922:"The Early History of Parke-Davis and Company"
6427:
6333:
6331:
5708:
5136:
4055:
3353:
2879:
2877:
2165:Pack and tablet of atorvastatin (Lipitor) 40mg
1926:. Atorvastatin has an approximate elimination
1914:excretion, with less than 2% recovered in the
1442:Co-administration of atorvastatin with one of
7872:
7744:
7607:
7605:
6893:
6891:
6820:
6689:
6687:
6685:
6683:
6681:
6564:
6196:
6194:
6144:
6142:
5951:
5351:Journal of the American College of Cardiology
5143:Journal of Clinical Pharmacy and Therapeutics
4913:
4861:
4581:Journal of the American College of Cardiology
4404:
3445:
3396:
3300:
3271:
3227:
3177:
2570:American Society of Health-System Pharmacists
2234:"Atorvastatin (Lipitor) Use During Pregnancy"
7641:
7384:
7197:"PPACA no cost-share preventive medications"
7068:
6959:
6957:
6846:
6628:
6380:
6092:
6090:
6003:
5910:
5867:
5824:
5780:
4957:
4762:
4661:
4617:
4533:
4389:
4324:
3737:
3392:
3390:
3388:
3386:
3267:
3265:
3082:
3041:
2997:
2737:
2588:
2282:
2151:United States Preventive Services Task Force
1378:advised in patients with Type 2 Diabetes.
177:
7267:United States Preventive Services Taskforce
7104:
6863:"The fall of the world's best-selling drug"
6471:Adams SP, Tsang M, Wright JM (March 2015).
6328:
5630:
5405:
3509:
3507:
3441:
3439:
3437:
3126:
2874:
2778:
2701:
2665:
2629:
2030:route to atorvastatin made use of an ester
1875:to form active ortho- and parahydroxylated
1825:(rate of absorption) and a 9% reduction in
7879:
7865:
7602:
7115:"Lipitor becomes world's top-selling drug"
6888:
6678:
6344:European Journal of Clinical Investigation
6191:
6139:
6052:
5923:American Journal of Health-System Pharmacy
3558:
3513:
3223:
3221:
2919:Law MR, Wald NJ, Rudnicka AR (June 2003).
2366:
2364:
2362:
2360:
2358:
2356:
2354:
2352:
2350:
2147:Patient Protection and Affordable Care Act
1407:Statins seem to have a positive effect on
1051:Heterozygous familial hypercholesterolemia
767:
744:
605:
8546:Magnesium pyridoxal 5-phosphate glutamate
6954:
6611:
6601:
6547:
6498:
6488:
6404:
6355:
6261:
6174:
6122:
6087:
6070:
5978:
5934:
5607:
5362:
5321:
5311:
5262:
5252:
5211:
5154:
5035:
4994:
4984:
4940:
4896:
4844:
4834:
4793:
4745:
4696:
4592:
4551:
4277:
4228:
4179:
4130:
4081:
4062:Journal of the American Heart Association
4032:
3991:
3907:
3711:European Journal of Preventive Cardiology
3685:
3592:
3582:
3541:
3531:
3383:
3262:
3245:
3201:
3160:
3150:
3065:
2944:
2761:
2750:Journal of Atherosclerosis and Thrombosis
2477:. Elsevier Health Sciences. p. 197.
2466:
2464:
2452:
1907:Atorvastatin is primarily eliminated via
1782:Learn how and when to remove this message
1269:is increased by the co-administration of
1084:
625:
7378:
6963:
6155:British Journal of Clinical Pharmacology
6103:British Journal of Clinical Pharmacology
6046:
6009:
5916:
5582:Iliadis EA, Rosenson RS (January 1999).
4209:Clinical Gastroenterology and Hepatology
3504:
3434:
2813:
2160:
2125:billion in sales over approximately 14.5
2001:
1989:
1257:, and it may be very serious leading to
1060:Homozygous familial hypercholesterolemia
7826:
7675:"Ranbaxy recalls generic Lipitor doses"
7672:
7644:"Ranbaxy Recalls Generic Lipitor Doses"
7642:Loftus P, Weaver C (23 November 2012).
7039:
6897:
6477:Cochrane Database of Systematic Reviews
3869:10.7326/0003-4819-147-1-200707030-00002
3218:
2347:
2195:after Upjohn was spun off from Pfizer.
1402:
1170:
740:
585:
150:
14:
8658:
7811:
7782:
7709:
7534:
7147:from the original on 17 September 2021
7092:from the original on 24 September 2020
6942:from the original on 20 September 2018
6919:
6859:
6831:
6244:McLachlan A, Ramzan I (1 April 2006).
6203:Clinical Pharmacology and Therapeutics
6012:Clinical Pharmacology and Therapeutics
5876:Clinical Pharmacology and Therapeutics
5833:Clinical Pharmacology and Therapeutics
5790:Clinical Pharmacology and Therapeutics
4340:Clinical Pharmacology and Therapeutics
2461:
2433:
2407:. John Wiley & Sons. p. 473.
2394:
2268:Therapeutic Goods Administration (TGA)
2135:
1647:
1126:A 2014 meta-analysis showed high-dose
758:
387:
362:
7860:
7759:from the original on 29 December 2017
7691:from the original on 29 December 2017
7539:. PharmacyToday.co.nz. Archived from
7537:"Atorvastatin sole funding announced"
7121:from the original on 29 December 2011
6978:from the original on 15 December 2018
6876:from the original on 10 December 2022
6386:
6053:Kane GC, Lipsky JJ (September 2000).
4534:Shah RV, Goldfine AB (October 2012).
4377:from the original on 26 February 2023
4308:. U.S. National Library of Medicine.
4245:
3896:Nephrology, Dialysis, Transplantation
3514:Cho A, Lee YK, Sohn SY (March 2020).
3492:from the original on 30 November 2020
2819:
2491:from the original on 26 February 2023
2447:. Geneva: World Health Organization.
2335:from the original on 26 November 2020
2203:On 9 November 2012, Indian drugmaker
2198:
1985:
1672:3-hydroxy-3-methylglutaryl-coenzyme A
1009:heterozygous familial and nonfamilial
706:
685:
665:
375:
168:
136:
7745:Siddiqui Z, Sikka K (8 March 2014).
7516:from the original on 20 October 2020
7351:
7309:from the original on 5 February 2022
7209:from the original on 2 December 2020
7177:from the original on 18 January 2017
7167:"Lipitor loses patent, goes generic"
6693:
6055:"Drug-grapefruit juice interactions"
5450:from the original on 23 January 2022
5393:from the original on 7 November 2021
5241:Journal of General Internal Medicine
4450:Pharmacoepidemiology and Drug Safety
3571:Drug Design, Development and Therapy
3455:International Urology and Nephrology
2576:from the original on 25 October 2010
2558:
2421:from the original on 12 January 2023
2382:from the original on 25 October 2010
2244:from the original on 4 December 2019
2068:involves two atorvastatin ions, one
1764:adding citations to reliable sources
1735:
1209:
712:
322:
312:
302:
292:
282:
272:
262:
252:
242:
6808:from the original on 21 August 2022
6270:from the original on 27 August 2021
4973:Drug, Healthcare and Patient Safety
4929:The New England Journal of Medicine
4782:The New England Journal of Medicine
4021:The New England Journal of Medicine
3980:The New England Journal of Medicine
3666:The New England Journal of Medicine
3234:American Journal of Kidney Diseases
3190:The New England Journal of Medicine
2886:The New England Journal of Medicine
2521:from the original on 30 August 2024
1968:
1731:
1722:
921:in those at high risk and to treat
645:
536:
24:
7775:
7623:from the original on 19 April 2014
7483:from the original on 3 August 2020
7423:from the original on 12 April 2020
7413:"Pfizer's 180-Day War for Lipitor"
7243:from the original on 3 August 2020
7143:. Ann Arbor Observer. April 2020.
6473:"Atorvastatin for lowering lipids"
5676:The American Journal of Cardiology
4270:10.1001/jamanetworkopen.2021.41321
3945:10.1002/j.1552-4604.1997.tb05629.x
3822:The American Journal of Cardiology
3750:The American Journal of Cardiology
3274:The American Journal of Cardiology
3092:Diabetes, Obesity & Metabolism
2822:Australian medicines handbook 2006
2191:In the US, Lipitor is marketed by
1895:with concurrent administration of
25:
8712:
7910:Cholesterol absorption inhibitors
7843:from the original on 7 April 2019
7726:from the original on 21 June 2019
7141:"The Vindication of Roger Newton"
7056:from the original on 7 April 2019
5096:Journal of Investigative Medicine
5037:10.1161/CIRCULATIONAHA.106.624890
4553:10.1161/CIRCULATIONAHA.112.122135
4312:from the original on 12 June 2018
1704:and slightly increases levels of
1150:
1137:
349:
200:
8643:
7703:
7666:
7654:from the original on 17 May 2021
7635:
7577:
7555:
7528:
7495:
7435:
7405:
7321:
7285:
7255:
7221:
7189:
6790:
6765:
6728:
6515:
6442:10.2165/00003495-200767001-00006
6167:10.1111/j.1365-2125.2011.03996.x
6115:10.1111/j.1365-2125.2005.02462.x
4419:10.2165/00003088-200241050-00003
3933:Journal of Clinical Pharmacology
3104:10.1046/j.1463-1326.2000.00106.x
2723:10.1001/jama.1996.03530260042029
1950:and an 11-fold increase in AUC.
