Cardyl 40 mg atorvastatin

28 tablets
Active ingredient: Atorvastatin

What is it and how is it used?

Cardyl Atorvastatin belongs to a group of medicines known as statins and regulate blood fats (lipids).
Cardyl Atorvastatin is used to reduce the blood fats called cholesterol or triglycerides, if a low fat diet and a change in lifestyle alone are not enough. If you experience an increased risk of heart disease, Atorvastatin can also be applied to reduce such a risk with normal cholesterol levels. During treatment, the conventional cholesterol-lowering diet should be continued.

What you need to consider before using it?

Cardyl Atorvastatin should not be used,
• if you are allergic to atorvastatin, similar medicines that reduce blood lipids, or any of the other ingredients of this medicine
• if you have or had liver disease
• if you have unexplained liver changes occurred in liver function tests
• if you are a woman of childbearing age and do not operate adequate contraception
• if you are pregnant or trying to get pregnant
• if you are breast-feeding

Warnings and Precautions

Please talk to your doctor, pharmacist or health care professional before taking Cardyl atorvastatin.
Below are reasons that make Cardyl atorvastatin may not be suitable for you:
• if you ever had a stroke with bleeding in the brain or have from previous strokes still fluid inclusions in the brain
• if you have kidney problems
• if you suffer from an underactive thyroid (hypothyroidism)
• are they repeated or have unexplained muscle aches or pains or had, or happened to you or in your family myopathies
• if you have muscle disorders associated with the use of other lipid-lowering drugs (eg. As other statins or drugs, which are called fibrates) have occurred
• if you regularly drink large amounts of alcohol
• if you have liver disease in their own history
• if you are older than 70 years
have Talk to your doctor or pharmacist before taking Cardyl atorvastatin, if you have severe breathing problems (respiratory insufficiency)
If any of them apply to you, your doctor before and may also perform during your treatment with atorvastatin blood tests to assess your risk of side effects on the muscles can. The risk of side effects that affect the muscles such. B. rhabdomyolysis is increased when the same are taken certain other medicines.
Inform your doctor or pharmacist if you experience persistent muscle weakness occurs. To diagnose and treat this condition further investigations and medicines may be necessary.
While taking this medicine, your doctor will check whether you are diabetic (diabetes mellitus), or whether you are at the risk that you are diabetic. There may be a risk for diabetes if you have high blood glucose levels or lipid levels in the blood, are overweight and have high blood pressure.

Taking Cardyl atorvastatin with other medicines

Inform you have recently taken your doctor or pharmacist if you are taking other medicines other medicines or are considering taking other medicines. There are some other medicines that may change the effect of atorvastatin or their effect may be changed by Atorvastatin. This form of interaction could reduce the effects of one or both of these drugs. However, it could also increase the risk of side effects or the severity of side effects can be increased, such as by rhabdomyolysis, a breakdown of muscle tissue:
• medicines that affect your immune system, z. B. ciclosporin
• some antibiotics or antifungal medicines, eg., Erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic
• Other medicines to regulate lipid levels, eg. As gemfibrozil, other fibrates, colestipol
• some calcium blockers for angina or high blood pressure, for example amlodipine, diltiazem. Medicines for regulating heart rhythm, z. B. digoxin, verapamil, amiodarone
• Medicines that are used in the treatment of HIV infection, z. B. ritonavir, lopinavir, atazanavir, indinavir, darunavir, the combination of tipranavir / ritonavir etc.
• some medicines that are used in the treatment of hepatitis C, z. B. Telaprevir

Other drugs known to interact with Atorvastatin include ezetimibe (to lower cholesterol), warfarin (to reduce the blood clots), oral contraceptives, stiripentol (to spasm inhibition in epilepsy), cimetidine (application for heartburn and peptic ulcers), phenazone (a painkiller) colchicine (used to treat gout), antacids (aluminum or magnesium-containing medicine for stomach upset) and boceprevir (used to treat liver diseases such as hepatitis C)
Medicines that are available without a prescription: St John's Wort
Always inform your doctor if you take other medicines / taking or have recently taken /, even if it is not prescribed.

Taking Cardyl atorvastatin with food and beverages

Please note the following:
grapefruit juice
Never drink more than one or two small glasses of grapefruit juice per day because large quantities of grapefruit juice can change the effects of atorvastatin.
alcohol
Avoid excessive consumption of alcohol while taking this medicine.

pregnancy and breast feeding period

Do not take atorvastatin if you are pregnant or if you want to get pregnant.
Women who may become pregnant should not take atorvastatin only if they use effective contraceptive methods.
If you are breastfeeding, you should not take atorvastatin.
The safety of atorvastatin in pregnancy and lactation has not yet been established.
Ask. Before taking / using any medicine your doctor or pharmacist for advice

Driving and using machines

Under normal circumstances, this medicine will not affect your ability to drive and the ability to operate machinery. but you should not drive if this medicine affects your ability to drive. Use any tools or machines if your ability is impaired by this to use this medicine.
Cardyl atorvastatin contains lactose
If you have been told by your doctor that you have an intolerance for some sugars, take this medicine only after consulting your doctor.

How is it used?

