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Why it's used

Aztor 20 Tablet is used to reduce the risk of heart diseases such as heart attack, chest pain and stroke. It is a prescription medicine. This medicine works by lowering the cholesterol and lipoprotein levels in the body. Aztor 20 is also used to reduce the high levels of cholesterol in the blood.
HMG-CoA Reductase Inhibitor
Aztor 20 belongs to a class of medicines called HMG-CoA Reductase Inhibitor. HMG-CoA Reductase Inhibitors are a class of lipid-lowering medications, effective at lowering high cholesterol levels. These medicines also reduce the risk of having a heart attack or stroke or developing angina.

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How to use

Read the medicine guide provided by your pharmacist, your doctor, or the medicine company. If you have any questions related to Aztor 20, ask your doctor or pharmacist. Use Aztor 20 Tablet as per the instructions provided by your doctor.
Aztor 20 is eaten with or without food. Follow the low-fat diet while undergoing treatment with Aztor 20. Avoid breaking Aztor 20 tablets before its use. Aztor 20 is eaten This medicine can be taken as a single dose at any time of the day.

Typical Dosage

The typical dose of Aztor 20 for adults is 10 to 80 mg once daily. The usual dose for children is 10 mg/day. The maximum dose for adult patients of Aztor 20 is 80 mg once daily per day. Aztor 20 is commonly used at the same time every day.
This medicine is to be used for longer periods of time. Aztor 20 should be used as directed by the doctor even if you feel well, or even if you think that there is no need for you to use your medicine.

Talk to Your Doctor

Discuss with your doctor if your condition persists. Discuss with your doctor if muscle weakness, muscle pain, swelling of the face, swelling of the lips, swelling of the throat, difficulty in breathing, nausea, vomiting, dark-colored urine, stomach pain, and jaundice. Consult with your doctor before stopping the use of Aztor 20.
Your doctor may prescribe a lower starting dose of this medicine to understand the impact on the body. Please follow your doctor's recommendations. A lower dose of this medicine may be recommended to reduce the risk of side-effects.

Use in Children

If you are giving Aztor 20 Tablet to a child, be sure to use a product that is for use in children. Use the child's weight or age to find the right dose from the product package or medicine label. You can also read the dosage section of this page to know the correct dose for your child. Else, consult with your doctor and follow their recommendation.

Limit Alcohol

Limit drinking alcohol with Aztor 20. Avoid grapefruit juice while using Aztor 20. Excessive consumption of grapefruit juice increases the level of Aztor 20 in the blood.

Lab Tests

Your doctor may request that specific lab tests be performed before you start using Aztor 20 Tablet. Your doctor may ask you to undergo Alanine Transaminase Blood | Aspartate Aminotransferase | Alkaline Phosphatase | Gamma-Glutamyl Transferase | Bilirubin Blood test. Liver enzyme tests are required before starting the treatment with Aztor 20. Patients are advised to report the symptoms of liver injury which includes fatigue, abnormally low body weight, stomach discomfort, dark-colored urine or jaundice. Your doctor may request Cholesterol test. This test is needed while the selection of an appropriate dose for Aztor 20.
Medicines may be recommended for uses other than those listed in the medicine guide. You should not use Aztor 20 Tablet for conditions or symptoms for which it was not prescribed. Do not give Aztor 20 Tablet to other people, even if they have the same conditions or symptoms that you have. The use of this medicine without the advice of a doctor may cause harm.

Storage

Follow storage instructions on the product package if available. Store Aztor 20 Tablet at controlled room temperature 20-25°C (68-77°F), and away from light. Store this medicine away from children and pets.

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How to take Aztor 20

Your dose may depend on several personal factors. You should consult with your doctor to find out the dose that is best for you. The dose of Aztor 20 depends on the following factors:
  • patient's age
  • patient's health
  • the health of the patient's kidneys
  • medicines recommended by your doctor
  • any other medicines in use
  • herbal supplements consumed
  • response to treatment

Aztor 20 Dosage

Dosage for high levels of cholesterol in the blood

Adult
  • Recommended: 10-80 mg once daily as per patient needs such as the goal of therapy and drug response
  • Initial: 10-20 mg once daily

Dosage for high cholesterol levels genetic disorder

Adult
  • Initial: 10 mg/day
  • Maximum: 80 mg/day
Children (10-17 years)
  • Recommended: 10-20 mg orally once daily
  • Initial: 10 mg/day

Dosage for homozygous familial hypercholesterolemia

Adult
  • Recommended: 10-80 mg daily

Dosage for prevention of heart diseases

Adult
  • Recommended: 10 mg/day

Minimum Age

10 years

Dosage calculation for children

To calculate the dosage for children please use the weight based dose calculator to calculate the appropriate dosage as per the weight of your child.