1740:
1071:Primary dysbetalipoproteinemia (
801:
798:
792:
503:)-7--3,5-dihydroxyheptanoic acid
67:
49:
40:
7673:Johnson LA (24 November 2012).
7339:from the original on 5 May 2022
7273:from the original on 9 May 2022
6464:
6421:
6237:
5745:
5702:
5667:
5624:
5575:
5532:
5497:
5462:
5379:
5338:
5279:
5228:
5179:
5130:
5087:
5052:
5011:
4810:
4713:
4568:
4527:
4484:
4441:
4196:
4147:
4098:
4049:
4008:
3967:
3924:
3883:
3848:
3812:
3776:
3702:
3653:
3609:
3347:
2961:
2912:
2838:
2401:Fischer J, Ganellin CR (2006).
2072:ion and three water molecules.
1844:
1751:needs additional citations for
1414:
1390:
1373:Increased fasting blood glucose
1296:
998:
982:
960:that plays a role in producing
888:Key:XUKUURHRXDUEBC-KAYWLYCHSA-N
27:Cholesterol-lowering medication
6964:Petersen M (8 February 2000).
6490:10.1002/14651858.cd008226.pub3
5506:The Journal of Sexual Medicine
5471:The Journal of Sexual Medicine
5061:American Journal of Cardiology
4499:(9716). Elsevier BV: 735–742.
2533:
2503:
2256:
2156:
807:
786:
13:
1:
7827:Winslow R (24 January 2000).
7797:10.1016/S1359-6446(05)03468-9
7040:Winslow R (24 January 2000).
7011:10.1016/s0140-6736(94)90566-5
6860:Andrew J (28 November 2009).
6704:10.1016/S0079-6468(08)70080-8
6215:10.1053/cp.1999.v66.100453001
5688:10.1016/j.amjcard.2010.07.041
5633:The Annals of Pharmacotherapy
5073:10.1016/S0002-9149(03)00820-8
4889:10.1016/S0140-6736(10)60310-8
4738:10.1016/s0140-6736(22)01545-8
4689:10.1016/S0140-6736(10)61350-5
4639:10.1016/S0140-6736(03)12948-0
4505:10.1016/s0140-6736(09)61965-6
4172:10.1016/S0140-6736(11)60739-3
3834:10.1016/j.amjcard.2006.09.111
3762:10.1016/j.amjcard.2005.07.107
3631:10.1016/S0140-6736(05)67667-2
3357:Heart, Lung & Circulation
3286:10.1016/j.amjcard.2014.05.033
3019:10.1016/S0140-6736(04)16895-5
2615:10.1016/S0022-3476(03)00186-0
2404:Analogue-based Drug Discovery
2216:
1856:
1794:
7812:Simons J (20 January 2003).
7617:Food and Drug Administration
7473:"Atorvastatin international"
7387:"Lipitor – What is Lipitor?"
7083:Food and Drug Administration
6832:Simons J (20 January 2003).
6406:10.1161/STROKEAHA.111.633339
6306:10.1016/j.biocel.2020.105735
6263:10.18773/austprescr.2006.026
5980:10.1161/CIR.0000000000000456
5108:10.2310/JIM.0b013e318197ec8b
3798:10.1097/hjh.0b013e328342c8f7
3325:10.1161/STROKEAHA.114.005832
2651:10.1001/jama.295.13.jpc60002
2140:
1924:entero-hepatic recirculation
1902:
1381:
1323:define the requirement that
7:
7449:. June 2012. Archived from
7385:News Medical (March 2010).
6774:Contemporary Drug Synthesis
3857:Annals of Internal Medicine
3533:10.1097/MD.0000000000019473
1431:) may increase the risk of
917:medication used to prevent
10:
8717:
7573:– via Business Wire.
7565:. Pfizer. 16 November 2020
5888:10.1016/j.clpt.2005.04.007
5845:10.1016/j.clpt.2006.09.003
5364:10.1016/j.jacc.2019.09.041
5313:10.1038/s41598-018-24248-8
4594:10.1016/j.jacc.2010.10.047
4352:10.1016/j.clpt.2006.02.014
3247:10.1053/j.ajkd.2016.01.016
2457:. WHO/MHP/HPS/EML/2023.02.
2075:
2041:Once the compound entered
1651:
1587:American Heart Association
1583:area under the curve (AUC)
776:Chemical and physical data
8686:Drugs developed by Pfizer
8594:
8561:Omega−3-acid ethyl esters
8508:
8447:
8416:
8378:
8335:
8315:
8232:
8222:
8213:
8185:
8162:
8129:
8080:
8013:
8004:
7940:
7908:
7899:
7710:Loftus P (7 March 2014).
7619:(FDA). 30 December 2012.
7508:European Medicines Agency
7358:Medical Product Reviews.
7233:American Family Physician
6590:Journal of Lipid Research
5254:10.1007/s11606-014-3115-3
5204:10.1007/s00125-015-3802-6
4407:Clinical Pharmacokinetics
4221:10.1016/j.cgh.2017.04.039
3467:10.1007/s11255-018-1814-0
3369:10.1016/j.hlc.2016.11.024
3152:10.1186/s12916-015-0459-4
2937:10.1136/bmj.326.7404.1423
2603:The Journal of Pediatrics
2441:World Health Organization
2050:atorvastatin relied on a
1806:) of 1–2 h. The absolute
1542:increased AUC values for
1332:
896:
871:
851:
829:
816:
780:
775:
756:
724:
696:
676:
656:
636:
616:
596:
576:
556:
531:
511:
483:
478:
466:
453:
436:
426:
418:
399:European Medicines Agency
339:
334:
229:
215:
188:
158:
144:
126:
116:
62:
57:
48:
39:
8676:4-Fluorophenyl compounds
8460:Bempedoic acid/ezetimibe
8081:Niacin and derivatives (
7535:Rapley L (31 May 2012).
6644:Pharmacogenomics Journal
5917:McKenney JM (May 2005).
5553:10.1001/jama.292.21.2585
4456:(10). Wiley: 1131–1149.
3412:10.1177/0003319718801246
2799:10.1161/01.ATV.17.8.1527
2043:pre-clinical development
1367:
1301:
1104:of all-cause mortality,
8485:Fenofibrate/simvastatin
8480:Fenofibrate/pravastatin
8455:Amlodipine/atorvastatin
7836:The Wall Street Journal
7719:The Wall Street Journal
7648:The Wall Street Journal
7447:National Health Service
7049:The Wall Street Journal
6059:Mayo Clinic Proceedings
5936:10.1093/ajhp/62.10.1033
5802:10.1067/mcp.2000.110537
5723:10.1111/1440-1681.12053
4836:10.1186/1741-7015-12-51
4074:10.1161/JAHA.119.014840
3786:Journal of Hypertension
2983:10.1001/jama.291.9.1071
2687:10.1161/01.ATV.15.5.678
2171:atorvastatin/amlodipine
2095:lovastatin (brand name
1719:recurrence prevention.
1713:acute coronary syndrome
1275:fibric acid derivatives
1132:acute coronary syndrome
1096:coronary artery disease
1079:Combined hyperlipidemia
971:. It is available as a
8470:Ezetimibe/rosuvastatin
8465:Ezetimibe/atorvastatin
7942:Bile acid sequestrants
7239:(2). 15 January 2017.
6656:10.1038/sj.tpj.6500328
6387:Furie KL (July 2012).
5766:10.1210/jc.2003-030153
5600:10.1002/clc.4960220110
5433:10.1001/jama.2012.8439
3723:10.1093/eurjpc/zwac085
2566:"Atorvastatin Calcium"
2178:Watson Pharmaceuticals
2166:
2020:chiral chromatographic
2007:
1999:
1851:volume of distribution
1627:cardiovascular disease
1604:reduces LDL and total
1221:hepatic encephalopathy
1215:Active liver disease:
1085:Cardiovascular disease
1064:Hypertriglyceridemia (
993:cardiovascular disease
991:and the prevention of
936:, liver problems, and
919:cardiovascular disease
8475:Ezetimibe/simvastatin
7888:Lipid-lowering agents
7512:. 17 September 2018.
