Advicor

1 What is Advicor?

Brand: Advicor

Generic: Niacin extended-release and lovastatin

Niacin extended-release and lovastatin combination medication are used together with a proper diet to help lower cholesterol and fat levels (triglyceride) in the blood.

This medication may help prevent medical problems such as heart attacks and strokes that are caused by fat clogging the blood vessels.

Niacin extended-release and lovastatin combination medication is a combination of two different medications that work together to lower cholesterol and lipid (fat) disorders.

Niacin is vitamin B3. This reduces the amount of cholesterol in the blood. Lovastatin belongs to a group of medications called HMG-CoA reductase inhibitors (statins).

These work to reduce the amount of cholesterol in the blood by blocking the enzyme that is needed to make cholesterol.

This medication is available only through your doctor’s prescription.

This product is available in the following forms:

  • Tablet
  • Extended Release Tablet

2 What to Know Before Using

As with all medicines, the risks must be compared to how much a medication will help you. This is a decision that you and your doctor will make together.

For this medication, there are many things that need to be considered:

Allergies: Inform your doctor if you have ever had an allergic reaction to doxorubicin or to any other medications.

It is also important to inform your doctor of any non-medicine allergies such as foods, dyes, preservatives or animals.

Pediatric Usage: The use of this medication is not recommended in children

Geriatric Usage: Up-to-date studies have not shown any problems specific to the elderly that would limit the use of this medication in the elderly population.

Pregnancy: This medication is listed as Pregnancy Category X. This means that studies in pregnant animals or women have shown positive evidence of fetal abnormalities.

This medication should not be used in women who are pregnant or may become pregnant, as the risk clearly outweighs any potential benefit.

Breastfeeding: There are no up-to-date studies in women for determining infant risk when using this medication while breastfeeding.

Weigh the potential risks with the benefits before taking this medication while breastfeeding.

Drug Interactions: Certain medications should not be used together. However, in certain cases, two medications may be used together, even if an interaction might occur.

In these cases, your doctor may want to change your dose or take other precautions. When taking this medication, it is important that you inform your doctor if you are taking any of the medications listed below.

The following interactions were selected on the basis of potential significance and are not all-inclusive. Using this medication with any of the following medication is not recommended.

Your doctor may make the decision not to treat you with this medication or change some of the other medications you take:

  • Amprenavir
  • Atazanavir
  • Boceprevir
  • Clarithromycin
  • Cobicistat
  • Darunavir
  • Erythromycin
  • Fosamprenavir
  • Idelalisib
  • Indinavir
  • Itraconazole
  • Ketoconazole
  • Lopinavir
  • Mibefradil
  • Mifepristone
  • Nefazodone
  • Nelfinavir
  • Posaconazole
  • Ritonavir
  • Saquinavir
  • Telaprevir
  • Telithromycin
  • Tipranavir
  • Voriconazole

Using this medication with the following medications are not usually recommended. However, it may be required in some cases.

If both medications are prescribed together, your doctor may change the dose or how often you use one or both of the medications:

  • Amiodarone
  • Atorvastatin
  • Bezafibrate
  • Ceritinib
  • Cerivastatin
  • Ciprofibrate
  • Clofibrate
  • Colchicine
  • Conivaptan
  • Cyclosporine
  • Dabrafenib
  • Dalfopristin
  • Danazol
  • Daptomycin
  • Delavirdine
  • Diltiazem
  • Dronedarone
  • Erlotinib
  • Fenofibrate
  • Fenofibric Acid
  • Fluconazole
  • Gemfibrozil
  • Lomitapide
  • Lovastatin
  • Lumacaftor
  • Niacin
  • Nilotinib
  • Piperaquine
  • Pitavastatin
  • Quinupristin
  • Ranolazine
  • Rosuvastatin
  • Simvastatin
  • Verapamil

Using this medication with any of the following medications may cause an increased risk of some side effects. However, using both medications may be the best treatment for you.