Forms

Tablet
Strength: 10 mg, 20 mg, 40 mg, 80 mg

Missed Dose

A missed dose should be taken as soon as you remember it. However, if the time for the next dose is almost there, then the missed dose should be skipped, and the regular dosing schedule should be continued. Avoid taking a repeated dose to make up for a missed one.

Overdose

What to do if you overdose on Aztor 20?
No specific antidote is available for an overdose of Aztor 20. However, the treatment according to the symptoms should be given immediately. To reduce the harmful effects of an overdose of Aztor 20 liver function tests should be performed, and proper monitoring of creatinine kinase levels in the blood is required.
If you think you have overdosed on Aztor 20 Tablet, call a poison control center immediately. You can look up the poison control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Aztor 20

Before you use Aztor 20, tell your doctor of your medical and health history including the following:
  • diabetes
  • high alcohol consumption
  • kidney problems
  • liver disease
  • muscle ache
  • muscle weakness
  • thyroid problem
Use of Aztor 20 in these medical conditions may cause serious side effects.
Before you use Aztor 20 Tablet, tell your doctor if you are allergic to it or its ingredients. Your doctor may prescribe an alternative medicine and update your medical records to record this information.
Before having any surgery when using Aztor 20, tell your doctor and dentist about all the medicinal products you use including prescription and non-prescription medicines, and any herbal supplements.

Alcohol

Limit the consumption of alcohol with Aztor 20 Tablet. Drinking alcohol may cause increased levels of Aztor 20 in blood.

Use in Pregnancy

Aztor 20 Tablet is not safe for use in pregnant women. If you are pregnant or planning to become pregnant, you should discuss with your doctor the impact this medicine may have on the baby before you start to use this medicine. The safety and effective data is not available for this medicine in pregnant women. No lipid-lowering drug is found to be beneficial during pregnancy.

Use while Breastfeeding

Aztor 20 is not safe for use in women who are breastfeeding. If you are breastfeeding, discuss with your doctor if you should either discontinue breastfeeding or stop using this medicine while breastfeeding. It is unknown if this medicine passes into breast milk. But few drugs of same drug class may pass into breast milk.

Impact on Fertility

It is not known if this medicine is safe for use in women who are conceiving. Consult with your doctor before you use Aztor 20 Tablet.

Seizures

Aztor 20 Tablet can make you feel sleepy. Be careful while driving, using machinery, or doing any other activity that needs you to be alert. The consumption of alcohol with Aztor 20 Tablet can make you feel more sleepy. Aztor 20 Tablet may cause seizures in some people. Discuss with your doctor if you perform activities where a loss of consciousness may cause you or others harm.

Side-effects in Older Patients

Aztor 20 Tablet may increase side-effects in older patients. Elderly patients may see an increased risk of muscular weakness.

Long Term Use

Patients using Aztor 20 for a long time may acquire interstitial lung disease characterized by symptoms like shortness of breath, cough, fatigue, weight loss and fever.

What precautions should be taken during Pregnancy and Nursing, and administering Aztor 20 to Children or the Older Adults?

Pregnant Women

Contraindication
Warning: This medicine may cause potential side effects in the unborn baby.

Breastfeeding

Contraindication
Warning: This medicine may cause serious side effects while breastfeeding of infants.

Younger Adults Population

Possibly safe
Warning: Use of Aztor 20 has not been studied in children less than 10 years.

Older Adults Population

Precaution
Warning: Take necessary precautions while prescribing this medicine in elderly patients above 65 years.

Aztor 20 Side-effects

The following side-effects may commonly occur when using Aztor 20 Tablet. If any of these side-effects worsen or last for a long time, you should consult with your doctor:
The following side-effects may commonly occur in older patients on the use of Aztor 20 Tablet. Discuss with your doctor if any of these side-effects last for a long time or are severe:
Rarely, the use of Aztor 20 Tablet may cause the following side-effects:
The following severe side-effects may also occur when using Aztor 20 Tablet:
  • Life-threatening allergic reaction
  • Symptoms: shortness of breath, cough, fatigue, weight loss fever
    If these symptoms appear, discontinue the use of this medicine.
  • Inflammation of the pancreas
  • Low blood sugar levels
  • Eating disorder (anorexia)
  • Low levels of thrombocytes
  • Liver failure (possibly fatal)
    Discontinue the use of Aztor 20 in patients with liver failure.
  • Symptoms: increased blood glucose level
    In such case, the patients should be monitored carefully.
  • Life-threatening skin rashes (bullous rashes)
Your doctor has prescribed Aztor 20 Tablet because they judge that the benefit is greater than the risk posed by side-effects. Many people using this medicine do not have serious side-effects. This page does not list all possible side-effects of Aztor 20 Tablet.
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Side-effects and Allergic Reactions of Aztor 20 by Severity and Frequency