6899:US patent 4681893
6250:Australian Prescriber
6246:"Meals and medicines"
6024:10.1038/clpt.2008.165
4034:10.1056/NEJMoa0810177
3678:10.1056/NEJMoa1001282
3203:10.1056/NEJMoa1110874
2820:Rossi S, ed. (2006).
2511:"The Top 300 of 2022"
2164:
2005:
1993:
1940:hepatic insufficiency
1879:, as well as various
1865:is primarily through
1816:first-pass metabolism
1106:myocardial infarction
1017:Fredrickson types IIa
923:abnormal lipid levels
8516:Alipogene tiparvovec
8242:Aluminium clofibrate
8101:Aluminium nicotinate
7785:Drug Discovery Today
7453:on 20 September 2012
7269:. 15 November 2016.
7173:. 30 November 2011.
6528:Genetics in Medicine
4986:10.2147/DHPS.S333738
4942:10.1056/NEJMoa061894
4795:10.1056/NEJMoa050461
4215:(10): 1521–1530.e8.
4123:10.2215/CJN.09121010
3993:10.1056/NEJMoa043545
3584:10.2147/DDDT.S178020
2898:10.1056/NEJMoa050461
2860:10.1093/qjmed/hcq165
2205:Ranbaxy Laboratories
2182:Ranbaxy Laboratories
2063:atorvastatin calcium
1760:improve this article
1623:area under the curve
1409:erectile dysfunction
1403:Erectile dysfunction
1171:Specific populations
1159:in combination with
1102:Secondary prevention
1073:Fredrickson Type III
1043:as well as increase
1005:Hypercholesterolemia
8681:Isopropyl compounds
8252:Choline fenofibrate
7752:The Washington Post
6751:10.1021/jm00105a056
6603:10.1194/jlr.P021113
6540:10.1038/gim.2014.41
5588:Clinical Cardiology
5304:2018NatSR...8.5804C
4883:(9753): 1658–1669.
4683:(9753): 1670–1681.
3625:(9500): 1849–1861.
2240:. 3 February 2020.
2136:Society and culture
1648:Mechanism of action
1540:Oral contraceptives
1484:protease inhibitors
1446:inhibitors such as
1259:acute kidney injury
1066:Fredrickson Type IV
401:. 17 September 2018
371:(Prescription only)
358:(Prescription only)
36:
8621:Never to phase III
8500:Niacin/simvastatin
8490:Niacin/laropiprant
7503:"Lipitor referral"
7302:. September 2021.
6971:The New York Times
6920:Hoefle ML (2000).
5389:. 3 January 2019.
5292:Scientific Reports
5156:10.1111/jcpt.12690
4732:(10355): 832–845.
4306:toxnet.nlm.nih.gov
3909:10.1093/ndt/gfg048
2763:10.5551/jat.13.216
2199:Medication recalls
2167:
2022:separation of the
2008:
2000:
1986:Chemical synthesis
1680:rate-limiting step
1245:Markedly elevated
1091:Primary prevention
1023:) to reduce total
973:generic medication
32:
8631:
8630:
8495:Niacin/lovastatin
8443:
8442:
8331:
8330:
8209:
8208:
8164:ATP citrate lyase
8121:Nicotinyl alcohol
8019:HMG-CoA reductase
8000:
7999:
7419:. 8 August 2013.
7366:on 6 October 2013
7335:. 22 April 2013.
7076:"Approval Letter"
6783:978-0-471-21480-9
6713:978-0-444-51054-9
6357:10.1111/eci.12255
5973:(21): e468–e495.
5682:(11): 1594–1601.
5645:10.1345/aph.10315
5547:(21): 2585–2590.
5518:10.1111/jsm.12497
5483:10.1111/jsm.12521
5357:(21): 2554–2568.
4788:(14): 1425–1435.
4633:(9364): 1149–58.
4587:(14): 1535–1545.
4546:(18): e282–e284.
4258:JAMA Network Open
4166:(9784): 2181–92.
3717:(14): e319–e322.
3672:(17): 1563–1574.
3363:(11): 1200–1207.
3319:(10): 2974–2982.
3067:10.2337/dc06-0872
2892:(14): 1425–1435.
2831:978-0-9757919-2-9
2484:978-0-7020-5515-7
2087:version of rival
2047:process chemistry
1885:HMG-CoA reductase
1812:HMG-CoA reductase
1792:
1791:
1784:
1717:thrombotic stroke
1664:HMG-CoA reductase
1210:Contraindications
1196:post hoc analysis
1114:revascularization
950:HMG-CoA reductase
908:
907:
842:Interactive image
726:CompTox Dashboard
391:
379:
366:
353:
204:
171:
16:(Redirected from
8708:
8648:
8647:
8646:
8639:
8380:PCSK9 inhibitors
8230:
8229:
8220:
8219:
8011:
8010:
7906:
7905:
7881:
7874:
7867:
7858:
7857:
7852:
7850:
7848:
7832:
7823:
7808:
7769:
7768:
7766:
7764:
7742:
7736:
7735:
7733:
7731:
7715:
7707:
7701:
7700:
7698:
7696:
7685:Associated Press
7680:The Boston Globe
7670:
7664:
7663:
7661:
7659:
7639:
7633:
7632:
7630:
7628:
7609:
7600:
7599:
7597:
7595:
7581:
7575:
7574:
7572:
7570:
7559:
7553:
7552:
7550:
7548:
7532:
7526:
7525:
7523:
7521:
7499:
7493:
7492:
7490:
7488:
7469:
7463:
7462:
7460:
7458:
7439:
7433:
7432:
7430:
7428:
7409:
7403:
7402:
7400:
7398:
7389:. Archived from
7382:
7376:
7375:
7373:
7371:
7362:. Archived from
7355:
7349:
7348:
7346:
7344:
7325:
7319:
7318:
7316:
7314:
7308:
7297:
7289:
7283:
7282:
7280:
7278:
7259:
7253:
7252:
7250:
7248:
7225:
7219:
7218:
7216:
7214:
7208:
7201:
7193:
7187:
7186:
7184:
7182:
7163:
7157:
7156:
7154:
7152:
7137:
7131:
7130:
7128:
7126:
7111:
7102:
7101:
7099:
7097:
7091:
7080:
7072:
7066:
7065:
7063:
7061:
7045:
7037:
7031:
7030:
7005:(8934): 1383–9.
6994:
6988:
6987:
6985:
6983:
6961:
6952:
6951:
6949:
6947:
6941:
6929:Bull. Hist. Chem
6926:
6917:
6908:
6907:
6906:
6902:
6895:
6886:
6885:
6883:
6881:
6865:
6857:
6844:
6843:
6829:
6818:
6817:
6815:
6813:
6802:Researchgate.net
6794:
6788:
6787:
6769:
6763:
6762:
6732:
6726:
6725:
6691:
6676:
6675:
6639:
6626:
6625:
6615:
6605:
6581:
6562:
6561:
6551:
6519:
6513:
6512:
6502:
6492:
6468:
6462:
6461:
6425:
6419:
6418:
6408:
6399:(7): 1994–1995.
6384:
6378:
6377:
6359:
6335:
6326:
6325:
6289:
6280:
6279:
6277:
6275:
6265:
6241:
6235:
6234:
6198:
6189:
6188:
6178:
6146:
6137:
6136:
6126:
6094:
6085:
6084:
6074:
6072:10.4065/75.9.933
6050:
6044:
6043:
6007:
6001:
6000:
5982:
5958:
5949:
5948:
5938:
5914:
5908:
5907:
5871:
5865:
5864:
5828:
5822:
5821:
5784:
5778:
5777:
5760:(7): 3212–3217.
5749:
5743:
5742:
5706:
5700:
5699:
5671:
5665:
5664:
5639:(7–8): 908–917.
5628:
5622:
5621:
5611:
5579:
5573:
5572:
5536:
5530:
5529:
5501:
5495:
5494:
5466:
5460:
5459:
5457:
5455:
5449:
5418:
5409:
5403:
5402:
5400:
5398:
5383:
5377:
5376:
5366:
5342:
5336:
5335:
5325:
5315:
5283:
5277:
5276:
5266:
5256:
5232:
5226:
5225:
5215:
5183:
5177:
5176:
5158:
5134:
5128:
5127:
5091:
5085:
5084:
5056:
5050:
5049:
5039:
5015:
5009:
5008:
4998:
4988:
4964:
4955:
4954:
4944:
4920:
4911:
4910:
4900:
4868:
4859:
4858:
4848:
4838:
4814:
4808:
4807:
4797:
4773:
4760:
4759:
4749:
4717:
4711:
4710:
4700:
4668:
4659:
4658:
4621:
4615:
4614:
4596:
4572:
4566:
4565:
4555:
4531:
4525:
4524:
4488:
4482:
4481:
4462:10.1002/pds.4020
4445:
4439:
4438:
4402:
4387:
4386:
4384:
4382:
4376:
4337:
4328:
4322:
4321:
4319:
4317:
4298:
4292:
4291:
4281:
4264:(12): e2141321.
