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Simvastatin


Overview

Zocor is prescribed primarily to lower cholesterol.

Heart specialists recognize that coronary artery disease is associated with certain risk factors, including high serum cholesterol, bad LDL cholesterol, elevated triglycerides and reduced levels of protective HDL cholesterol.

Diet, exercise and weight control are usually considered important first-line preventive approaches. When they are insufficient, drugs like Zocor may be important in reducing the risk of heart disease.

This medication has been found to reduce LDL cholesterol and triglycerides while raising HDL a variable amount.

Side Effects and Interactions

Zocor has relatively few side effects and most people tolerate it well.

Some adverse reactions that may occur include stomachache, constipation, flatulence, diarrhea, nausea, headache, fatigue, and skin rash.

Less common complications include dizziness, muscle pain, change in the sense of taste, insomnia, and numbness or tingling of the hands or feet.

Muscle aches or weakness could be a sign of a serious reaction called rhabdomyolysis or myopathy, and call for a test of kidney function.
Kidney failure might be the outcome of untreated myopathy.

Report any symptoms to your physician promptly.

The danger of rhabdomyolysis or myopathy is increased when Mevacor is combined with certain other drugs.

Troleandomycin or erythromycin antibiotics such as E.E.S., E-Mycin, Erythrocin or PCE have been involved in several cases. The new antibiotics Biaxin and Zithromax belong to the same class of drugs, but it is not clear if they have a potential for such an interaction.

Because Zocor is in the same class as Mevacor, this interaction may pose hazards with Zocor as well.

When Zocor is combined with other cholesterol-lowering medicines such as Lopid or niacin be alert for muscle pain, weakness, and kidney damage, as rhabdomyolysis may be more common in this situation.

The transplant drug Sandimmune also appears to increase the risk of this dangerous reaction.

When Zocor is combined with other cholesterol-lowering medicines such as Lopid or niacin be alert for muscle pain, weakness, and kidney damage, as rhabdomyolysis may be more common in this situation.

Zocor may also increase the action of the blood thinner Coumadin; prothrombin time should be closely monitored. Lanoxin levels should also be monitored in people taking both medications.

It's possible that flavonoids found in the herb Echinacea affect the enzyme (CYP 3A4) responsible for metabolizing many common drugs. If so, medications such as Zocor could reach higher levels in the body.

The herb St. John's wort might speed elimination of Zocor from the body, which could reduce its effectiveness.

There is a remote but untested possibility that peppermint could increase the effects of cholesterol-lowering drugs such as Zocor. These agents work by inhibiting the enzyme HMG CoA reductase, and menthol has a similar action.

The herb gotu kola may raise cholesterol levels and should not be combined with Zocor.

Check with your physician and pharmacist to make sure Zocor is safe in combination with any other drug or herbs you may take.

Special Precautions

Anyone with liver problems should probably not take Zocor.

Liver enzyme changes have been reported in a small proportion of patients using this medicine, and may indicate serious problems.

Liver function should be tested before anyone starts taking Pravachol and every month or so for the first year. Periodic tests are needed thereafter.

Because cholesterol is essential for the developing fetus, pregnant women should not take Zocor.

Research on animals has also shown optic nerve problems and stroke-like bleeding in dogs on Zocor, but only at relatively high doses. Whether there is a risk for humans remains to be determined.

It is wise to see an ophthalmologist before starting on Zocor. An eye test should also be performed annually to make there is no damage to the lens.

Taking the Medicine

The manufacturer recommends that Zocor be taken at bedtime.

It may be taken without or with meals.

13 Comments

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I recently began taking Zocor and seem to be tolerating it well. I have picked up a stomach bug from my kids and am wondering if I can take Ginger Root with it...

I have been taking zocor for seven years, along with 12 other drugs. I have not had any side effects. And it is doing its job keeping my cholesterol levels perfect. I take 40mg nightly and I get checked every six months at the local lab. And yearly at the VA lab.

Simvastatin does not work. I took it in place of Lipitor because my insurance company requests generic brands, and my cholesterol went up 100 points in 6 months. If you take simvastatin -- you need to have your cholesterol checked once-a-month.

Taking zocor 20mg while having the kidney disease FSGS. I want to know if it is safe and won't damage my kidneys further. My doctor doesn't know for sure. Should a doctor know this for sure? It it hard to say if i have muscles hurting because my whole body hurts without serious pain medication.

Thanks for any help from somebody who knows.

I'm not one of the lucky ones. After no more than 15 tablets, all over a month ago, I seem to be having issues that aren't yet dissipating. I expected improvement by now. Urine has turned milky green. Constant insomnia & nightmares. Musclular pain (6 on a scale of 10) but constant and arthritic feeling. Concerned I'm not eliminating it.

