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| __NOTOC__
| | #REDIRECT [[Fluvastatin]] |
| {{fluvastatin}}
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| {{CMG}}; {{AE}} {{SS}}
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| ==Drug Interactions==
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| ===Cyclosporine===
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| [[Cyclosporine ]]coadministration increases fluvastatin exposure. Therefore, in patients taking [[cyclosporine]], therapy should be limited to LESCOL 20 mg twice daily [see Warnings and Precautions (5.1) and Clinical Pharmacology (12.3)]. | |
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| ===Fluconazole===
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| Administration of fluvastatin 40 mg single dose to healthy volunteers pre-treated with [[fluconazole]] for 4 days results in an increase of fluvastatin exposure. Therefore, in patients taking [[fluconazole]], therapy should be limited to LESCOL 20 mg twice daily [see Clinical Pharmacology (12.3)].
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| ===Gemfibrozil===
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| Due to an increased risk of [[myopathy]]/[[rhabdomyolysis]] when HMG-CoA reductase inhibitors are coadministered with [[gemfibrozil]], concomitant administration of LESCOL/LESCOL XL with [[gemfibrozil]] should be avoided.
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| ===Other Fibrates===
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| Because it is known that the risk of [[myopathy]] during treatment with HMG-CoA reductase inhibitors is increased with concurrent administration of other fibrates, LESCOL/LESCOL XL should be administered with caution when used concomitantly with other [[fibrates ]][see Warnings and Precautions (5.1) and Clinical Pharmacology (12.3)].
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| ===Niacin===
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| The risk of skeletal muscle effects may be enhanced when LESCOL is used in combination with lipid-modifying doses (≥1 g/day) of [[niacin]]; a reduction in LESCOL dosage should be considered in this setting [see Warnings and Precautions (5.1)].
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| ===Glyburide===
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| Concomitant administration of fluvastatin and glyburide increased glyburide exposures. Patients on concomitant therapy of glyburide and fluvastatin should continue to be monitored appropriately [see Clinical Pharmacology (12.3)].
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| ===Phenytoin===
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| Concomitant administration of fluvastatin and phenytoin increased phenytoin exposures. Patients should continue to be monitored appropriately when fluvastatin therapy is initiated or when fluvastatin dose is changed [see Clinical Pharmacology (12.3)].
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| ===Warfarin===
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| Bleeding and/or increased prothrombin times have been reported in patients taking coumarin anticoagulants concomitantly with other HMG-CoA reductase inhibitors. Therefore, patients receiving warfarin-type anticoagulants should have their prothrombin times closely monitored when fluvastatin sodium is initiated or the dosage of fluvastatin sodium is changed.
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| ===Colchicine===
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| Cases of [[myopathy]], including [[rhabdomyolysis]], have been reported with fluvastatin coadministered with [[colchicine]], and caution should be exercised when prescribing fluvastatin with [[colchicine]].<ref name="dailymed.nlm.nih.gov">{{Cite web | last = | first = | title = LESCOL (FLUVASTATIN SODIUM) CAPSULE LESCOL XL (FLUVASTATIN SODIUM) TABLET, EXTENDED RELEASE [NOVARTIS PHARMACEUTICALS CORPORATION] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=8a1823e7-26fb-4858-bac7-9e152e5ea16a | publisher = | date = | accessdate = 12 February 2014 }}</ref>
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| ==References==
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| {{Reflist|2}}
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| {{Statins}}
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| [[Category:Statins]]
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| [[Category:Diols]]
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| [[Category:Indoles]]
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| [[Category:Carboxylic acids]]
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| [[Category:Organofluorides]]
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| [[Cardiovasular Druf]]
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| [[Drug]]
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