Uses of Citivas 20

Citivas 20 is a drug used to treat hyperlipidemia, when diet or exercise has not been effective. To use Citivas 20 safely and effectively, please refer to the information about the drug through the article below.

The main ingredient of Citivas 20 is Atorvastatin calcium equivalent to Atorvastatin 20mg, prepared in the form of film-coated tablets.
Atorvastatin is a drug belonging to the Statin group. The drug has a cholesterol-lowering effect, by inhibiting the enzyme HMG-CoA-reductase, preventing the production of cholesterol in the liver from HMG-CoA and reducing LDL cholesterol in the blood.
Atorvastatin reduces the level of total cholesterol as well as LDL cholesterol in the blood (LDL cholesterol is considered a type of bad lipoprotein that plays a major role in coronary heart disease). Lowering LDL cholesterol levels helps slow the progression and possibly even reverse coronary heart disease. In addition, Atorvastatin may also help lower blood triglyceride levels. High blood triglyceride levels are also strongly associated with coronary heart disease.

Citivas 20 is indicated for use in the following cases:
Used to treat patients with hypercholesterolemia, mixed hyperlipidemia and patients with elevated triglyceride levels in the blood. , when diet or exercise does not bring high results. Used to treat diseases caused by disorders of beta lipoprotein in the blood (especially in patients with type III hyperlipidemia). Prevention and support in the treatment of homozygous familial hypercholesterolemia. Prevent and prevent atherogenic factors that can cause cardiovascular diseases; reduce the risk of heart attack in the elderly. Citivas 20 is not indicated for use in the following cases:
Do not use the drug in cases where the patient is suspected or has a history of allergy to one of the active ingredients, excipients in the drug, particularly allergic to Atorvastatin or other drugs of the Statin class. Subjects are pregnant and lactating women, it is best not to use the drug because the drug can affect the fetus and young child. It is not recommended to use the drug in patients with progressive liver disease or persistently elevated serum transaminases of unknown cause.

3.1. How to take Citivas 20 Citivas 20 is a film-coated tablet that should be taken orally. The patient should swallow the tablet whole with a glass of water, do not chew or crush the tablet.
The drug can be used flexibly at any time of the day, regardless of the meal. However, you should take the medicine at the fixed time to avoid forgetting the dose.
To achieve high treatment efficiency and reduce the need for drugs, you should still combine and maintain a scientific diet and exercise.
3.2 Dosage of Citivas 20 Hypercholesterolemia (heterozygous familial or non-familial) and mixed dyslipidemia: The recommended starting dose is 10-20mg once daily. Patients who require a significant reduction in LDL cholesterol (greater than 45%) may be initiated at a dose of 40 mg once daily. The usual therapeutic dose range for drug response is 10-80 mg once daily. After starting treatment or after increasing the dose of Atorvastatin, blood lipids should be assessed within 2 to 4 weeks so that the dose can be adjusted accordingly. Homozygous familial hypercholesterolemia: Initial and maintenance dose is 10-80mg/day. It should be used in combination with other lipid-lowering measures. Cardiovascular disease prevention: The recommended dose is 10mg, taken once a day. Combination therapy: Atorvastatin can also be used in combination with Resin to increase the therapeutic effect. Dosage in patients with renal impairment: No dose adjustment is required. Note: For each patient with different medical conditions, there will be different levels of use and treatment. Therefore, the doctor will base on many different factors to adjust the dose to suit each subject, how to ensure the lowest effective dose to avoid side effects.
Missed dose and overdose:
Missed dose: If you forget to take a dose, take it as soon as you remember. But if it is almost time for the next dose, skip the missed dose. Try to keep taking it and avoid forgetting to take it. Overdose: No drug has been used to specifically treat patients with an overdose of Atorvastatin. In case of overdose, the patient should be treated symptomatically and in combination with other necessary supportive measures to maintain vital functions. Since the drug is largely bound to plasma proteins, hemodialysis is unlikely to increase the elimination of Atorvastatin from the body.

Like most drugs, Citivas 20 can also cause side effects during use. Side effects will not occur in all users, but only in certain people. Some side effects include:
Constipation or diarrhea, flatulence, indigestion, abdominal pain, vomiting; Asthenia, headache, insomnia, cognitive decline; Muscle pain, weakness, muscle weakness. Liver: Increased liver enzymes, increased plasma creatinine phosphokinase levels. Metabolic disorders: Hyperglycemia and HbA1c. The above mild effects usually appear for a short time and quickly disappear during use. In case the above effects appear for a long time, it is necessary to consult a doctor for timely advice and treatment.

For patients who take drugs but have liver function problems or regularly drink alcohol, use caution. Should be carefully checked, monitored before, during and after treatment with Citivas. Caution should be exercised when administering Atorvastatin to patients with risk factors for muscle damage. Atorvastatin has a risk of causing adverse muscle reactions such as muscle atrophy, myositis, especially in patients with high risk factors such as patients over 65 years of age, patients with hypothyroidism uncontrolled, the patient has kidney disease. It is necessary to closely monitor for adverse reactions during drug administration. When a patient has symptoms of muscle weakness, muscle pain, ... accompanied by fatigue and fever, they should temporarily stop taking the drug and see a doctor immediately to fix it. Before instituting treatment with Atorvastatin, the causes of hypercholesterolemia must be excluded: poorly controlled diabetes, dysproteinemia, biliary obstruction, taking certain other drugs, alcoholism. Interaction: Using many different drugs in the period of treatment is easy to cause drug interactions with each other. This may decrease the effectiveness of the medication or increase side effects. To prevent these undesirable things from happening, before taking Citivas 20 tell your doctor about the medicines you are taking. Especially, when combined with antifungal drugs Itraconazole, Ketoconazole, Fibrate drug group. In addition, other drugs can also interact including Cyclosporin, Erythromycin, Niacin, antacids, Colestipol, Digoxin,.... Storage: Should be stored in a cool, dry place, away from light. Directly, avoid humid place. The temperature is suitable at room temperature 25 degrees Celsius.
Citivas 20 is a blood fat-lowering drug that is used under a doctor's prescription, you should consult your doctor carefully before using. Avoid self-medicating with drugs that can harm the body.