Common Side-effects

Following are the common side-effects of this medicine:

Infrequent and Rare Side-effects

Following are the infrequent and rare side-effects of this medicine:

Severe Side-effects

Following are the severe side-effects of this medicine:

Side-effects in Older Adults

Following are the side-effects of this medicine in elderly patients:

Serious Allergic Reactions

Following are the symptoms of serious allergic reactions to this medicine:
  • swelling of lips
  • swelling of the face
  • swelling of throat
  • swelling of tongue
During the appearance of these symptoms, contact your doctor immediately.
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Warnings

Skeletal Muscle Defects

Use of this medicine may lead to increased risk of muscle pain, inflammation of the muscles and damaging of skeletal muscles. Such patients may have an increased risk of kidney failure. Discontinue the use of Aztor 20 for the treatment of muscular diseases.

Abnormal Functioning of the Liver

Such patients are at an increased risk when using this medicine. These patients may have increased levels of liver transaminases enzymes. This medicine should be used only after testing the levels of liver enzymes.

Temporary Blockage of Blood Flow to the Brain

Such patients are at an increased risk when using this medicine. These patients may have an increased risk of bleeding inside the brain due to rupturing of blood vessels (hemorrhagic stroke). Take necessary precautions before starting this therapy.

Endocrine Dysfunctioning

These patients may have increased levels of glucose in the blood. This medicine should be used with caution in such patients.

Long-Term Therapy

The patients using Aztor 20 for the long term may be at increased risk. These patients may have an increased risk of interstitial lung disease which is characterized by symptoms like shortness of breath, cough, fever, weight loss and fatigue. If it happens, discontinue the use of this medicine.

Use of Aztor 20 in Diabetic Patients

The patients with fasting glucose levels in between 5.6 to 6.9 mmol/L, body mass index more than 30kg/m2, high levels of triglycerides and high blood pressure conditions are at an increased risk when using this medicine. Careful monitoring is required in such patients.

Galactose Intolerance or Lapp Lactase Deficiency

Avoid the use of this medicine in patients with family history of galactose intolerance or Lapp lactase deficiency.

Interactions with Aztor 20

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-effects. In medical terms, this is called as a Drug Interaction.
This page does not contain all the possible interactions of Aztor 20 Tablet. Share a list of all medicines that you use with your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your doctor.

Antilipemic Agents

Aztor 20 Tablet interacts with Antilipemic Agents such as gemfibrozil, which is used to decrease the amount of fats in body. Use of Aztor 20 may increase the risk of muscle weakness and damage to skeletal muscles in patients using gemfibrozil. Avoid the combined use of these medicines.

Immunosuppressants

There may be an interaction of Aztor 20 with Immunosuppressants such as cyclosporine, which is used to prevent organ rejection after transplantation. The absorption of Aztor 20 gets increased when used with cyclosporine. The combined use of Aztor 20 and cyclosporine should be avoided.

Antibiotics

Aztor 20 Tablet may interact with Antibiotics such as fusidic acid, which is used to treat skin infections. When Aztor 20 is used in combination with fusidic acid, may increase the risk of muscle pain and damage of skeletal muscles (rhabdomyolysis). Discontinue the use of Aztor 20 in patients receiving treatment of fusidic acid.

Antibiotics

Your doctor's guidelines may need to be followed while taking this medicine along with Antibiotics such as rifampin which is used to treat bacterial infections. Rifampin may lead to decreased levels of Aztor 20 in the blood.

Vitamin B3

Special instructions need to be followed while taking this medicine along with Vitamin B3, which is used as supplement to treat vitamin B3 deficiency. The combined use of Aztor 20 and niacin may increase the risk of skeletal muscle defects. The dose of Aztor 20 should be lower when using in combination with niacin (vitamin B3).

Azole Antifungals

Your doctor's guidelines may need to be followed while taking this medicine along with Azole Antifungals such as itraconazole, which is used to treat fungal infections. Use of 40 mg Aztor 20 and 200 mg itraconazole, may increase the level of Aztor 20 in the blood. When the dose of Aztor 20 exceeds 20 mg, the patients should take necessary precautions while using itraconazole.

