RM SIMVASTATIN 40 MG TAB

Antihyperlipidemic

Product Details

What is this medicine used for?

 

It is used in patients with hyperlipidemia, coronary heart disease and hypercholesterolemia to decrease the risk of fatal and non-fatal myocardial infarction and decrease the incidence of stroke and transient ischemic attacks.

 

How much and how often should you use this medicine?

 

Coronary Heart Disease

 

  •  
  • Initial Dose: 20 mg once daily at bedtime
  •  
  • May be increased at intervals of not less than 4 weeks to a maximum of 80 mg
  •  
  • once daily given as a single dose at bedtime.
  •  

 

Hyperlipidemia

 

  •  
  • Initial Dose: 20 mg once daily at bedtime
  •  
  • Patients who require only a moderate reduction of LDL-C may be started at 10 mg once daily at bedtime.
  •  

 

Homozygous Familial Hypercholesterolemia

 

  •  
  • Initial Dose: 40 mg once daily at bedtime or 80 mg/day in 3 divided doses of 20 mg, 20mg and 40 mg given in the morning, afternoon and evening, respectively.
  •  

 

Renal Insufficiency

 

  •  
  • Initial Dose: 5 mg once daily at bedtime with close monitoring
  •  
  • Initiating therapy in patients with severe renal insufficiency (creatinine clearance <30 mL/min) at a dose above 10 mg/day should be considered carefully and implemented cautiously.
  •  
  • Dose modification should not be necessary in patients with mild to moderate renal impairment because simvastatin does not undergo substantial renal excretion.
  •  

 

Or, as prescribed by a physician.

 

Contraindications

 

  •  
  • Erythromycin, Clarithromycin: increased risk of muscle pain and weakness
  •  
  • Niacin: increased risk of muscle pain and weakness
  •  
  • Grapefruit juice: increased risk of muscle pain and weakness
  •  
  • Itraconazole, Ketoconazole: increased risk of muscle pain and weakness
  •  
  • Nelfinavir, Ritonavir, Saquinavir: increased risk of liver damage
  •  
  • Diagnosed with liver disease, rhabdomyolysis
  •  

 

Availability

 

  •  
  • Simvastatin 20 mg Tablet – Box of 100’s (in blister foil by 10’s)
  •  
  • Simvastatin 40 mg Tablet – Box of 100’s (in blister foil by 10’s)
  •  

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RM TERBINAFINE 10 MG/G 15 G CREAM

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RM LORATADINE 5 MG SYRUP 60 ML

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RM METFORMIN SR 500 MG TAB

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RM CLONIDINE HCL 75 MCG TAB

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Php 17.00
RM LOSARTAN + HYDROCHLOROTHIAZIDE (LOSARITE) 100 MG TAB

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RM RABEPRAZOLE 20 MG TABLET

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RM NICARDIA XL (NIFEDIPINE) 30 MG

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Php 31.25
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RM ALLOPURINOL 300 MG TAB

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RM LORATADINE 10 MG TAB

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RM VERAPAMIL 240 MG TAB

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RM POVIDONE IODINE 10% SOL 60 ML

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RM STOP COUGH (LAGUNDI) 600 MG TAB

RM STOP COUGH (LAGUNDI) 600 MG TAB

Php 5.00
RM RANITIDINE 150 MG TAB

RM RANITIDINE 150 MG TAB

Php 11.00
RM MELOXICAM 7.5 MG TAB

RM MELOXICAM 7.5 MG TAB

Php 29.00
RM OMEPRAZOLE 20 MG TAB

RM OMEPRAZOLE 20 MG TAB

Php 27.00
RM CEFEPIME 2G POWDER

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Php 95.00
RM AMOXICILLIN 125 MG SUSPENSION 60 ML

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Php 77.00
RM CELECOXIB 200 MG CAP

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Php 23.50
RM LOSARTAN 100 MG TAB