4249:
4243:
4242:
4232:
4200:
4194:
4193:
4183:
4151:
4145:
4144:
4134:
4102:
4096:
4095:
4085:
4053:
4047:
4046:
4036:
4027:(14): 1395–407.
4012:
4006:
4005:
3995:
3971:
3965:
3964:
3928:
3922:
3921:
3911:
3887:
3881:
3880:
3852:
3846:
3845:
3816:
3810:
3809:
3780:
3774:
3773:
3744:
3735:
3734:
3706:
3700:
3699:
3689:
3657:
3651:
3650:
3613:
3607:
3606:
3596:
3586:
3562:
3556:
3555:
3545:
3535:
3511:
3502:
3501:
3499:
3497:
3491:
3461:(6): 1085–1095.
3452:
3443:
3432:
3431:
3394:
3381:
3380:
3351:
3345:
3344:
3307:
3298:
3297:
3269:
3260:
3259:
3249:
3225:
3216:
3215:
3205:
3181:
3175:
3174:
3164:
3154:
3130:
3124:
3123:
3086:
3080:
3079:
3069:
3045:
3039:
3038:
3013:(9435): 685–96.
3001:
2995:
2994:
2977:(9): 1071–1080.
2965:
2959:
2958:
2948:
2931:(7404): 1423–0.
2916:
2910:
2909:
2881:
2872:
2871:
2842:
2836:
2835:
2817:
2811:
2810:
2782:
2776:
2775:
2765:
2741:
2735:
2734:
2705:
2699:
2698:
2669:
2663:
2662:
2633:
2627:
2626:
2597:
2586:
2585:
2583:
2581:
2562:
2556:
2555:
2553:
2551:
2537:
2531:
2530:
2528:
2526:
2507:
2501:
2500:
2498:
2496:
2468:
2459:
2458:
2456:
2437:
2431:
2430:
2428:
2426:
2398:
2392:
2391:
2389:
2387:
2368:
2345:
2344:
2342:
2340:
2321:
2280:
2279:
2277:
2275:
2260:
2254:
2253:
2251:
2249:
2230:
2211:
2128:
2124:
2119:
2056:isoascorbic acid
2032:chiral auxiliary
2028:enantioselective
1973:Several genetic
1969:Pharmacogenetics
1959:
1787:
1780:
1776:
1773:
1767:
1744:
1736:
1732:Pharmacokinetics
1723:Pharmacodynamics
1635:ischaemic stroke
1612:Grapefruit juice
1608:concentrations.
1548:ethinylestradiol
1325:hepatic function
1194:However, data (
978:
904:
903:
844:
824:
809:
803:
800:
794:
788:
771:
760:
749:
748:
734:
732:
716:
710:
689:
669:
649:
629:
609:
589:
569:
549:
539:
538:
524:
458:
410:
408:
406:
389:
386:
377:
374:
364:
361:
351:
348:
326:
316:
306:
296:
286:
276:
266:
256:
246:
202:
199:
181:
170:
167:
154:
140:
111:
110:
107:
106:
103:
100:
97:
94:
91:
88:
85:
82:
79:
76:
73:
53:
44:
37:
35:
31:
21:
8716:
8715:
8711:
8710:
8709:
8707:
8706:
8705:
8656:
8655:
8654:
8644:
8642:
8634:
8632:
8627:
8626:
8611:Clinical trials
8590:
8504:
8439:
8412:
8374:
8337:CETP inhibitors
8327:
8311:
8205:
8196:Dextrothyroxine
8181:
8158:
8125:
8076:
7996:
7936:
7895:
7885:
7855:
7846:
7844:
7778:
7776:Further reading
7773:
7772:
7762:
7760:
7743:
7739:
7729:
7727:
7708:
7704:
7694:
7692:
7671:
7667:
7657:
7655:
7640:
7636:
7626:
7624:
7611:
7610:
7603:
7593:
7591:
7583:
7582:
7578:
7568:
7566:
7561:
7560:
7556:
7546:
7544:
7543:on 17 July 2014
7533:
7529:
7519:
7517:
7501:
7500:
7496:
7486:
7484:
7471:
7470:
7466:
7456:
7454:
7441:
7440:
7436:
7426:
7424:
7411:
7410:
7406:
7396:
7394:
7393:on 8 March 2012
7383:
7379:
7369:
7367:
7356:
7352:
7342:
7340:
7327:
7326:
7322:
7312:
7310:
7306:
7295:
7291:
7290:
7286:
7276:
7274:
7261:
7260:
7256:
7246:
7244:
7227:
7226:
7222:
7212:
7210:
7206:
7199:
7195:
7194:
7190:
7180:
7178:
7165:
7164:
7160:
7150:
7148:
7139:
7138:
7134:
7124:
7122:
7113:
7112:
7105:
7095:
7093:
7089:
7078:
7074:
7073:
7069:
7059:
7057:
7038:
7034:
6995:
6991:
6981:
6979:
6962:
6955:
6945:
6943:
6939:
6924:
6918:
6911:
6904:
6896:
6889:
6879:
6877:
6869:Financial Times
6858:
6847:
6830:
6821:
6811:
6809:
6796:
6795:
6791:
6784:
6770:
6766:
6733:
6729:
6714:
6692:
6679:
6640:
6629:
6582:
6565:
6534:(11): 810–819.
6520:
6516:
6483:(3): CD008226.
6469:
6465:
6426:
6422:
6385:
6381:
6336:
6329:
6290:
6283:
6273:
6271:
6242:
6238:
6199:
6192:
6147:
6140:
6095:
6088:
6051:
6047:
6008:
6004:
5959:
5952:
5929:(10): 1033–47.
5915:
5911:
5872:
5868:
5829:
5825:
5785:
5781:
5750:
5746:
5707:
5703:
5672:
5668:
5629:
5625:
5580:
5576:
5537:
5533:
5502:
5498:
5467:
5463:
5453:
5451:
5447:
5416:
5410:
5406:
5396:
5394:
5385:
5384:
5380:
5343:
5339:
5284:
5280:
5233:
5229:
5184:
5180:
5135:
5131:
5092:
5088:
5057:
5053:
5030:(25): 2788–97.
5016:
5012:
4965:
4958:
4921:
4914:
4869:
4862:
4815:
4811:
4774:
4763:
4718:
4714:
4669:
4662:
4622:
4618:
4573:
4569:
4532:
4528:
4489:
4485:
4446:
4442:
4403:
4390:
4380:
4378:
4374:
4335:
4329:
4325:
4315:
4313:
4300:
4299:
4295:
4250:
4246:
4201:
4197:
4152:
4148:
4103:
4099:
4054:
4050:
4013:
4009:
3972:
3968:
3929:
3925:
3888:
3884:
3853:
3849:
3817:
3813:
3781:
3777:
3745:
3738:
3707:
3703:
3658:
3654:
3614:
3610:
3563:
3559:
3512:
3505:
3495:
3493:
3489:
3450:
3444:
3435:
3395:
3384:
3352:
3348:
3308:
3301:
3270:
3263:
3226:
3219:
3196:(22): 2078–87.
3182:
3178:
3131:
3127:
3087:
3083:
3060:(11): 2378–84.
3046:
3042:
3002:
2998:
2966:
2962:
2917:
2913:
2882:
2875:
2843:
2839:
2832:
2818:
2814:
2783:
2779:
2742:
2738:
2706:
2702:
2670:
2666:
2645:(13): 1556–65.
2634:
2630:
2598:
2589:
2579:
2577:
2564:
2563:
2559:
2549:
2547:
2539:
2538:
2534:
2524:
2522:
2509:
2508:
2504:
2494:
2492:
2485:
2469:
2462:
2438:
2434:
2424:
2422:
2415:
2399:
2395:
2385:
2383:
2370:
2369:
2348:
2338:
2336:
2323:
2322:
2283:
2273:
2271:
2262:
2261:
2257:
2247:
2245:
2232:
2231:
2224:
2219:
2209:
2201:
2159:
2143:
2138:
2126:
2122:
2117:
2089:Merck & Co.