If your doctor prescribes both medications, your doctor may change the dose or how often you use the medications:

  • Azithromycin
  • Bosentan
  • Clopidogrel
  • Oat Bran
  • Pectin
  • St. John’s Wort Warfarin

Other Interactions: You should not use certain medications at or around the time of eating certain foods or types of food, as interactions may occur.

Using alcohol or tobacco with certain medications can also cause interactions to occur. The following interactions were selected on the basis of potential significance and are not all-inclusive.

Using this medication with any of the following is not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medication.

He may also give you special instructions about the use of food, alcohol or tobacco:

  • Grapefruit juice
  • Ethanol

Other Medical Problems: The presence of pre-existing medical problems may affect the use of this medication.

Tell your doctor if you have any other medical problems, especially:

  • A history of or current alcohol abuse.
  • A history of or current liver disease - Use with caution. May cause side effects to become worse.
  • Angina (severe chest pain).
  • Diabetes.
  • Gout.
  • Acute heart attack - Use with caution. May make these conditions worse.
  • Arterial bleeding.
  • Active liver disease.
  • Elevated liver enzymes.
  • Active peptic ulcer disease - Should not use in patients with these conditions.
  • Severe electrolyte disorders.
  • Severe endocrine disorders.
  • Epilepsy (seizures).
  • Hypotension (low blood pressure).
  • Sepsis (infection in the blood) - Patients with these conditions may be at risk of developing muscle and kidney problems.
  • Kidney disease - Use with caution. The effects of this medication may be increased because of slower removal of the medication from the body.
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3 Proper Usage

Only take this medication as directed by your doctor. Do not take more, less or for a longer or shorter period of time than your doctor tells you.

This medication works best if there is a constant amount in the blood. To help keep this amount constant, do not miss any doses and take the medication at the same time each day.

In addition to prescribing this medication, your doctor may change your diet to one that is low in fat, sugar, and cholesterol. Follow your doctor’s directions about any special diet.

Swallow the extended-release tablet whole. Do not break, crush or chew it.

It is best to take this medication in the evening with a low-fat meal or snack. Do not take this medication on an empty stomach.

If you are taking danazol (Danocrine), diltiazem (Cardizem) or verapamil (Calan, Isoptin, Verelan) with lovastatin, your lovastatin dose should not be higher than 20mg per day, unless your doctor says otherwise.

Do not use more than 40mg per day of lovastatin with amiodarone (Cordarone). When used together with higher doses of lovastatin, these medications may increase your risk of muscle injury and may result in kidney problems.

Tell your doctor immediately if you drink grapefruit juice on a regular basis. Drinking more than 1 quart each day while taking this medication may result in kidney problems or muscle injury.

Do not drink large amounts of alcohol with lovastatin. This could cause liver injury.

Dosing: Different patients will be given a different dose of this medication based on the strength of the medication.

The number of doses you take each day, the time between doses and the length of time you take this medication depends on the reason you are taking this medication.

The following information only includes the average dose of this medication. If your dose is different, do not change it without first speaking to your doctor.

For oral dosage form (extended-release tablets):

For high cholesterol:

Adults: At first, 500mg of niacin extended-release and 20mg of lovastatin (combined in one tablet) once a day in the evening.

Your doctor may gradually increase your dose every four weeks until your cholesterol is under control. The dose is not usually more than 2000mg of niacin extended-release and 40mg of lovastatin per day.

Children: Use is not recommended.

Missed Dose: If you miss a dose of this medication, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular schedule.

Do not take two doses at once or within a short time of each other.

Storage: Store the medication in a closed container at room temperature. Keep it away from heat, moisture, and direct light. Do not freeze.

Keep out of reach of children. Do not keep expired medication or medication you no longer need.

Ask your doctor how to dispose of any medication you don’t use.

4 Precautions to Take

It is very important that your doctor checks in with you often while you are receiving this medication to make sure that it is working properly. Blood tests may be needed to check for unwanted effects.

