Roltesim 40 mg, 80 mg FC tablets)
Clinical Summary
Quick overview from the medicine insert
Indication
Indicated for hypercholesterolaemia and coronary heart disease.
Dosage (summary)
Adults: Initial dose 10 mg daily in the evening for hypercholesterolaemia; 20 mg daily for coronary heart disease.
Special Populations
- Renal insufficiency
- Elderly
Pregnancy & Breastfeeding
Not recommended in pregnancy or lactation; foetotoxic and teratogenic.
Key Drug Interactions
- Strong CYP3A4 inhibitors
- Gemfibrozil
- Ciclosporin
Contraindications
- Hypersensitivity to simvastatin
- Acute or chronic liver disease
- Pregnancy
- Lactation
Common side effects
- Myalgia
- Headache
- Dizziness
- Constipation
Counselling Points
- Report unexplained muscle pain
- Avoid grapefruit juice
- Monitor liver function tests
Serious warnings
- Risk of myopathy and rhabdomyolysis
- Liver function abnormalities
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