Product Details

What you need to know before you take Simvastatin Tablets

Do not take Simvastatin Tablets · If you are allergic (hypersensitive) to simvastatin or to any of the other ingredients of this medicine (listed in Section 6: Contents of the pack and other information). · if you currently have liver problems · if you are pregnant or breast-feeding · if you are taking medicine(s) with one or more than one of the following active ingredients: o itraconazole, ketoconazole, posaconazole, or voriconazole (used to treat fungal infections) o erythromycin, clarithromycin, or telithromycin (used to treat infections) o HIV protease inhibitors such as indinavir, nelfinavir, ritonavir, and saquinavir (HIV protease inhibitors are used for HIV infections) o boceprevir or telaprevir (used to treat hepatitis C virus infection) o nefazodone (used to treat depression) o cobicistat o gemfibrozil (used to lower cholesterol) o ciclosporin (used in organ transplant patients) o danazol (a man-made hormone used to treat endometriosis, a condition in which the lining of the uterus grows outside the uterus). o · if you are taking or have taken, in the last 7 days, a medicine called fusidic acid (a medicine for bacterial infection) orally or by injection. The combination of fusidic acid and Simvastatin Brown can lead to serious muscle problems (rhabdomyolysis Do not take more than 40-mg Simvastatin Tablets if you are taking lomitapide (used to treat a serious and rare genetic cholesterol condition) Ask your doctor if you are not sure if your medicine is listed above. Warnings and precautions Talk to your doctor or pharmacist before taking Simvastatin Tablets: · about all your medical conditions including allergies. · if you drink large amounts of alcohol. · if you have ever had liver disease. Simvastatin Tablets may not be right for you. · if you are due to have an operation. You may need to stop taking Simvastatin Tablets for a short time. · if you are Asian, because a different dose may be applicable to you. · If you have or have had myasthenia (a disease with general muscle weakness including in some cases muscles used when breathing), or ocular myasthenia (a disease causing eye muscle weakness) as statins may sometimes aggravate the condition or lead to the occurrence of myasthenia (see section 4). Your doctor should do a blood test before you start taking Simvastatin Tablets and if you have any symptoms of liver problems while you take Simvastatin Tablets. This is to check how well your liver is working. Your doctor may also want you to have blood tests to check how well your liver is working after you start taking Simvastatin Tablets. While you are on this medicine your doctor will monitor you closely if you have diabetes or are at risk of developing diabetes. You are likely to be at risk of developing diabetes if you have high levels of sugars and fats in your blood, are overweight and have high blood pressure. Tell your doctor if you have severe lung disease. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness. This is because on rare occasions, muscle problems can be serious, including muscle breakdown resulting in kidney damage; and very rare deaths have occurred. The risk of muscle breakdown is greater at higher doses of Simvastatin Tablets, particularly the 80-mg dose. The risk of muscle breakdown is also greater in certain patients. Talk with your doctor if any of the following applies: • you consume large amounts of alcohol • you have kidney problems • you have thyroid problems • you are 65 years or older • you are female • you have ever had muscle problems during treatment with cholesterol-lowering medicines called “statins” or fibrates • you or a close family member have a hereditary muscle disorder. Also tell your doctor or pharmacist if you have a muscle weakness that is constant. Additional tests and medicines may be needed to diagnose and treat this. Children and adolescents Safety and effectiveness of Simvastatin Tablets have been studied in 10-17 year old boys and in girls who had started their menstrual period (menstruation) at least one year before (see section 3: How to take Simvastatin Tablets). Simvastatin Tablets has not been studied in children under the age of 10 years. For more information, talk to your doctor. Other medicines and Simvastatin Tablets Tell your doctor if you are taking, have recently taken or might take any other medicine(s) with any of the following active ingredients. Taking Simvastatin Tablets with any of the following medicines can increase the risk of muscle problems (some of these have already been listed in the above section “Do not take Simvastatin Tablets”). • ciclosporin (often used in organ transplant patients) • danazol (a man-made hormone used to treat endometriosis, a condition in which the lining of the uterus grows outside the uterus) • medicines with an active ingredient like itraconazole, ketoconazole, fluconazole, posaconazole, or voriconazole (used to treat fungal infections) • fibrates with an active ingredient like gemfibrozil and bezafibrate (used to lower cholesterol) • erythromycin, clarithromycin, telithromycin, (used to treat bacterial infections). • HIV protease inhibitors such as indinavir, nelfinavir, ritonavir, and saquinavir (used to treat AIDS) • Hepatitis C antiviral agents such as boceprevir, telaprevir, elbasvir or grazoprevir (used to treat hepatitis C virus infection) • nefazodone (used to treat depression) • medicines with the active ingredient cobicistat • amiodarone (used to treat an irregular heartbeat) • verapamil, diltiazem, or amlodipine (used to treat high blood pressure, chest pain associated with heart disease, or other heart conditions) • lomitapide (used to treat a serious and rare genetic cholesterol condition) • daptomycin (a drug used to treat complicated skin and skin structure infections and bacteraemia). It is possible that side effects affecting the muscles may be higher when this medicine is taken during treatment with simvastatin (e.g. Simvastatin Tablets). Your doctor may decide that you stop taking Simvastatin Tablets for a while, • colchicine (used to treat gout). • ticagrelor (antiplatelet medicine). • If you need to take oral fusidic acid to treat a bacterial infection you will need to temporarily stop using this medicine. Your doctor will tell you when it is safe to restart Simvastatin. Taking Simvastatin with fusidic acid may rarely lead to muscle weakness, tenderness or pain (rhabdomyolysis). See more information regarding rhabdomyolysis in section 4. As well as the medicines listed above, tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription. In particular, tell your doctor if you are taking medicine(s) with any of the following active ingredients: • medicines with an active ingredient to prevent blood clots, such as warfarin, phenprocoumon or acenocoumarol (anticoagulants) • fenofibrate (also used to lower cholesterol) • niacin (also used to lower cholesterol) • rifampicin (used to treat tuberculosis). You should also tell any doctor who is prescribing a new medicine for you that you are taking Simvastatin Tablets. Simvastatin Tablets with food and drink Grapefruit juice contains one or more components that alter how the body uses some medicinal products, including Simvastatin Tablets. Consuming grapefruit juice should be avoided. Pregnancy and breast-feeding Do not take Simvastatin Tablets if you are pregnant, trying to get pregnant or think you may be pregnant. If you get pregnant while taking Simvastatin Tablets, stop taking it immediately and contact your doctor. Do not take Simvastatin Tablets if you are breast-feeding, because it is not known if the medicine is passed into breast milk. Ask your doctor or pharmacist for advice before taking any medicine. Driving and using machines Simvastatin Tablets is not expected to interfere with your ability to drive or to use machinery. However, it should be taken into account that some people get dizzy after taking Simvastatin Tablets. Simvastatin Tablets contains lactose Simvastatin Tablets contain a sugar called lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.