Rivaro 2 mg (Pitavastatin Calcium Hydrate)

Adult dose

For adults, the usual starting dose is 1 to 2 mg of pitavastatin calcium once daily. If the LDL cholesterol-lowering effect is insufficient, the maximum dosage may be increased to 4 mg per day. Dosage should be adjusted appropriately at intervals of 4 weeks or more based on LDL cholesterol levels, treatment goals, and patient response.

Child dose

For pediatric patients with heterozygous familial hypercholesterolemia (aged 10 to 16 years), take 1 mg of pitavastatin calcium once daily. If the LDL cholesterol-lowering effect is insufficient, the maximum dosage may be increased to 2 mg per day.

This medication should not be used in patients who are allergic to certain ingredients, have active liver disease, or have persistent unexplained elevations in liver enzymes. Patients with severe liver dysfunction or bile duct obstruction, as well as those taking cyclosporine, should not take this medication. Women who are pregnant, may become pregnant, or are nursing should not use this medication. It should also be avoided in patients with genetic conditions such as lactose intolerance. Patients with renal function impairment or a history of liver disease should use this medication cautiously, especially when taking fibrates or niacin, as the risk of muscle damage and renal function deterioration increases. Elderly patients, children, those with hypothyroidism, and patients with genetic muscle disorders should also be monitored closely. Since this medication is primarily metabolized in the liver, regular liver function tests should be conducted, and the medication should be immediately discontinued if liver function abnormalities are detected. If symptoms such as muscle pain or weakness occur, there is a risk of serious muscle damage, such as rhabdomyolysis, and a doctor should be consulted immediately. This medication is used to regulate blood lipid levels, so blood lipid tests should be performed regularly before and during treatment. There may be interactions with other medications, so caution is advised when taken with cyclosporine, fibrates, niacin, erythromycin, etc. Pregnant or nursing women should not take this medication, and those planning to become pregnant or who are already pregnant must consult a doctor. In children, this medication is used only restrictively for the treatment of familial hypercholesterolemia, and physical activity and muscle condition should be closely monitored. When storing, keep it out of the reach of children and store it in the original container to prevent misuse or quality degradation.

Serious side effects

Urticaria, swelling, chest tightness, difficulty breathing, liver dysfunction, jaundice, rhabdomyolysis, severe muscle weakness, ocular muscle weakness, thrombocytopenia, elevated blood pressure, paralysis, severe allergic reactions, severe skin reactions, respiratory issues, severe neurological symptoms, significant swelling or urination abnormalities

Mild side effects

• Abdominal pain
• rash
• fatigue
• paralysis
• itching
• headache
• muscle pain
• stiffness
• drowsiness
• insomnia

This medication should be stored in a container that can block light and air, at room temperature between 1°C and 30°C. Storing it this way helps maintain the effectiveness of the medication for a longer period.

Appearance

This medication is a very light yellowish-red, round, film-coated tablet with a score line.

Package unit

30 tablets (10 tablets/PTP×3), 100 tablets/bottle