section name header

Pronunciation

roe-SOO-va-sta-tin

Classifications

Therapeutic Classification: lipid-lowering agents

Pharmacologic Classification: hmg coa reductase inhibitors (statins)

Indications

REMS


Action

  • Inhibits 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase, an enzyme that is responsible for catalyzing an early step in the synthesis of cholesterol.
Therapeutic effects:
  • Lowering of total and LDL-C and triglycerides. Slightly increases HDL-C.
  • Slows the progression of coronary atherosclerosis.

Pharmacokinetics

Absorption: 20% absorbed following oral administration.

Distribution: Unknown.

Metabolism/Excretion: 10% metabolized, 90% excreted unchanged in feces.

Half-Life: 19 hr.

Time/Action Profile

(effect on lipids)

ROUTEONSETPEAKDURATION
POunknown2–4 wkunknown



Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Derm: rash

Endo: hyperglycemia

GI: abdominal pain, constipation, drug-induced hepatitis, liver enzymes, nausea

Hemat: thrombocytopenia

MS: immune-mediated necrotizing myopathy, myalgia, RHABDOMYOLYSIS

Neuro: amnesia, confusion, memory loss, weakness

Interactions

Drug-drug:

Route/Dosage

Renal Impairment

Availability

(Generic available)

Assessment

Lab Test Considerations:

Implementation

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Crestor

Pill Image

rosuvastatin-calcium_195-8651.jpg

Code

NDC Code