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What is the most important information I should know about Lipitor?
• Do not take Lipitor without first talking to your doctor if you haveliver disease enlarge writing on lipitor pills.
• Alcohol and Lipitor can both damage your liver enlarge writing on lipitor pills. Discuss with your doctorthe amount of alcohol that you drink so that it can be determined if Lipitoris the best choice for lowering your cholesterol enlarge writing on lipitor pills.
• Do not take Lipitor if you are pregnant, if you are planning a pregnancy,or if you are breast-feeding a baby enlarge writing on lipitor pills.
• Contact your doctor immediately if you experience unexplained musclepain, tenderness, or weakness, especially if it is accompanied by a fever orflulike symptoms or yellowing of your skin or eyes enlarge writing on lipitor pills.


What is Lipitor?
• Lipitor blocks the production of cholesterol (a type of fat) in yourbody enlarge writing on lipitor pills.
• Lipitor is used to reduce the amounts of LDL (bad) cholesterol, totalcholesterol, triglycerides (another type of fat), and apolipoprotein B (a proteinneeded to make cholesterol) in your blood enlarge writing on lipitor pills. Lipitor is also used to increasethe level of HDL (good) cholesterol in your blood enlarge writing on lipitor pills. These actions are importantin reducing the risk of hardening of the arteries, which can lead to heart attacks,stroke, and peripheral vascular disease enlarge writing on lipitor pills.
• Lipitor may also be used for purposes other than those listed in thismedication guide enlarge writing on lipitor pills.


Who should not take Lipitor?
• Do not take Lipitor without first talking to your doctor if you haveliver disease enlarge writing on lipitor pills.
• Before taking Lipitor, tell your doctor if you
· drink alcoholic beverages,
· have a chronic muscular disease,
· require major surgery, or
· have a blood disorder enlarge writing on lipitor pills.
• You may not be able to take Lipitor, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove enlarge writing on lipitor pills.
• Lipitor is in the FDA pregnancy category X enlarge writing on lipitor pills. This means that Lipitor willcause birth defects if it is taken during pregnancy enlarge writing on lipitor pills. Cholesterol is very importantfor the proper development of a baby enlarge writing on lipitor pills. Do not take Lipitor if you are pregnantor are planning a pregnancy enlarge writing on lipitor pills.
• It is not known whether Lipitor passes into breast milk enlarge writing on lipitor pills. Do not takethis medication without first talking to your doctor if you are breast-feedinga baby enlarge writing on lipitor pills.


How should I take Lipitor?
• Take Lipitor exactly as directed by your doctor enlarge writing on lipitor pills. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you enlarge writing on lipitor pills.
• Take each dose with a full glass of water enlarge writing on lipitor pills.
• Lipitor can be taken with or without food enlarge writing on lipitor pills.
• Lipitor is usually taken once a day enlarge writing on lipitor pills. Try to take your dose at the sametime each day enlarge writing on lipitor pills. Follow your doctor's instructions enlarge writing on lipitor pills.
• Your doctor may want to monitor your liver function with blood testsbefore starting treatment with Lipitor, at twelve weeks after both the startof your treatment and any increase in dose, and periodically (every 6 months)thereafter enlarge writing on lipitor pills. Depending on the results of these tests, your doctor can determinehow much monitoring you will require enlarge writing on lipitor pills.
• Grapefruit and grapefruit juice may interact with Lipitor enlarge writing on lipitor pills. The interactioncould lead to potentially dangerous effects enlarge writing on lipitor pills. Discuss the use of grapefruit andgrapefruit juice with your doctor enlarge writing on lipitor pills. Do not increase or decrease the amount ofgrapefruit products in your diet without first talking to your doctor enlarge writing on lipitor pills.
• Eat a low-fat, low-cholesterol diet enlarge writing on lipitor pills. To realize beneficial effects fromLipitor, avoid fatty, high-cholesterol foods enlarge writing on lipitor pills.
• Do not stop taking Lipitor without first talking to your doctor enlarge writing on lipitor pills. It maybe weeks or months before beneficial effects are seen from this medication enlarge writing on lipitor pills.
• Store Lipitor at room temperature away from moisture and heat enlarge writing on lipitor pills.


What happens if I miss a dose?
• Take the missed dose as soon as you remember enlarge writing on lipitor pills. However, if it is almosttime for your next dose, skip the missed dose and take only your next regularlyscheduled dose enlarge writing on lipitor pills. Do not take a double dose of this medication enlarge writing on lipitor pills.


What happens if I overdose?
• Seek emergency medical attention enlarge writing on lipitor pills.
• The symptoms of an overdose of Lipitor are not known enlarge writing on lipitor pills.


What should I avoid while taking Lipitor?
• Alcohol and Lipitor can both damage your liver enlarge writing on lipitor pills. Discuss with your doctorthe amount of alcohol that you drink so that it can be determined if Lipitoris the best choice for lowering your cholesterol enlarge writing on lipitor pills.
• Grapefruit and grapefruit juice may interact with Lipitor enlarge writing on lipitor pills. The interactioncould lead to potentially dangerous effects enlarge writing on lipitor pills. Discuss the use of grapefruit andgrapefruit juice with your doctor enlarge writing on lipitor pills. Do not increase or decrease the amount ofgrapefruit products in your diet without first talking to your doctor enlarge writing on lipitor pills.


What are the possible side effects of Lipitor?
• If you experience any of the following serious side effects, stop takingLipitor and seek emergency medical attention or call your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· muscle aches, pain, or weakness;
· "flu-like" symptoms;
· decreased urine or rust-colored urine;
· blurred vision; or
· yellowing of your skin or eyes enlarge writing on lipitor pills.
• Other, less serious side effects may be more likely to occur enlarge writing on lipitor pills. Continueto take Lipitor and talk to your doctor if you experience
· headache;
· upset stomach or flatulence; or
· a rash enlarge writing on lipitor pills.
• Side effects other than those listed here may also occur enlarge writing on lipitor pills. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome enlarge writing on lipitor pills.


What other drugs will affect Lipitor?
• Do not take Lipitor without first talking to your doctor if you are takingany of the following medicines:
· cyclosporine (Sandimmune, Neoral);
· gemfibrozil (Lopid);
· niacin (Nicolar, Nicobid, Nicotinex, others);
· clarithromycin (Biaxin);
· erythromycin (E-Mycin, E.E.S., Ery-Tab, Ilotycin, Eryc, PCE, Ilosone,others); or
· fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral) enlarge writing on lipitor pills.
• The medications listed above interact with Lipitor and may cause damageyour muscles enlarge writing on lipitor pills.
• Before taking Lipitor, tell your doctor if you are taking any of thefollowing medicines:
· other cholesterol-lowering drugs such as cholestyramine (Questran)or colestipol (Colestid); or
· digoxin (Lanoxin, Lanoxicaps) enlarge writing on lipitor pills.
• You may require a dosage adjustment or special monitoring during treatmentif you are taking any of the medicines listed above enlarge writing on lipitor pills.
• Drugs other than those listed here may also interact with Lipitor enlarge writing on lipitor pills. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines enlarge writing on lipitor pills.


Where can I get more information?
• Your pharmacist has additional information about Lipitor written forhealth professionals that you may read enlarge writing on lipitor pills.


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