Macrolide Antibiotics

Special instructions need to be followed while taking this medicine along with Macrolide Antibiotics such as clarithromycin, which is used as an antibiotic to treat bacterial infections. The use of Aztor 20 80 mg with 500 mg of clarithromycin twice daily, may increase the level of Aztor 20 in the blood. Precaution should be taken while using Aztor 20 more than 20 mg.

Anti-Gout Agents

Aztor 20 Tablet interacts with Anti-Gout Agents such as colchicine, which is used to treat pain, redness and swelling related to high levels of uric acid in the joints (gout). Use of Aztor 20 and colchicine may cause muscle problems such as damage to skeletal muscles (rhabdomyolysis). Take necessary precautions while using both medicines in combination.

Oral Contraceptives

There may be an interaction of Aztor 20 with Oral Contraceptives such as norethindrone and ethinyloestradiol, which are used to prevent pregnancy. When Aztor 20 is used with oral contraceptives, the levels of norethindrone and ethinyloestradiol gets increased in the blood. Take necessary precautions while selecting an oral contraceptive for a woman taking Aztor 20.

Cardiac Glycosides

Aztor 20 Tablet may interact with Cardiac Glycosides such as digoxin, which is used to treat heart diseases. When multiple doses of Aztor 20 and digoxin are used together, the level of digoxin gets increased in the blood. The patients using this medicine should be monitored carefully.

Antilipemic Agents

Aztor 20 Tablet interacts with Antilipemic Agents such as colestipol, which is used to lower blood cholesterol levels. When colestipol is used along with Aztor 20, the levels of Aztor 20 and its active metabolites gets decreased.

Cholesterol-Lowering Drugs

There may be an interaction of Aztor 20 with Cholesterol-Lowering Drugs such as ezetimibe, which is used to lower the levels of cholesterol in the blood. Use of Aztor 20 with ezetimibe may cause skeletal muscle related problems. Proper monitoring is required while using both medicines in combination.

Combination of Protease Inhibitors

Aztor 20 Tablet may interact with Combination of Protease inhibitors which are used to treat HIV/AIDS and hepatitis C. The absorption of Aztor 20 gets increased when used simultaneously with the combination of protease inhibitors such as tipranavir and ritonavir. Dose monitoring of Aztor 20 should not be required more than 40 mg in patients taking the hepatitis C protease inhibitors such as nelfinavir.

Interactions of Aztor 20 by Severity

Severe

The following medicines are usually not to be taken together without consulting with your doctor or pharmacist.

Moderate

The following medicines may interact when taken together and can increase your risk of harmful effects. Please consult with your doctor or pharmacist before taking these medicines together.

When should Aztor 20 be not used?

Active Liver Disease

This medicine is not recommended in patients suffering from an active liver disease. Patients may see an increased level of liver transaminase enzyme.

Allergic to Aztor 20

This medicine is not recommended in patients who are allergic to it and its inactive components. These patients may have the following symptoms if they use this medicine:
  • swelling of the face
  • swelling of the lips
  • swelling of throat
  • swelling of the tongue
  • difficulty in breathing
  • difficulty in swallowing

Use of Aztor 20 in Pregnant Women

This medicine is not recommended for use in pregnant women. Use of this medicine in pregnant women may cause congenital abnormalities in the fetus.

Women Who Are Breastfeeding The Infants

This medicine should not be used during breastfeeding as it may lead to severe side effects in infants.

Traveling With Medication

  • Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to store your medicines is in the carry on baggage. However, while flying, if carrying liquid medicines, make sure you do not go over the limits imposed for carry-on liquids.
  • While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination country. One way to ensure this is by checking with your destination country's embassy or website.
  • Make sure that you carry each of your medicines in their original packaging, which should typically include your name and address, and the details of the prescribing doctor.
  • If your travel involves crossing time zones, and you are required to take your medicine as per a fixed schedule, make sure that you adjust for the change in time.

Expired Medication

Taking a single dose of expired Aztor 20 is unlikely to cause a side-effect. However, please discuss with your doctor or pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a fresh supply of unexpired medicines.

Safe Disposal of Medication

  • If there are disposal instructions on the package, please follow the instructions.
  • If there are medicine take-back programs in your country, you should contact the respective authority to arrange for the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National Prescription Drug Take-Back events.
  • If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the plastic bag in your household trash. Separately, remove all personal information including the prescription label from the medicine packaging and then dispose off the container.
  • If specifically indicated on the medicine package that it needs to be flushed down the toilet when no longer needed, perform the required step.
This page provides information for Aztor 20 Tablet .
Heart Diseases
Cholesterol
Chest Pain
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