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Astatin belongs to a group of medicines known as statins, which are lipid (fat) regulating medicines. Astatin is used to lower lipids known as cholesterol and triglycerides in the blood when a low fat diet and life style changes on their own have failed. If you are at an increased risk of heart disease, Astatin can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol lowering diet during treatment. How to use Before starting treatment, your doctor will place you on a low-cholesterol diet, which you should maintain also during therapy with Astatin. The usual starting dose of Astatin is 10 mg once a day in adults and children aged 10 years or older. This may be increased if necessary by your doctor until you are taking the amount you need. Your doctor will adapt the dose at intervals of 4 weeks or more. The maximum dose of Astatin is 80 mg once daily for adults and 20 mg once daily for children. Astatin tablets should be swallowed whole with a drink of water, and can be taken at any time of day, with or without food. However, try to take your tablet at the same time every day. Always take Astatin exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The duration of treatment with Astatin is determined by your doctor. Please ask your doctor if you think that the effect ofAstatin is too strong or too weak. Warnings and precautions Do not take Astatin If you are hypersensitive (allergic) to Astatin or to any similar medicines used to lower blood lipids or to any of the other ingredients of the medicine. If you have or have ever had a disease which affects the liver. If you have had any unexplained abnormal blood tests for liver function. If you are a woman able to have children and not using reliable contraception. If you are pregnant or trying to become pregnant. If you are breast-feeding. Take special care with Astatin The following are reasons why Astatin may not be suitable for you: If you have had a previous stroke with bleeding into the brain, or have small pockets of fluid in the brain from previous strokes. If you have kidney problems. If you have an under-active thyroid gland (hypothyroidism). If you have had repeated or unexplained muscle aches or pains, a personal history or family history of muscle problems. If you regularly drink a large amount of alcohol. If you have a history of liver disease. If you are older than 70 years. Side Effects Rare: affects 1 to 10 users in 10,000 Serious allergic reaction which causes swelling of the face, tongue and throat that can cause great difficulty in breathing. Serious illness with severe peeling and swelling of the skin, blistering of the skin, mouth, eyes, genitals and fever. Skin rash with pink-red blotches especially on palms of hands or soles of feet which may blister. Muscle weakness, tenderness or pain and particularly, if at the same time, you feel unwell or have a high temperature it may be caused by an abnormal muscle breakdown which can be life-threatening and lead to kidney problems. Other possible side effects with Astatin : Common side effects (affects 1 to 10 users in 100) include: Inflammation of the nasal passages, pain in the throat, nose bleed. Allergic reactions. Increases in blood sugar levels, increase in blood creatine kinase. Headache. Nausea, constipation, wind, indigestion, diarrhoea. Joint pain, muscle pain and back pain. Blood test results that show your liver function can become abnormal. Storage Information Do not store above 30 OC. Drug Interactions There are some medicines that may change the effect of Astatin or their effect may be changed by Astatin. This type of interaction could make one or both of the medicines less effective. Medicines used to alter the way your immune system works, e.g. ciclosporin. Certain antibiotics or antifungal medicines, e.g. erythromycin, clarithromycin, telithromycin, ketoconazole, itraconazole, voriconazole, fluconazole, posaconazole, rifampin, fusidic acid. Other medicines to regulate lipid levels, e.g. gemfibrozil, other fibrates, colestipol. Some calcium channel blockers used for angina or high blood pressure, e.g. amlodipine, diltiazem,; medicines to regulate your heart rhythm e.g. digoxin, verapamil, amiodarone. Medicines used in the treatment of HIV e.g. ritonavir, lopinavir, atazanavir, indinavir, darunavir, etc. Ingredients The active substance is atorvastatin. The other ingredients of Astatin are: colloidal silicon dioxide, calcium carbonate, crospovidone, hydroxypropyl cellulose, ludipress, magnesium stearate, maize starch, opadry white, polysorbate 80, propylene glycol, starch 1500 (pregelatinized starch), simethicone and purified water. Specifications White to off white, round, biconvex film coated tablets, engraved with 'JP 43' on one side and plain on the other side.
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