Your doctor will change before the start of treatment on a low-cholesterol diet, which you should retain during treatment with atorvastatin.
The usual starting dose of atorvastatin in adults and children aged 10 years is 10 mg once daily. This can be increased if necessary by your doctor until you receive the dose you need. Your doctor will adjust the dosage at intervals of 4 weeks or more. The maximum dose of atorvastatin is 80 mg once daily in adults and 20 mg once daily in children.
The atorvastatin tablets must be swallowed whole with plenty of water. It may be taken with or without food at any time of day. but you should try to take every day at the same time your tablet.
Take this medicine exactly as your doctor or pharmacist. Ask yourself if you are not sure with your doctor or pharmacist.
The duration of treatment with atorvastatin is determined by your doctor.
Please talk to your doctor if you have the impression that the effect of atorvastatin is too strong or too weak.
If you take more Atorvastatin than you should
If you accidentally take too many Atorvastatin tablets (more than your usual daily dose), contact your doctor or the nearest hospital for advice.
If you forget to take Atorvastatin
If you miss a dose, take it easy at the usual time the next dose. Do not take a double dose to make up for a missed dose.
If you stop taking atorvastatin
If you have further questions on the use of this medicine or wish to stop your treatment, ask your doctor or pharmacist.

What are possible side effects?

Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you notice any of the following serious side effects, do not stop taking the tablets and contact your doctor immediately or go to the emergency room at the nearest hospital.
Rare (may affect up to 1 in 1,000 people)
• Serious allergic reaction with swelling of the face, tongue and throat, which can lead to severe breathing problems
• Serious illness with severe peeling of the skin and swelling of the skin, blistering of the skin, the mouth, eyes and genitals and fever. Rash with pink to red spots, especially on the palms and soles, with possible blistering
• muscle weakness, muscle tenderness or pain; especially if you feel the same discomfort or increased temperature, this may be caused by an abnormal muscle or degradation. The abnormal muscle can sometimes even after the discontinuation of atorvastatin on, and it can be life-threatening or cause serious kidney problems.
Very rare (may affect up to 1 in 10,000 people relate)
• If you have problems with unexpected or unusual bleeding or bruising, this may indicate liver damage. Therefore, you must as soon as possible to ask your doctor for advice.

Other possible side effects with Atorvastatin

Common side effects (may affect up to 1 in 10 people relate to) include:
• inflammation of the sinuses, pain in the throat, nose bleeds
• allergic reaction
• Increases in blood sugar levels (if you have diabetes, your blood glucose levels must be carefully monitored further) increase of creatine kinase in the blood
• A headache
• nausea, constipation, flatulence, dyspepsia, diarrhea
• Joint pain, muscle pain and back pain
• Results from blood tests show that your liver function may be abnormal
Uncommon side effects (may affect up to 1 in 100 people relate to) include:
• anorexia (loss of appetite), weight gain, reduced blood sugar levels (if you have diabetes, your blood sugar levels need to be further monitored carefully)
• nightmares, insomnia
• dizziness, numbness or tingling in the fingers and toes, depressed level of touch and pain, change in taste, memory loss
• blurred vision
• Tinnitus
• vomiting, regurgitation, upper and lower abdominal pain, pancreatitis (inflammation of the pancreas, which can lead to stomach pain)
• hepatitis (liver inflammation)
• rash, skin rash and itching, hives, hair loss
• neck pain, muscle fatigue
• tiredness, malaise, weakness, chest pain, swelling, particularly of the ankles (edema), increased temperature
• positive test results in white blood cells in urine
Rare side effects (may affect up to 1 in 1,000 people relate to) include:
• visual disturbance
• unexpected bleeding or bruising
• jaundice (yellowing of the skin and whites of the eyes)
• tendon injury
Very rare side effects (may affect up to 1 in 10,000 people relate to) include:
• allergic reaction - symptoms may include: sudden wheezing, chest pain or tightness in the chest, swelling of eyelids, face, lips, mouth, tongue or throat, difficulty breathing, collapse
• hearing loss
• gynecomastia (breast enlargement in men)
Side effects with unknown frequency (frequency can not be estimated from the available data)
persistent muscle weakness
Possible side effects that some statins (medicines of the same type) have been reported:
• Problems with sexual function
• depression
• breathing problems including persistent cough and / or shortness of breath or fever
• diabetes mellitus: The probability of this happening is increased if you have high blood glucose levels or lipid levels in the blood, are overweight and have high blood pressure. Your doctor will carefully monitor while you take this medicine.
Reporting of adverse reactions
If you notice any side effects, contact your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

How should it be stored?

Keep this medicine out of reach of children.
Do this medicine after the on the blister and carton after "EXP" date shown no longer apply. The expiry date refers to the last day of that month.
This medicinal product does not require special storage conditions.
Do not dispose of medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines when you are done using it. These measures will help to protect the environment.

Further information

What Cardyl atorvastatin contains
The active substance is atorvastatin.
Each tablet contains 10 mg atorvastatin (as atorvastatin calcium (trihydrate)). Each tablet contains 20 mg atorvastatin (as atorvastatin calcium (trihydrate)). Each tablet contains 40 mg atorvastatin (as atorvastatin calcium (trihydrate)). Each tablet contains 80 mg atorvastatin (as atorvastatin calcium (trihydrate)).
The other ingredients are calcium carbonate, microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, polysorbate 80, hydroxypropyl cellulose and magnesium stearate.
The film coating of Cardyl atorvastatin contains hypromellose, Macrogol 8000, titanium dioxide (E 171), talc, simethicone emulsion with simethicone, stearate emulsifiers (polyethylene glycol sorbitan tristearate, Polyethoxylatstearat, glycerides), thickeners (methylcellulose, xanthan gum), benzoic acid, sorbic acid and sulfuric acid.

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