Zocor Simvastatin
Tablets, mainly for hyperlipidemia. Simvastatin
generally well tolerated, a slight majority of adverse reactions were transient.
Fewer
than 2% of patients in controlled clinical trials, adverse reactions due to
simvastatin half-way stop.According
to reports, the ring sokdam Zocor side effects: nausea, diarrhea, skin rashes,
indigestion, itching, hair loss, dizziness, muscle cramps, myalgia,
pancreatitis, paresthesia, peripheral neuropathy, vomiting and anemia
and so on.Primary
hypercholesterolemia, heterozygous familial
hypercholesterolemia or mixed
hypercholesterolemia patients, when diet and other non-drug treatment is not
ideal, simvastatin can be used to reduce elevated total cholesterol low-density
lipoprotein cholesterol, apolipoprotein B, and triglycerides. And
simvastatin increased high-density lipoprotein cholesterol, thereby lowering
low-density lipoprotein / high-density lipoprotein, and total cholesterol / HDL
ratio.Zocor's usageGeneral
before serving daily dose of 10mg, the evening serving Dayton. Patients
with mild to moderately elevated cholesterol levels, daily dose of 5mg before
serving. To
adjust the dose interval should be more than four weeks, the maximum daily dose
40mg evening serving Dayton. When
the low-density lipoprotein cholesterol levels dropped to 75mg/dL (1.94mmol / L)
or total cholesterol level dropped to 140mg/dL (3.6mmol / L) or less, you should
reduce the dose of simvastatin.Note Zocor1,
patients receiving simvastatin treatment previously accepted standard
cholesterol diet and continue to use in the course of treatment.2, livers reaction.
This
drug should be used with caution in the consumption of alcohol and / or a
history of liver disease patients. Active
liver disease or unexplained elevated aminotransferase simvastatin should be
banned. In
clinical trials, there is a small number of patients taking simvastatin
significant persistently elevated serum aminotransferase (more than 3 times more
than normal) phenomenon. After
stopping the aminotransferase enzyme can be restored to the level before
treatment, but no jaundice or other clinical symptoms or signs, nor allergy.
Should
strengthen inspection and to pay more attention aminotransferase enzymes
elevated in patients before treatment is recommended. If
the patient aminotransferase performance continues to rise, especially
aminotransferase enzymes than normal more than 3 times and maintain a sustained,
you should be stopping. The
same as with other lipid-lowering drug, simvastatin treatment in patients with
amino transferase moderately elevated (3-fold lower than normal) were also
reported. These
changes usually after simvastatin treatment soon there, but generally as a
transient and not accompanied by any symptoms, so do not stop.3, muscle reaction.
Simvastatin
treated patients generally creatine kinase (CK, from skeletal muscle) and a
transient increase slightly, but did not have any clinical significance.
Diffuse
myalgia, muscle weakness or / and elevated creatine kinase (CK) (greater than
normal times), should be considered as myopathy, and should therefore be patient
if found not to be construed above myopathy
signs should tell your doctor immediately. Found
a significant increase in creatine kinase (CK) or diagnosed or suspected
myalgia, should immediately stop simvastatin treatment. For
acute or severe conditions implied myopathy and rhabdomyolysis secondary acute
renal failure tendency of patients should be stopped methyl hydroxyl glutaryl
coenzyme A (HMG-CoA) reductase inhibitor therapy.4, Ophthalmology check. Even
in the absence of any drug treatment, with a clouding of the lens of the
incidence of age will also increase, long-term clinical studies show no adverse
effect of simvastatin on human lens.5
homozygous familial hypercholesterolemia. Due
to the complete lack sake of low-density lipoprotein (LDL) receptor, in patients
with homozygous familial hypercholesterolemia, the effect of simvastatin
treatment of such patients is not good enough.6, high triglyceride
level viremia. Simvastatin
only moderate the effect of lowering triglycerides, not suitable for the
treatment of elevated triglyceride based exceptions (such as Ⅰ, Ⅳ, Ⅴ type
hyperlipidemia).Excessive
alcohol drinking and / or past the liver medical history of patients should be
careful to use the product.