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Rosuvastatin

Rosuvastatin (INN), marketed under the tradename Crestor, is a member of the drug class of statins, used in combination with exercise, diet, and weight-loss to treat high cholesterol and related conditions, and to prevent cardiovascular disease. More

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Description

Rosuvastatin (INN), marketed under the tradename Crestor, is a member of the drug class of statins, used in combination with exercise, diet, and weight-loss to treat high cholesterol and related conditions, and to prevent cardiovascular disease.

Generic Name

Rosuvastatin

Chemical names

Crestor; Rosuvastatin; Rosuvastatin calcium; Creston (TN)

Brand names

Akroz, Arvast, Arvast-F, Bestor, Bestor-FN, Crestor, Crevast, Fenovas, Fortius, Fortius-20, Herocin, Jprest, Ldnil, Lipirose-F, Multistat, Novastat, Novostat, R2, R2-F, Razel, Razel-EZ, Razel-F, Razel-FX, Rolistat, Rolistat-F, Rosact, Rosat, Roseday, Roseday-F, Rosevast, Rosidoc, Rosmi, Rosofibric, Rosta, Rostar, Rostar-F, Rosulex, Rosuline, Rosulip, Rosulip-F, Rosumac, Rosumac-F, Rosutec, Rosuvakare, Rosuvas, Rosuvas-EZ, Rosuvas-F, Rosuvastat, Rosyn, Rosytab

IUPAC name

(3R,5S,6E)-7-[4-(4-fluorophenyl)-2-(N-methylmethanesulfonamido)-6-(propan-2-yl)pyrimidin-5-yl]-3,5-dihydroxyhept-6-enoic acid

Pharmacokinetics

NA

Actions

It belongs to a class of medications called statins and is used to reduce plasma cholesterol levels and prevent cardiovascular disease.

Dosage/Dosage form

The recommended dose is 5 to10 mg/day may increase slowly to 20 mg/day if needed. Max: 40 mg/day.

Therapeutic uses

Used to treat high cholesterol and related conditions, and to prevent cardiovascular disease. 

Adverse effects/Side effects

Headache, dizziness, constipation, nausea, vomiting, abdominal pain, myalgia, chest pain, peripheral oedema, depression, insomnia, rash, paraesthesia, proteinuria and asthenia.

Interaction

  • Risk of myopathy increased when used with gemfibrozil.
  • By fluconazole, serum levels may be increased.
  • May increase serum levels of warfarin and oral contraceptives.
  • With ciclosporin increased risk of renal failure and serious myopathy.
  •  Concurrent admin with aluminium/magnesium hydroxide may lead to decreased bioavailability of rosuvastatin.

Contraindications

Pregnancy, lactation. Unexplained persistent elevations of serum transaminases; severe renal impairment, active liver disease, hypersensitivity.

Storage

Store at 20-25°C

Information

Molecular weight

481.538

Molecular formula

C22H28FN3O6S

CAS number

287714-41-4

Precautions

  • Not to be used in patient with major surgery, sepsis, hypotension, trauma, severe metabolic, endocrine and electrolyte disorders or uncontrolled seizures.
  • History of liver disease and alcoholism.
  • If there is marked or persistent increase in serum aminotransferase concentrations, significant increases in creatinine phosphokinase or evidence of myopathy discontinue treatment.