RM LOSARTAN 100 MG TAB

Php 16.79
RM ALLOPURINOL 100 MG TAB

RM ALLOPURINOL 100 MG TAB

Php 6.00
RM LOPERAMIDE CAP 9+1

RM LOPERAMIDE CAP 9+1

Php 5.50
RM CLOTRIMAZOLE 5 G

RM CLOTRIMAZOLE 5 G

Php 135.00
RM COTTON BUDS 108 TIPS

RM COTTON BUDS 108 TIPS

Php 22.75
RM VALSARTAN 80 MG

RM VALSARTAN 80 MG

Php 17.86
PERIOKIN HYALURONIC SPRAY 40 ML

PERIOKIN HYALURONIC SPRAY 40 ML

Php 695.75
RM ERYTHROMYCIN 500 MG TAB

RM ERYTHROMYCIN 500 MG TAB

Php 18.50
RM METRONIDAZOLE 10 MG/ G GEL

RM METRONIDAZOLE 10 MG/ G GEL

Php 328.00
RM MOMETASONE 1 MG/ G (0.1% W/W) 5 G CREAM

RM MOMETASONE 1 MG/ G (0.1% W/W) 5 G CREAM

Php 290.00
RM CLOBETASOL PROPIONATE 500 MCG/ G (0.05% W/W) CREAM BOX

RM CLOBETASOL PROPIONATE 500 MCG/ G (0.05% W/W) CREAM BOX

Php 250.00
RM HYDROCORT 10 MG/G 15 G CRM 1 BOX

RM HYDROCORT 10 MG/G 15 G CRM 1 BOX

Php 215.00
RM ETHYL ALCOHOL 70% 60 ML

RM ETHYL ALCOHOL 70% 60 ML

Php 22.00
RM METFORMIN 850 MG TAB

RM METFORMIN 850 MG TAB

Php 7.50
RM CLARITHROMYCIN 500 MG TAB

RM CLARITHROMYCIN 500 MG TAB

Php 57.55
RM CEFACLOR 125MG SUSPENSION 105 ML

RM CEFACLOR 125MG SUSPENSION 105 ML

Php 372.00
RM PARAMAX (IBUPROFEN+PARACETAMOL) 32 5MG/200 MG TAB

RM PARAMAX (IBUPROFEN+PARACETAMOL) 32 5MG/200 MG TAB

Php 5.00
RM GLUCOSAMINE 1.5 G

RM GLUCOSAMINE 1.5 G

Php 50.00
RM CAPTOPRIL 25 MG TAB

RM CAPTOPRIL 25 MG TAB

Php 11.00
RM MEROPENEM 1 G

RM MEROPENEM 1 G

Php 1,600.00
RM TERAZOSIN 5 MG

RM TERAZOSIN 5 MG

Php 32.14
RM HYOSCINE N-BUTYLBROMIDE 10 MG TAB

RM HYOSCINE N-BUTYLBROMIDE 10 MG TAB

Php 0.00
RM ACICLOVIR 800 MG TAB

RM ACICLOVIR 800 MG TAB

Php 125.00
RM LEVOCETIRIZINE 5 MG TAB

RM LEVOCETIRIZINE 5 MG TAB

Php 18.00
RM FELODIPINE 5 MG TAB

RM FELODIPINE 5 MG TAB

Php 12.75
RM TERAZOSIN 2 MG

RM TERAZOSIN 2 MG

Php 26.79
KIN GINGIVAL COMPLEX MOUTHWASH 250 ML

KIN GINGIVAL COMPLEX MOUTHWASH 250 ML

Php 623.15
RM ASCORBIC+ZINC (ZINC-C<SUP>TM</SUP>) SYRUP 120 ML

RM ASCORBIC+ZINC (ZINC-CTM) SYRUP 120 ML

Php 106.00
RM LANSOPRAZOLE 30 MG CAP

RM LANSOPRAZOLE 30 MG CAP

Php 76.67
RM NAPROXEN SODIUM 500 MG TAB

RM NAPROXEN SODIUM 500 MG TAB

Php 13.00
RM ATORVASTATIN 20 MG TAB

RM ATORVASTATIN 20 MG TAB

Php 16.50
RM CALMING RELIEF CREAM

