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Lipid-lowering agent (HMG-CoA reductase inhibitor / statin)

Pravastatin: uses, side effects & precautions

Also known as Pravachol, Pravastatin sodium.

Diese Informationen dienen ausschließlich der allgemeinen Orientierung und stellen keine medizinische Beratung dar. Konsultieren Sie bei persönlichen gesundheitlichen Anliegen stets eine qualifizierte medizinische Fachkraft. Wählen Sie im Notfall Ihre örtliche Notrufnummer.

What it is used for

  • High cholesterol (raised LDL)
  • Reducing the risk of heart attack and stroke in people at risk
  • Slowing the build-up of fatty plaque in the arteries

How it works

Pravastatin blocks the liver enzyme that makes cholesterol, so the liver removes more LDL cholesterol from the blood. This lowers cholesterol levels and helps protect the heart and blood vessels.

How it is taken

Usually supplied as oral tablets, generally taken once a day with or without food, often in the evening. Take it exactly as directed by your doctor or pharmacist and as shown on the label, along with a healthy diet.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Muscle aches
  • Headache
  • Nausea or stomach upset
  • Diarrhoea
  • Cold-like symptoms
  • Tiredness

Serious effects — get help

  • Severe, unexplained muscle pain, tenderness or weakness, especially with fever or dark urine - seek urgent care
  • Signs of liver problems: yellow skin or eyes, dark urine, severe abdominal pain, unusual tiredness
  • Serious allergic reaction: facial or throat swelling, difficulty breathing, severe rash

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other lipid-lowering drugs such as fibrates and niacin
  • Ciclosporin
  • Certain antibiotics
  • Some bile-acid binding medicines (may need spacing apart)
  • Heavy alcohol use

Who should take care

  • Avoid in pregnancy and breastfeeding unless your clinician advises otherwise
  • Report any liver disease or heavy alcohol use
  • Mention kidney problems or an underactive thyroid
  • Tell your clinician about any history of muscle disorders
  • Share your full medicine and supplement list

Frequently asked questions

Is pravastatin less likely to interact with other drugs?
Pravastatin is processed by the body somewhat differently from some other statins, which can mean fewer interactions for certain people. Your clinician chooses the best statin for your situation - always share your full medicine list.
Does grapefruit affect pravastatin?
Grapefruit is less of a concern with pravastatin than with some other statins, but you should still confirm with your pharmacist.
When will my cholesterol improve?
Cholesterol typically improves over several weeks, and blood tests confirm the effect. You will not feel a day-to-day change, which is expected.
Can I stop once my cholesterol is normal?
Cholesterol often rises again if the medicine stops. Do not stop without discussing it with your clinician.
Is Pravastatin safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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