Using this medication while pregnant can cause serious harm to your unborn child. Use an effective form of birth control to keep from becoming pregnant while taking this medication.

If you think you have become pregnant while using this medication, tell your doctor immediately.

Do not use lovastatin/niacin if you are using the following medications, as using these medications together can cause serious side effects:

Certain antibiotics such as:

  • Clarithromycin
  • Erythromycin
  • Itraconazole
  • Ketoconazole
  • Posaconazole
  • Telithromycin
  • Nizoral

or certain medications to treat HIV/AIDS such as:

Call your doctor immediately if you experience unexplained muscle pain, tenderness or weakness. These may be symptoms of a serious muscle problem such as myopathy or immune-related necrotizing myopathy (IMNM).

Call your doctor immediately if you have dark-colored urine, develop a fever, experience muscle cramps or spasms, have muscle pain or stiffness, experience fatigue or weakness or have diarrhea.

These may be symptoms of a serious muscle problem called rhabdomyloysis, which can cause kidney problems.

Stop using this medication and check immediately with your doctor if you have pain or tenderness in the upper stomach, pale stool, dark urine, loss of appetite, nausea, unusual fatigue or weakness, or yellow eyes or skin. These could be symptoms of liver damage.

This medication may affect your blood sugar levels. This is important if you are diabetic or pre-diabetic.

Contact your doctor if you notice a change in the results of your blood or urine sugar tests, or if you have any questions.

This medication may cause dizziness, lightheadedness, drowsiness or a decrease in alertness in some people.

Make sure you know how you react to this medication before you drive, use machinery or do anything else that may be dangerous if you are dizzy or unalert.

Change positions slowly when sitting or standing up.

This medication should not be taken with vitamins containing niacin or nicotinamide.

Inform any doctor or dentist treating you that you are on this medication. You may need to stop using this medication before major surgery, if you have a major injury, or if you develop another serious health problem.

This medication may also affect the result of certain medical tests.

This medication may cause flushing (a feeling of warmth or redness in the face, neck arms and/or upper chest).

To avoid flushing, avoid alcohol, hot beverages, and spicy foods around the time you take this medication.

Your doctor may also recommend that you take aspirin thirty minutes before taking this medication to prevent flushing.

Do not take other medications unless you have discussed them with your doctor. This includes prescription or over the counter medications and herbal or vitamin supplements.

5 Potential Side Effects

A medication may produce unwanted effects along with the intended effects. Although not all of these side-effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if you experience any of the following side-effects:

More Common:

  • Cough or hoarseness
  • Feeling of warmth
  • Fever or chills
  • Lower back or side pain
  • Generalized pain
  • Painful or difficult urination
  • Redness, itching or tingling of the face, neck, arms and upper chest.

Less Common:

  • Abdominal or stomach pain
  • Blurred vision
  • Cramping pain or stiffness
  • Difficulty moving
  • Dry mouth
  • Dry skin
  • Fruit-life breath odor
  • Increased hunger
  • Increased thirst (polydipsia)
  • Increased urination (polyuria)
  • Joint pain
  • Muscle aches, weakness, tenderness or pain
  • Nausea
  • Swollen joints
  • Unexplained weight loss
  • Unusual fatigue or weakness
  • Vomiting

Rare:

Get emergency help immediately if any of the following overdose symptoms occur:

Some side effects that may occur do not normally need medical attention. These may leave as your body becomes accustomed to treatment.

Ask your doctor about ways to prevent or reduce some of these side effects.

Talk to your doctor if any of the following side effects continue or are bothersome, or if you have questions:

More common:

Less common:

  • Acid or sour stomach
  • Belching
  • Heartburn
  • Indigestion
  • Lack or loss of strength
  • Stomach discomfort or upset

Some patients may experience side effects that are not listed. If you notice other side effects, talk to your doctor.

Talk to your doctor about advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088

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