2078:
1988:
1971:
1963:
1957:
1949:
1945:
1905:
1889:glucuronidation
1867:cytochrome P450
1859:
1847:
1840:
1823:
1808:bioavailability
1804:
1797:
1788:
1777:
1771:
1768:
1757:
1745:
1734:
1725:
1711:In people with
1706:HDL-cholesterol
1678:, which is the
1656:
1650:
1619:
1602:synergistically
1421:hyperlipidaemia
1417:
1405:
1393:
1384:
1375:
1370:
1335:
1308:Type 2 diabetes
1304:
1299:
1249:levels or if a
1212:
1173:
1157:clinical trials
1153:
1140:
1121:type 2 diabetes
1087:
1001:
985:
976:
899:
897:
892:
889:
884:
879:
878:
867:
864:
859:
858:
847:
822:
812:
806:
797:
791:
752:
728:
720:
692:
672:
652:
632:
612:
592:
572:
552:
535:
527:
507:
504:
491:
490:
456:
428:Bioavailability
420:Pharmacokinetic
414:
404:
402:
393:
330:
218:
211:
208:Contraindicated
191:
184:
122:Lipitor, others
70:
66:
28:
23:
22:
15:
12:
11:
5:
8714:
8704:
8703:
8698:
8693:
8688:
8683:
8678:
8673:
8668:
8653:
8652:
8629:
8628:
8625:
8624:
8623:
8622:
8619:
8608:
8602:
8596:
8595:
8592:
8591:
8589:
8588:
8583:
8578:
8573:
8568:
8563:
8558:
8553:
8548:
8543:
8538:
8533:
8528:
8523:
8518:
8512:
8510:
8506:
8505:
8503:
8502:
8497:
8492:
8487:
8482:
8477:
8472:
8467:
8462:
8457:
8451:
8449:
8445:
8444:
8441:
8440:
8438:
8437:
8431:
8429:
8414:
8413:
8411:
8410:
8405:
8400:
8395:
8389:
8387:
8376:
8375:
8373:
8372:
8367:
8362:
8357:
8352:
8346:
8344:
8333:
8332:
8329:
8328:
8326:
8325:
8319:
8317:
8313:
8312:
8310:
8309:
8304:
8299:
8294:
8289:
8284:
8279:
8274:
8269:
8264:
8259:
8254:
8249:
8244:
8238:
8236:
8227:
8217:
8211:
8210:
8207:
8206:
8204:
8203:
8198:
8192:
8190:
8183:
8182:
8180:
8179:
8177:Bempedoic acid
8173:
8171:
8160:
8159:
8157:
8156:
8151:
8146:
8140:
8138:
8127:
8126:
8124:
8123:
8118:
8113:
8108:
8103:
8098:
8092:
8090:
8078:
8077:
8075:
8074:
8069:
8064:
8059:
8054:
8049:
8044:
8039:
8034:
8028:
8026:
8008:
8002:
8001:
7998:
7997:
7995:
7994:
7981:
7976:
7971:
7966:
7961:
7955:
7953:
7938:
7937:
7935:
7934:
7929:
7924:
7918:
7916:
7903:
7897:
7896:
7884:
7883:
7876:
7869:
7861:
7854:
7853:
7824:
7809:
7791:(11): 739–42.
7779:
7777:
7774:
7771:
7770:
7737:
7702:
7665:
7634:
7601:
7576:
7554:
7527:
7494:
7479:. 4 May 2020.
7464:
7434:
7404:
7377:
7350:
7320:
7284:
7254:
7220:
7188:
7158:
7132:
7103:
7067:
7032:
6989:
6953:
6909:
6887:
6845:
6819:
6789:
6782:
6764:
6745:(1): 357–366.
6727:
6712:
6677:
6627:
6596:(5): 1000–11.
6563:
6514:
6463:
6420:
6379:
6350:(5): 501–515.
6327:
6281:
6236:
6190:
6138:
6086:
6045:
6018:(2): 198–203.
6002:
5950:
5909:
5866:
5823:
5796:(4): 391–400.
5779:
5744:
5717:(3): 219–226.
5701:
5666:
5623:
5574:
5531:
5512:(6): 1367–75.
5496:
5477:(7): 1626–35.
5461:
5427:(8): 804–811.
5404:
5378:
5337:
5278:
5227:
5198:(2): 299–306.
5178:
5149:(4): 556–570.
5129:
5102:(3): 495–499.
5086:
5051:
5010:
4956:
4935:(6): 549–559.
4912:
4860:
4809:
4761:
4712:
4660:
4616:
4567:
4526:
4483:
4440:
4388:
4323:
4293:
4244:
4195:
4146:
4117:(6): 1316–25.
4097:
4068:(5): e014840.
4048:
4007:
3966:
3939:(9): 816–819.
3923:
3902:(5): 967–976.
3882:
3847:
3828:(5): 632–635.
3811:
3792:(3): 592–599.
3775:
3736:
3701:
3652:
3608:
3557:
3526:(10): e19473.
3503:
3433:
3406:(4): 305–316.
3382:
3346:
3299:
3280:(4): 562–570.
3261:
3240:(6): 881–892.
3217:
3176:
3125:
3081:
3040:
2996:
2960:
2911:
2873:
2854:(2): 109–124.
2837:
2830:
2812:
2793:(8): 1527–31.
2777:
2736:
2700:
2664:
2628:
2587:
2557:
2532:
2502:
2483:
2460:
2432:
2413:
2393:
2346:
2281:
2270:. 21 June 2022
2255:
2221:
2220:
2218:
2215:
2200:
2197:
2158:
2155:
2142:
2139:
2137:
2134:
2077:
2074:
2036:aldol reaction
2012:drug discovery
1987:
1984:
1970:
1967:
1961:
1956:people (>65
1947:
1943:
1933:P-glycoprotein
1904:
1901:
1881:beta-oxidation
1858:
1855:
1846:
1843:
1838:
1821:
1802:
1796:
1793:
1790:
1789:
1748:
1746:
1739:
1733:
1730:
1724:
1721:
1652:Main article:
1649:
1646:
1617:
1544:norethisterone
1476:clarithromycin
1437:rhabdomyolysis
1416:
1413:
1404:
1401:
1392:
1389:
1383:
1380:
1374:
1371:
1369:
1366:
1365:
1364:
1359:
1354:
1349:
1344:
1334:
1331:
1330:
1329:
1320:
1316:
1312:
1303:
1300:
1298:
1295:
1294:
1293:
1255:rhabdomyolysis
1243:
1237:
1231:
1211:
1208:
1207:
1206:
1199:
1192:
1188:
1184:
1181:
1178:
1172:
1169:
1152:
1151:Administration
1149:
1139:
1138:Kidney disease
1136:
1124:
1123:
1117:
1099:
1086:
1083:
1082:
1081:
1076:
1069:
1062:
1057:
1048:
1000:
997:
984:
981:
934:rhabdomyolysis
906:
905:
894:
893:
891:
890:
887:
885:
882:
874:
873:
872:
869:
868:
866:
865:
862:
854:
853:
852:
849:
848:
846:
845:
837:
835:
827:
826:
820:
814:
813:
810:
804:
795:
789:
784:
778:
777:
773:
772:
762:
754:
753:
751:
750:
737:
735:
722:
721:
719:
718:
702:
700:
694:
693:
691:
690:
682:
680:
674:
673:
671:
670:
662:
660:
654:
653:
651:
650:
642:
640:
634:
633:
631:
630:
622:
620:
614:
613:
611:
610:
602:
600:
594:
593:
591:
590:
582:
580:
574:
573:
571:
570:
562:
560:
554:
553:
551:
550:
542:
540:
529:
528:
526:
525:
517:
515:
509:
508:
506:
505:
494:
486:
485:
484:
481:
480:
476:
475:
470:
464:
463:
460:
451:
450:
440:
434:
433:
430:
424:
423:
416:
415:
413:
412:
384:
372:
359:
345:
343:
337:
336:
332:
331:
329:
328:
235:
233:
227:
226:
221:
219:administration
213:
212:
210:
209:
206:
196:
194:
186:
185:
183:
182:
164:
162:
156:
155:
148:
142:
141:
134:
124:
123:
120:
114:
113:
64:
60:
59:
55:
54:
46:
45:
26:
9:
6:
4:
3:
2:
8713:
8702:
8701:Hydroxy acids
8699:
8697:
8694:
8692:
8689:
8687:
8684:
8682:
8679:
8677:
8674:
8672:
8669:
8667:
8664:
8663:
8661:
8651:
8641:
8640:
8637:
8620:
8618:
8615:
8614:
8612:
8609:
8606:
8603:
8601:
8598:
8597:
8593:
8587:
8584:
8582:
8579:
8577:
8574:
8572:
8569:
8567:
8564:
8562:
8559:
8557:
8554:
8552:
8549:
8547:
8544:
8542:
8539:
8537:
8534:
8532:
8529:
8527:
8524:
8522:
8519:
8517:
8514:
8513:
8511:
8507:
8501:
8498:
8496:
8493:
8491:
8488:
8486:
8483:
8481:
8478:
8476:
8473:
8471:
8468:
8466:
8463:
8461:
8458:
8456:
8453:
8452:
8450:
8446:
8436:
8433:
8432:
8430:
8427:
8423:
8419:
8415:
8409:
8406:
8404:
8401:
8399:
8396:
8394:
8391:
8390:
8388:
8385:
8381:
8377:
8371:
8368:
8366:
8363:
8361:
8358:
8356:
8353:
8351:
8348:
8347:
8345:
8342:
8338:
8334:
8324:
8321:
8320:
8318:
8314:
8308:
8305:
8303:
8300:
8298:
8295:
8293:
8290:
8288:
8285:
8283:
8280:
8278:
8275:
8273:
8270:
8268:
8265:
8263:
8260:
8258:
8255:
8253:
8250:
8248:
8245:
8243:
8240:
8239:
8237:
8235:
8231:
8228:
8225:
8224:PPAR agonists
8221:
8218:
8216:
8215:Blood vessels
8212:
8202:
8199:
8197:
8194:
8193:
8191:
8188:
8187:Thyromimetics
8184:
8178:
8175:
8174:
8172:
8169:
8165:
8161:
8155:
8152:
8150:
8147:
8145:
8142:
8141:
8139:
8136:
8132:
8128:
8122:
8119:
8117:
8114:
8112:
8109:
8107:
8104:
8102:
8099:
8097:
8094:
8093:
8091:
8088:
8084:
8079:
8073:
8070:
8068:
8065:
8063:
8060:
8058:
8055:
8053:
8050:
8048:
8045:
8043:
8040:
8038:
8035:
8033:
8030:
8029:
8027:
8024:
8020:
8016:
8012:
8009:
8007:
8003:
7993:
7989:
7985:
7984:Soluble fiber
7982:
7980:
7977:
7975:
7974:Colestyramine
7972:
7970:
7967:
7965:
7962:
7960:
7957:
7956:
7954:
7951:
7947:
7943:
7939:
7933:
7930:
7928:
7925:
7923:
7920:
7919:
7917:
7915:
7911:
7907:
7904:
7902:
7898:
7893:
7889:
7882:
7877:
7875:
7870:
7868:
7863:
7862:
7859:
7842:
7838:
7837:
7831:
7825:
7821:
7820:
7815:
7810:
7806:
7802:
7798:
7794:
7790:
7786:
7781:
7780:
7758:
7754:
7753:
7748:
7741:
7725:
7721:
7720:
7714:
7706:
7690:
7686:
7682:
7681:
7676:
7669:
7653:
7649:
7645:
7638:
7622:
7618:
7614:
7608:
7606:
7590:
7586:
7580:
7564:
7558:
7542:
7538:
7531:
7515:
7511:
7509:
7504:
7498:
7482:
7478:
7474:
7468:
7452:
7448:
7444:
7438:
7422:
7418:
7414:
7408:
7392:
7388:
7381:
7365:
7361:
7354:
7338:
7334:
7330:
7324:
7305:
7301:
7294:
7288:
7272:
7268:
7264:
7258:
7242:
7238:
7234:
7230:
7224:
7205:
7198:
7192:
7176:
7172:
7168:
7162:
7146:
7142:
7136:
7120:
7116:
7110:
7108:
7088:
7084:
7077:
7071:
7055:
7051:
7050:
7044:
7036:
7028:
7024:
7020:
7016:
7012:
7008:
7004:
7000:
6993:
6977:
6973:
6972:
6967:
6960:
6958:
6938:
6934:
6930:
6923:
6916:
6914:
6900:
6894:
6892:
6875:
6871:
6870:
6864:
6856:
6854:
6852:
6850:
6841:
6840:
6835:
6828:
6826:
6824:
6807:
6803:
6799:
6793:
6785:
6779:
6775:
6768:
6760:
6756:
6752:
6748:
6744:
6741:
6740:
6739:J. Med. Chem.
6731:
6723:
6719:
6715:
6709:
6705:
6701:
6697:
6690:
6688:
6686:
6684:
6682:
6673:
6669:
6665:
6661:
6657:
6653:
6649:
6645:
6638:
6636:
6634:
6632:
6623:
6619:
6614:
6609:
6604:
6599:
6595:
6591:
6587:
6580:
6578:
6576:
6574:
6572:
6570:
6568:
6559:
6555:
6550:
6545:
6541:
6537:
6533:
6529:
6525:
6518:
6510:
6506:
6501:
6496:
6491:
6486:
6482:
6478:
6474:
6467:
6459:
6455:
6451:
6447:
6443:
6439:
6435:
6431:
6424:
6416:
6412:
6407:
6402:
6398:
6394:
6390:
6383:
6375:
6371:
6367:
6363:
6358:
6353:
6349:
6345:
6341:
6334:
6332:
6323:
6319:
6315:
6311:
6307:
6303:
6299:
6295:
6288:
6286:
6269:
6264:
6259:
6255:
6251:
6247:
6240:
6232:
6228:
6224:
6220:
6216:
6212:
6209:(2): 118–27.
6208:
6204:
6197:
6195:
6186:
6182:
6177:
6172:
6168:
6164:
6161:(3): 434–41.
6160:
6156:
6152:
6145:
6143:
6134:
6130:
6125:
6120:
6116:
6112:
6108:
6104:
6100:
6093:
6091:
6082:
6078:
6073:
6068:
6065:(9): 933–42.
6064:
6060:
6056:
6049:
6041:
6037:
6033:
6029:
6025:
6021:
6017:
6013:
6006:
5998:
5994:
5990:
5986:
5981:
5976:
5972:
5968:
5964:
5957:
5955:
5946:
5942:
5937:
5932:
5928:
5924:
5920:
5913:
5905:
5901:
5897:
5893:
5889:
5885:
5882:(2): 154–67.
5881:
5877:
5870:
5862:
5858:
5854:
5850:
5846:
5842:
5839:(6): 565–81.
5838:
5834:
5827:
5819:
5815:
5811:
5807:
5803:
5799:
5795:
5791:
5783:
5775:
5771:
5767:
5763:
5759:
5755:
5748:
5740:
5736:
5732:
5728:
5724:
5720:
5716:
5712:
5705:
5697:
5693:
5689:
5685:
5681:
5677:
5670:
5662:
5658:
5654:
5650:
5646:
5642:
5638:
5634:
5627:
5619:
5615:
5610:
5605:
5601:
5597:
5593:
5589:
5585:
5578:
5570:
5566:
5562:
5558:
5554:
5550:
5546:
5542:
5535:
5527:
5523:
5519:
5515:
5511:
5507:
5500:
5492:
5488:
5484:
5480:
5476:
5472:
5465:
5446:
5442:
5438:
5434:
5430:
5426:
5422:
5415:
5408:
5392:
5388:
5382:
5374:
5370:
5365:
5360:
5356:
5352:
5348:
5341:
5333:
5329:
5324:
5319:
5314:
5309:
5305:
5301:
5297:
5293:
5289:
5282:
5274:
5270:
5265:
5260:
5255:
5250:
5247:(3): 348–58.
5246:
5242:
5238:
5231:
5223:
5219:
5214:
5209:
5205:
5201:
5197:
5193:
5189:
5182:
5174:
5170:
5166:
5162:
5157:
5152:
5148:
5144:
5140:
5133:
5125:
5121:
5117:
5113:
5109:
5105:
5101:
5097:
5090:
5082:
5078:
5074:
5070:
5066:
5062:
5055:
5047:
5043:
5038:
5033:
5029:
5025:
5021:
5014:
5006:
5002:
4997:
4992:
4987:
4982:
4978:
4974:
4970:
4963:
4961:
4952:
4948:
4943:
4938:
4934:
4930:
4926:
4919:
4917:
4908:
4904:
4899:
4894:
4890:
4886:
4882:
4878:
4874:
4867:
4865:
4856:
4852:
4847:
4842:
4837:
4832:
4828:
4824:
4820:
4813:
4805:
4801:
4796:
4791:
4787:
4783:
4779:
4772:
4770:
4768:
4766:
4757:
4753:
4748:
4743:
4739:
4735:
4731:
4727:
4723:
4716:
4708:
4704:
4699:
4694:
4690:
4686:
4682:
4678:
4674:
4667:
4665:
4656:
4652:
4648:
4644:
4640:
4636:
4632:
4628:
4620:
4612:
4608:
4604:
4600:
4595:
4590:
4586:
4582:
4578:
4571:
4563:
4559:
4554:
4549:
4545:
4541:
4537:
4530:
4522:
4518:
4514:
4510:
4506:
4502:
4498:
4494:
4487:
4479:
4475:
4471:
4467:
4463:
4459:
4455:
4451:
4444:
4436:
4432:
4428:
4424:
4420:
4416:
4413:(5): 343–70.
4412:
4408:
4401:
4399:
4397:
4395:
4393:
4373:
4369:
4365:
4361:
4357:
4353:
4349:
4345:
4341:
4334:
4327:
4311:
4307:
4303:
4297:
4289:
4285:
4280:
4275:
4271:
4267:
4263:
4259:
4255:
4248:
4240:
4236:
4231:
4226:
4222:
4218:
4214:
4210:
4206:
4199:
4191:
4187:
4182:
4177:
4173:
4169:
4165:
4161:
4157:
4150:
4142:
4138:
4133:
4128:
4124:
4120:
4116:
4112:
4108:
4101:
4093:
4089:
4084:
4079:
4075:
4071:
4067:
4063:
4059:
4052:
4044:
4040:
4035:
4030:
4026:
4022:
4018:
4011:
4003:
3999:
3994:
3989:
3986:(3): 238–48.
