Rosu
Generic Name
Rosuvastatin
Manufacturer
Example Pharma Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| rosu 20 mg tablet | ৳ 30.00 | ৳ 300.00 |
Description
Overview of the medicine
Rosuvastatin is a statin medication used to lower high cholesterol and triglycerides, reducing the risk of cardiovascular diseases like heart attack and stroke. It works by reducing cholesterol production in the liver.
Uses & Indications
Dosage
Adults
Initial dose 5-10 mg once daily, adjusted based on lipid levels, max 40 mg daily. For 20 mg, typically 1 tablet once daily.
Elderly
Initial dose 5 mg once daily, carefully titrate dose.
Renal_impairment
Severe renal impairment (CrCl < 30 mL/min): Initial 5 mg once daily, max 10 mg daily. Moderate impairment: No dose adjustment needed, but monitor carefully.
How to Take
Oral administration, can be taken any time of day, with or without food. Swallow whole with water.
Mechanism of Action
Rosuvastatin selectively inhibits HMG-CoA reductase, an enzyme that catalyzes the rate-limiting step in cholesterol biosynthesis, thereby reducing hepatic cholesterol production and increasing LDL receptor expression on hepatocyte surfaces.
Pharmacokinetics
Onset
Lipid-lowering effects typically observed within 1 week, maximal effect by 2-4 weeks.
Excretion
Approximately 90% excreted unchanged in feces, 5% in urine.
Half life
Approximately 19 hours.
Absorption
Approximately 20% absorbed orally. Peak plasma concentrations reached 3-5 hours.
Metabolism
Limited metabolism, primarily by CYP2C9; approximately 10% of total dose.
Side Effects
Contraindications
- Active liver disease (including unexplained persistent elevations of serum transaminases)
- Severe renal impairment (CrCl < 30 mL/min)
- Myopathy
- Concomitant cyclosporine use
- Pregnancy and lactation
- Hypersensitivity to rosuvastatin or any component of the formulation
Drug Interactions
Niacin
Increased risk of myopathy/rhabdomyolysis.
Warfarin
May enhance anticoagulant effect; monitor INR.
Gemfibrozil
Increases rosuvastatin exposure; co-administration not recommended.
Cyclosporine
Significant increase in rosuvastatin exposure; contraindicated.
HIV protease inhibitors (e.g., Atazanavir, Lopinavir/Ritonavir)
Increased rosuvastatin exposure; dose adjustment may be necessary.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
No specific antidote. In case of overdose, provide symptomatic and supportive measures. Monitor liver function and CK levels.
Pregnancy & Lactation
Contraindicated during pregnancy and lactation. Women of childbearing potential should use effective contraception.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years from manufacturing date.
Availability
Pharmacies, hospitals, clinics
Approval Status
Approved by FDA (USA), DGDA (Bangladesh)
Patent Status
Generic available (original patent expired)
Clinical Trials
Extensive clinical trials (e.g., JUPITER, GALAXY Program) have demonstrated its efficacy in lipid lowering and cardiovascular risk reduction.
Lab Monitoring
- Lipid panel (fasting) at baseline and 4-12 weeks after initiation or dose titration, then periodically.
- Liver function tests (ALT, AST) at baseline and if symptoms suggest hepatic injury.
- Creatine Kinase (CK) if muscle pain or weakness occurs.
Doctor Notes
- Advise patients on the importance of adherence to diet and exercise alongside medication.
- Monitor LFTs and lipid profile regularly.
- Educate patients on symptoms of myopathy and rhabdomyolysis and advise immediate reporting.
Patient Guidelines
- Take as directed by your doctor.
- Continue lifestyle modifications (diet, exercise) while taking this medicine.
- Report any muscle pain, tenderness, or weakness immediately.
- Do not stop taking without consulting your doctor.
Missed Dose Advice
If a dose is missed, take it as soon as remembered unless it is almost time for the next dose. Do not double the dose.
Driving Precautions
Generally no effect on driving or operating machinery. If dizziness occurs, avoid such activities.
Lifestyle Advice
- Adopt a low-cholesterol, low-fat diet.
- Engage in regular physical activity.
- Maintain a healthy weight.
- Avoid smoking and limit alcohol intake.
Alternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.