RM CALMING RELIEF CREAM

Php 80.00
RM AMOXICILLIN 500 MG CAP

RM AMOXICILLIN 500 MG CAP

Php 7.50
RM CEFACLOR 50 MG DROPS 20 ML

RM CEFACLOR 50 MG DROPS 20 ML

Php 264.00
RM REMOSTON (SAMBONG) 500 MG TAB

RM REMOSTON (SAMBONG) 500 MG TAB

Php 7.00
RM CEFACLOR 500 MG CAP

RM CEFACLOR 500 MG CAP

Php 79.50
RM AMBROXOL 30 MG SYRUP 60 ML

RM AMBROXOL 30 MG SYRUP 60 ML

Php 80.00
RM HEXETIDINE 120 ML

RM HEXETIDINE 120 ML

Php 148.00
RM GLIMEPIRIDE 3 MG TAB

RM GLIMEPIRIDE 3 MG TAB

Php 12.50
RM DEXTROMETHORPHAN 10 MG SYRUP 60 ML

RM DEXTROMETHORPHAN 10 MG SYRUP 60 ML

Php 60.00
RM NEUTRACID 9+1 BS PH (PACK)

RM NEUTRACID 9+1 BS PH (PACK)

Php 3.00
RM OMEPRAZOLE 40 MG VIALS 1 BOX

RM OMEPRAZOLE 40 MG VIALS 1 BOX

Php 600.00
RM CEFIXIME 200 MG CAP

RM CEFIXIME 200 MG CAP

Php 90.00
KIN WHITENING 75 ML

KIN WHITENING 75 ML

Php 262.56
RM CLINDAMYCIN 150 MG CAP

RM CLINDAMYCIN 150 MG CAP

Php 21.00
RM MEROPENEM 500 MG

RM MEROPENEM 500 MG

Php 950.00
RM LOSARTAN 50 MG TAB

RM LOSARTAN 50 MG TAB

Php 12.86
RM NEUTRACID TAB 9+1 (ALUMINUM HYDROXIDE + MAGNESIUM HYDROXIDE)

RM NEUTRACID TAB 9+1 (ALUMINUM HYDROXIDE + MAGNESIUM HYDROXIDE)

Php 3.00
RM MELOXICAM 15 MG TAB

RM MELOXICAM 15 MG TAB

Php 43.50
RM ACICLOVIR 400 MG TAB

RM ACICLOVIR 400 MG TAB

Php 68.00
RM FOLIC ACID 5 MG TAB

RM FOLIC ACID 5 MG TAB

Php 5.00
RM METOPROLOL TARTRATE 100 MG TAB

RM METOPROLOL TARTRATE 100 MG TAB

Php 4.90
RM SALBUTAMOL 2 MG SYR 60 ML

RM SALBUTAMOL 2 MG SYR 60 ML

Php 2.75
RM AMBROXOL 30 MG SYRUP 120 ML

RM AMBROXOL 30 MG SYRUP 120 ML

Php 150.00
RM GLIX 5 MG

RM GLIX 5 MG

Php 16.00
KIN GINGIVAL COMPLEX TOOTHPASTE 75 ML

KIN GINGIVAL COMPLEX TOOTHPASTE 75 ML

Php 306.15
RM ZELEXIN 500 MG CAP

RM ZELEXIN 500 MG CAP

Php 20.50
RM HYDROCORTISONE 15 G CRM 1BOX

RM HYDROCORTISONE 15 G CRM 1BOX

Php 215.00
RM SOD ASCORBATE BS PH

RM SOD ASCORBATE BS PH

Php 450.00
RM NEUTRACID 200 MG/100 MG TAB

RM NEUTRACID 200 MG/100 MG TAB

Php 3.53
RM POVIDONE IODINE 10% SOL 30 ML

RM POVIDONE IODINE 10% SOL 30 ML

Php 55.00
RM MUPIROCIN 5 G TUBE OIN 1 BOX

RM MUPIROCIN 5 G TUBE OIN 1 BOX

Php 225.00
RM ISOPROPYL 70% ALCOHOL 250ML

RM ISOPROPYL 70% ALCOHOL 250ML

Php 50.00