3985:
3981:
3977:
3970:
3962:
3958:
3954:
3950:
3946:
3942:
3938:
3934:
3927:
3919:
3915:
3910:
3905:
3901:
3897:
3893:
3886:
3878:
3874:
3870:
3866:
3862:
3858:
3851:
3843:
3839:
3835:
3831:
3827:
3823:
3815:
3807:
3803:
3799:
3795:
3791:
3787:
3779:
3771:
3767:
3763:
3759:
3755:
3751:
3743:
3741:
3732:
3728:
3724:
3720:
3716:
3712:
3705:
3697:
3693:
3688:
3683:
3679:
3675:
3671:
3667:
3663:
3656:
3648:
3644:
3640:
3636:
3632:
3628:
3624:
3620:
3612:
3604:
3600:
3595:
3590:
3585:
3580:
3577:: 3685–3690.
3576:
3572:
3568:
3561:
3553:
3549:
3544:
3539:
3534:
3529:
3525:
3521:
3517:
3510:
3508:
3488:
3484:
3480:
3476:
3472:
3468:
3464:
3460:
3456:
3449:
3442:
3440:
3438:
3429:
3425:
3421:
3417:
3413:
3409:
3405:
3401:
3393:
3391:
3389:
3387:
3378:
3374:
3370:
3366:
3362:
3358:
3350:
3342:
3338:
3334:
3330:
3326:
3322:
3318:
3314:
3306:
3304:
3295:
3291:
3287:
3283:
3279:
3275:
3268:
3266:
3257:
3253:
3248:
3243:
3239:
3235:
3231:
3224:
3222:
3213:
3209:
3204:
3199:
3195:
3191:
3187:
3180:
3172:
3168:
3163:
3158:
3153:
3148:
3144:
3140:
3136:
3129:
3121:
3117:
3113:
3109:
3105:
3101:
3098:(6): 355–62.
3097:
3093:
3085:
3077:
3073:
3068:
3063:
3059:
3055:
3054:Diabetes Care
3051:
3044:
3036:
3032:
3028:
3024:
3020:
3016:
3012:
3008:
3000:
2992:
2988:
2984:
2980:
2976:
2972:
2964:
2956:
2952:
2947:
2942:
2938:
2934:
2930:
2926:
2922:
2915:
2907:
2903:
2899:
2895:
2891:
2887:
2880:
2878:
2869:
2865:
2861:
2857:
2853:
2849:
2841:
2833:
2827:
2823:
2816:
2808:
2804:
2800:
2796:
2792:
2788:
2781:
2773:
2769:
2764:
2759:
2755:
2751:
2747:
2740:
2732:
2728:
2724:
2720:
2717:(2): 128–33.
2716:
2712:
2704:
2696:
2692:
2688:
2684:
2681:(5): 678–82.
2680:
2676:
2668:
2660:
2656:
2652:
2648:
2644:
2640:
2632:
2624:
2620:
2616:
2612:
2608:
2604:
2596:
2594:
2592:
2575:
2571:
2567:
2561:
2546:
2542:
2536:
2520:
2516:
2512:
2506:
2490:
2486:
2480:
2476:
2475:
2467:
2465:
2455:
2450:
2446:
2442:
2436:
2420:
2416:
2414:9783527607495
2410:
2406:
2405:
2397:
2381:
2377:
2373:
2367:
2365:
2363:
2361:
2359:
2357:
2355:
2353:
2351:
2334:
2330:
2326:
2320:
2318:
2316:
2314:
2312:
2310:
2308:
2306:
2304:
2302:
2300:
2298:
2296:
2294:
2292:
2290:
2288:
2286:
2269:
2265:
2259:
2243:
2239:
2235:
2229:
2227:
2222:
2214:
2206:
2196:
2194:
2189:
2185:
2183:
2179:
2174:
2172:
2163:
2154:
2152:
2148:
2133:
2130:
2114:
2111:
2110:
2104:
2102:
2098:
2094:
2090:
2086:
2082:
2073:
2071:
2067:
2064:
2059:
2057:
2053:
2048:
2044:
2039:
2037:
2033:
2029:
2025:
2021:
2017:
2013:
2004:
1997:
1992:
1983:
1979:
1976:
1975:polymorphisms
1966:
1955:
1951:
1941:
1936:
1934:
1929:
1925:
1921:
1917:
1913:
1910:
1900:
1898:
1894:
1890:
1886:
1882:
1878:
1874:
1873:hydroxylation
1871:
1868:
1864:
1861:Atorvastatin
1854:
1852:
1842:
1836:
1832:
1828:
1824:
1817:
1813:
1809:
1805:
1786:
1783:
1775:
1772:December 2017
1765:
1761:
1755:
1754:
1749:This section
1747:
1743:
1738:
1737:
1729:
1720:
1718:
1714:
1709:
1707:
1703:
1702:triglycerides
1699:
1695:
1694:LDL receptors
1691:
1690:
1685:
1681:
1677:
1674:(HMG-CoA) to
1673:
1669:
1665:
1661:
1655:
1645:
1643:
1638:
1636:
1632:
1628:
1624:
1620:
1613:
1609:
1607:
1603:
1599:
1595:
1593:
1588:
1584:
1580:
1576:
1571:
1569:
1565:
1563:
1559:
1555:
1551:
1549:
1545:
1541:
1537:
1533:
1529:
1528:oxcarbazepine
1525:
1521:
1517:
1516:carbamazepine
1513:
1509:
1505:
1501:
1497:
1493:
1489:
1485:
1481:
1477:
1473:
1469:
1465:
1461:
1457:
1453:
1452:telithromycin
1449:
1445:
1440:
1438:
1434:
1430:
1426:
1422:
1412:
1410:
1400:
1398:
1388:
1379:
1363:
1360:
1358:
1355:
1353:
1350:
1348:
1345:
1343:
1340:
1339:
1338:
1326:
1321:
1317:
1313:
1309:
1306:
1305:
1291:
1288:
1284:
1280:
1276:
1272:
1268:
1264:
1263:myoglobinuria
1260:
1256:
1252:
1248:
1244:
1241:
1240:Breastfeeding
1238:
1235:
1232:
1230:
1226:
1222:
1218:
1214:
1213:
1204:
1200:
1197:
1193:
1189:
1185:
1182:
1179:
1175:
1174:
1168:
1164:
1162:
1158:
1148:
1144:
1135:
1133:
1129:
1122:
1118:
1115:
1111:
1107:
1103:
1100:
1097:
1092:
1089:
1088:
1080:
1077:
1074:
1070:
1067:
1063:
1061:
1058:
1056:
1052:
1049:
1046:
1042:
1038:
1037:triglycerides
1034:
1030:
1026:
1022:
1018:
1014:
1010:
1006:
1003:
1002:
996:
994:
990:
980:
974:
970:
965:
963:
959:
956:found in the
955:
951:
947:
944:may harm the
943:
940:. Use during
939:
935:
930:
928:
924:
920:
916:
912:
902:
895:
886:
881:
880:
877:
870:
861:
860:
857:
850:
843:
839:
838:
836:
833:
828:
821:
819:
815:
785:
783:
779:
774:
770:
766:
763:
761:
759:ECHA InfoCard
755:
747:
743:
742:DTXSID8029868
739:
738:
736:
727:
723:
715:
714:RCSB PDB
709:
704:
703:
701:
699:
695:
688:
684:
683:
681:
679:
675:
668:
664:
663:
661:
659:
655:
648:
644:
643:
641:
639:
635:
628:
624:
623:
621:
619:
615:
608:
604:
603:
601:
599:
595:
588:
584:
583:
581:
579:
575:
568:
564:
563:
561:
559:
555:
548:
544:
543:
541:
534:
530:
523:
519:
518:
516:
514:
510:
502:
498:
493:
492:
489:
482:
477:
474:
471:
469:
465:
461:
459:
452:
448:
444:
441:
439:
435:
431:
429:
425:
421:
417:
400:
396:
392: Rx-only
385:
383:
373:
370:
360:
357:
347:
346:
344:
342:
338:
333:
325:
320:
315:
310:
305:
300:
295:
290:
285:
280:
275:
270:
265:
260:
255:
250:
245:
240:
237:
236:
234:
232:
228:
225:
222:
220:
214:
207:
198:
197:
195:
193:
187:
180:
175:
166:
165:
163:
161:
157:
153:
149:
147:
143:
139:
135:
133:
129:
125:
121:
119:
115:
109:
65:
63:Pronunciation
61:
58:Clinical data
56:
52:
47:
43:
38:
30:
19:
8586:Volanesorsen
8448:Combinations
8420:inhibitors (
8262:Clinofibrate
8257:Ciprofibrate
8166:inhibitors (
8133:inhibitors (
8116:Nicofuranose
8067:Rosuvastatin
8057:Pitavastatin
8037:Cerivastatin
8032:Atorvastatin
8031:
7845:. Retrieved
7834:
7817:
7788:
7784:
7761:. Retrieved
7750:
7740:
7728:. Retrieved
7717:
7705:
7693:. Retrieved
7678:
7668:
7656:. Retrieved
7647:
7637:
7625:. Retrieved
7592:. Retrieved
7588:
7579:
7567:. Retrieved
7557:
7545:. Retrieved
7541:the original
7530:
7518:. Retrieved
7506:
7497:
7485:. Retrieved
7476:
7467:
7455:. Retrieved
7451:the original
7437:
7425:. Retrieved
7416:
7407:
7395:. Retrieved
7391:the original
7380:
7368:. Retrieved
7364:the original
7353:
7341:. Retrieved
7332:
7323:
7311:. Retrieved
7299:
7287:
7275:. Retrieved
7266:
7257:
7245:. Retrieved
7236:
7232:
7223:
7211:. Retrieved
7191:
7179:. Retrieved
7161:
7149:. Retrieved
7135:
7123:. Retrieved
7094:. Retrieved
7070:
7058:. Retrieved
7047:
7035:
7002:
6998:
6992:
6980:. Retrieved
6969:
6944:. Retrieved
6935:(1): 28–34.