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This is my second attempt with Zorcor. My first attempt was actually a Vytoren combo and I had severe muscle "burning" and what I describe as "Gumby legs" after about 6 months; I couldn't even flex a thigh muscle. After stopping the meds for 6 months, my cholesterol levels had increase, not too severely, but the symptoms had disappeared.My MD recommended a low dose of Zocor only. Well, after 60 days I again have muscle cramping, hands and legs, indigestion and a general feeling of not being well. My labs have been within normal ranges through out this period. Hmmm?

would like to know if grapefruit really effects the potency of simvastatin drugs?

PEOPLE'S PHARMACY RESPONSE: GRAPEFRUIT RAISES THE BLOOD LEVEL OF SIMVASTATIN, INCREASING BOTH EFFECTS AND SIDE EFFECTS. THE DEGREE TO WHICH THIS HAPPENS VARIES FROM ONE PERSON TO ANOTHER.

I think I may be having problems with Simvastatin. (generic for Zocor) I had tingling in my feet. The doc increased the dose to 20mg and now I have tingling in the hands. I feel a little dizzy. My balance hasn't been as good this last year. Maybe it's a coincidence, but I'm concerned.

I just started taking Zocor and I am having problems with dizziness and I am having muscle fatigue. I am only 35 and I wonder if my Hypothyroidism may have something to do with it. Liver disease run's in my family and my Doctor hasn't even said that I need blood test once a month .I have only been on the med for aprox 3weeks. I am glad I chose this site cause now I know to ask my doctor about blood test to check my liver. Thank you! This site is very helpful.

I have a friend who was hospitalized and told that his pancreas in essence was damaged from taking an antibiotic and this drug. Since this hospitalization he has been having to take Pancrease. Apparently, it is because his pancreas has to be "jumpstarted" since this antibiotic and this drug were taken together last fall.

He told me this is per his doctor that it is a drug interaction. If this is so dangerous, why is it still on the market? Why aren't there more warnings about taking certain antibiotics when taking his drug? He may lose his life because of this because he is still having problems. Frankly I think the maker of his drug should be paying all his medical bills as a result of this.

After starting a daily 40 mg tab of simvastatin severe shoulder muscle pains developed. The drug was discontinued two weeks after triggering a lisinopril based allergy. The severe pain continues despite having been discontinued for over 6 weeks. Literature is full of info on rhabdomyolysis
caused by statin family of drugs. This condition may also be fatal. My diagnosis is yet incomplete and may be
called polymyalgia rheumatica.
My message: beware of statins (esp. simvastatin) causing
severe muscle problems. Why do physicians prescribe without adequate warning? A
rash is a side effect; being
crippled by muscle pain is more than a "side effect".

I recently began taking Zocor, I have sinus and cold symptoms and am trying to find out what over the counter relief medications are okay to take. I see upper resp. infections do occur in some patients; therefore, I'd think SOMEWHERE there is info. on helping out the congestion & cold symptoms before it creates a true URI!

I have had high cholesterol ever since being diagnosed when I was 37. I'm 47 now. I started out taking Lescol. My cholesterol went down the first 6 months, then without changing a thing in my diet, it started to go back up. I stopped taking it because I was worried about my liver and it didn't seem to be doing the job anyway.

After a few years of trying to eat perfectly and exercising regularly, I had my cholesterol checked again. It was up to 268 and my doctor put me on Crestor. I had severe gastrointestinal problems immediately, so I stopped taking it and the problems went away.

Then, he tried Simvastatin (Zocor). I took it for 2 weeks and had vertigo so badly that I was afraid to drive. I stopped taking it and the vertigo went away.

Then he put me on Lipitor. After a few days, I experienced muscle aches so severe that I could no longer work out. I stopped taking it and the muscle aches went away, but it took almost a month!

I then tried some natural remedies that I'd read about. I took 500 mg of Turmeric daily in the middle of my largest meal. I drank 2 oz. of Pomegranite juice daily. I ate oatmeal with 1/2 teaspoon cinnamon on it daily.

After a year, I recently went to the doctor to have my cholesterol checked. Today I got a notice in the mail that he has received the results and that my cholesterol is "very high". I have to go in and discuss it with him and I am worried that he is going to try to put me on statin drugs again.

I tend to listen to my body and it does NOT like medications at all. I even get sick when taking antibiotics.

I'm afraid that because I've tried to change my diet, exercise regularly and use natural remedies and none of it has worked that he is going to tell me if I don't take the statin drugs, I could have heart problems in the future. In fact, my paternal grandmother died when she was 63 from what they called back then "hardening of the arteries".

I feel stuck between a rock and a hard place!!! What else can I do??

The doctor told me if your allergic to one statin you are allergic to all statins.

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