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Pitavastatin 4mg film-coated tablets What Pitavastatin is used for Pitavastatin is used to correct the levels of fat (lipid) in your blood. An imbalance of fats particularly cholesterol can sometimes lead to a heart attack or stroke. Do not take Pitavastatin • if you are allergic (hypersensitive) to Pitavastatin, or any other statin. • if you are pregnant or breastfeeding. • if you are a woman able to have children and you are not using a reliable contraceptive method. • if you currently have liver problems. • if you take ciclosporin – used after an organ transplant. • if you have repeated or unexplained muscle aches or pains. Warnings and precautions Talk to your doctor or pharmacist before taking Pitavastatin if: • you have severe respiratory failure (severe breathing problems). • you have ever had problems with your kidneys. • you have previously had liver problems. • you have ever had problems with your thyroid gland. • you or any member of your family have a history of muscle problems. • you have had a previous history of muscle problems when taking other cholesterol-lowering medicines (e.g. statins or fibrates). • you drink excessive amounts of alcohol. • you are taking or have taken in the last 7 days a medicine called fusidic acid, orally or by injection. The combination can lead to serious muscle problems. Possible side effects These include joint pain, muscle ache, constipation, diarrhea, indigestion, feeling sick, headache, muscle spasms, feeling weak, swelling of the ankles, feet or fingers, stomach pain, dry mouth, being sick, loss of appetite, altered taste, pale skin and feeling weak or breathless (anemia) and itching or rash. Other medicines and Pitavastatin Tell your doctor or pharmacist if you are taking: • ‘fibrates’ - such as gemfibrozil and fenofibrate. • erythromycin or rifampicin - types of antibiotics used for infections. • warfarin or any other medicine used to thin the blood. • medicines for HIV called ‘protease inhibitors’. • niacin (Vitamin B3). • If you need to take oral fusidic acid to treat a bacterial infection you will need to temporarily stop using this medicine. Your doctor will tell you when it is safe to restart it. How to take Pitavastatin Swallow the tablet whole with a drink of water, with or without food. You can take it at any time of day. However, try to take your tablet at the same time every day. How much to take • The usual starting dose is 1mg once a day. After a few weeks, your doctor may decide to increase your dose. The maximum dose is 4mg each day. • If you have problems with your liver you should not take more than 2mg a day. How to store Pitavastatin • Do not store above 25°C. To protect from light, keep the blisters in the carton. • Keep this medicine out of the sight and reach of children. • Do not use this medicine after the expiry date which is stated on the blister and carton. A valid prescription should be available upon delivery
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