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What Is Atorvastatin and Why Is It Commonly Prescribed?

Atorvastatin is a prescription medication used to help lower cholesterol and reduce the risk of cardiovascular problems such as heart attacks and strokes. It belongs to a group of medicines called statins (also known as HMG-CoA reductase inhibitors).

How atorvastatin works

Atorvastatin blocks an enzyme in the liver that helps make cholesterol. This leads to:

  • Lower LDL (“bad”) cholesterol
  • Lower triglyceride levels
  • A modest increase in HDL (“good”) cholesterol
  • Reduced buildup of cholesterol-containing plaques in arteries

Why is it commonly prescribed?

Doctors commonly prescribe atorvastatin for people who:

  • Have high LDL cholesterol
  • Have a history of heart attack, stroke, or coronary artery disease
  • Have diabetes or other risk factors that increase cardiovascular risk
  • Need cholesterol reduction to prevent future heart or blood vessel problems

Common brand name

Atorvastatin is widely known by the brand name Lipitor, although it is also available as a generic medication.

Possible side effects

Many people tolerate atorvastatin well, but possible side effects include:

  • Muscle aches or weakness
  • Headache
  • Digestive symptoms (such as nausea or diarrhea)
  • Mild increases in liver enzymes

Rare but serious side effects can include:

  • Severe muscle injury (rhabdomyolysis)
  • Significant liver problems

Important considerations

  • Tell your healthcare provider about all medications and supplements you take because some can interact with atorvastatin.
  • Avoid or limit grapefruit and grapefruit juice if your healthcare provider advises it, as large amounts may affect how the body processes some statins.
  • Do not stop taking atorvastatin without discussing it with your prescriber; cholesterol levels may rise again and cardiovascular protection may be reduced.

Atorvastatin is one of the most widely studied cholesterol-lowering medicines and is commonly used because lowering LDL cholesterol has been shown to reduce the risk of serious cardiovascular events in appropriate patients.

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