6932:
6928:
6878:. Retrieved
6867:
6837:
6810:. Retrieved
6801:
6792:
6773:
6767:
6742:
6737:
6730:
6695:
6650:(6): 352–8.
6647:
6643:
6593:
6589:
6531:
6527:
6517:
6480:
6476:
6466:
6436:(1): 55–62.
6433:
6429:
6423:
6396:
6392:
6382:
6347:
6343:
6297:
6293:
6272:. Retrieved
6256:(2): 40–42.
6253:
6249:
6239:
6206:
6202:
6158:
6154:
6109:(5): 494–7.
6106:
6102:
6062:
6058:
6048:
6015:
6011:
6005:
5970:
5966:
5926:
5922:
5912:
5879:
5875:
5869:
5836:
5832:
5826:
5793:
5789:
5782:
5757:
5753:
5747:
5714:
5710:
5704:
5679:
5675:
5669:
5636:
5632:
5626:
5594:(1): 25–28.
5591:
5587:
5577:
5544:
5540:
5534:
5509:
5505:
5499:
5474:
5470:
5464:
5452:. Retrieved
5424:
5420:
5407:
5395:. Retrieved
5381:
5354:
5350:
5340:
5295:
5291:
5281:
5244:
5240:
5230:
5195:
5192:Diabetologia
5191:
5181:
5146:
5142:
5132:
5099:
5095:
5089:
5067:(6): 670–6.
5064:
5060:
5054:
5027:
5023:
5013:
4976:
4972:
4932:
4928:
4880:
4876:
4826:
4823:BMC Medicine
4822:
4812:
4785:
4781:
4729:
4725:
4715:
4680:
4676:
4630:
4626:
4619:
4584:
4580:
4570:
4543:
4539:
4529:
4496:
4492:
4486:
4453:
4449:
4443:
4410:
4406:
4379:. Retrieved
4346:(6): 532–9.
4343:
4339:
4326:
4314:. Retrieved
4305:
4296:
4261:
4257:
4247:
4212:
4208:
4198:
4163:
4159:
4149:
4114:
4110:
4100:
4065:
4061:
4051:
4024:
4020:
4010:
3983:
3979:
3969:
3936:
3932:
3926:
3899:
3895:
3885:
3860:
3856:
3850:
3825:
3821:
3814:
3789:
3785:
3778:
3756:(1): 44–47.
3753:
3749:
3714:
3710:
3704:
3669:
3665:
3655:
3622:
3618:
3611:
3574:
3570:
3560:
3523:
3519:
3494:. Retrieved
3458:
3454:
3403:
3399:
3360:
3356:
3349:
3316:
3312:
3277:
3273:
3237:
3233:
3193:
3189:
3179:
3142:
3139:BMC Medicine
3138:
3128:
3095:
3091:
3084:
3057:
3053:
3043:
3010:
3006:
2999:
2974:
2970:
2963:
2928:
2924:
2914:
2889:
2885:
2851:
2847:
2840:
2821:
2815:
2790:
2786:
2780:
2756:(4): 216–9.
2753:
2749:
2739:
2714:
2710:
2703:
2678:
2674:
2667:
2642:
2638:
2631:
2609:(1): 74–80.
2606:
2602:
2578:. Retrieved
2560:
2548:. Retrieved
2544:
2535:
2523:. Retrieved
2514:
2505:
2493:. Retrieved
2473:
2454:10665/371090
2444:
2435:
2423:. Retrieved
2403:
2396:
2384:. Retrieved
2375:
2337:. Retrieved
2328:
2272:. Retrieved
2267:
2258:
2246:. Retrieved
2237:
2202:
2190:
2186:
2180:and India's
2175:
2168:
2144:
2131:
2115:
2107:
2105:
2079:
2062:
2060:
2040:
2018:followed by
2009:
1980:
1972:
1952:
1937:
1906:
1897:erythromycin
1892:
1860:
1848:
1845:Distribution
1798:
1778:
1769:
1758:Please help
1753:verification
1750:
1726:
1710:
1687:
1657:
1639:
1631:heart attack
1610:
1596:
1592:pitavastatin
1572:
1566:
1552:
1512:barbiturates
1504:fosphenytoin
1480:cyclosporine
1472:ketoconazole
1464:erythromycin
1456:voriconazole
1448:itraconazole
1441:
1418:
1415:Interactions
1406:
1397:triglyceride
1394:
1391:Pancreatitis
1385:
1376:
1347:Loose stools
1336:
1297:Side effects
1279:erythromycin
1271:cyclosporine
1165:
1154:
1145:
1141:
1125:
1039:levels, and
1013:dyslipidemia
1011:) and mixed
999:Dyslipidemia
989:dyslipidemia
986:
983:Medical uses
966:
931:
911:Atorvastatin
910:
909:
898:
500:
496:
455:Elimination
411:</ref>
403:. Retrieved
398:
341:Legal status
335:Legal status
179:Atorvastatin
160:License data
34:Atorvastatin
29:
8607:from market
8566:Policosanol
8541:Lapaquistat
8521:Azacosterol
8398:Bococizumab
8370:Torcetrapib
8365:Obicetrapib
8360:Evacetrapib
8355:Dalcetrapib
8350:Anacetrapib
8302:Ronifibrate
8297:Pemafibrate
8287:Gemfibrozil
8282:Fenofibrate
8247:Bezafibrate
8154:Mitratapide
8144:Dirlotapide
8072:Simvastatin
8062:Pravastatin
8042:Fluvastatin
7992:glucomannan
7959:Colesevelam
7763:29 December
7695:29 December
7181:18 November
7125:24 November
6982:18 February
6880:24 November
5967:Circulation
5298:(1): 5804.
5024:Circulation
4979:: 211–219.
4540:Circulation
4381:28 December
2386:23 December
2339:26 February
2248:26 February
2157:Brand names
2101:simvastatin
2093:orphan drug
2052:chiral pool
2026:. An early
2024:enantiomers
1996:chiral pool
1877:metabolites
1698:hepatocytes
1684:cholesterol
1682:in hepatic
1606:cholesterol
1468:fluconazole
1429:fenofibrate
1425:gemfibrozil
1357:Muscle pain
1352:Indigestion
1290:antifungals
1217:cholestasis
1025:cholesterol
962:cholesterol
825: g·mol
765:100.125.464
667:CHEBI:39548
522:134523-00-5
479:Identifiers
405:26 February
146:MedlinePlus
118:Trade names
8660:Categories
8581:Triparanol
8556:Mipomersen
8536:Darapladib
8531:Benfluorex
8526:Azalanstat
8435:Evinacumab
8408:Inclisiran
8403:Evolocumab
8393:Alirocumab
8307:Simfibrate
8277:Etofibrate
8272:Clofibride
8267:Clofibrate
8201:Resmetirom
8149:Lomitapide
8111:Niceritrol
8052:Mevastatin
8047:Lovastatin
7969:Colestipol
7964:Colestilan
7927:Hyzetimibe
7847:26 October
7060:26 October
6300:: 105735.
5454:23 January
5397:7 November
3863:(1): 1–9.
3145:(1): 229.
2217:References
2109:The Lancet
2081:Bruce Roth
1998:approach).
1863:metabolism
1857:Metabolism
1833:-lowering
1795:Absorption
1676:mevalonate
1642:colchicine
1560:-lowering
1524:nevirapine
1496:aprepitant
1492:amiodarone
1342:Joint pain
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