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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Pivasta 4 Tablet is used to lower bad cholesterol and triglyceride levels in the blood. Additionally, it reduces the risk of heart attack and stroke in future. It contains Pitavastatin, which decreases the production of LDL (bad cholesterol) by the liver. Also, it reduces the risk of stroke or heart attack by reducing the brain's excess cholesterol deposition and the heart's major blood vessels. Some people may experience side effects such as constipation, diarrhoea, pain in arms or legs, muscle pain or back pain. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Whats That

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Composition :

PITAVASTATIN-4MG

Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Pivasta 4 Tablet

Pivasta 4 Tablet is used to lower bad cholesterol and triglyceride levels in the blood. Additionally, Pivasta 4 Tablet reduces the risk of heart attack and stroke in future. High cholesterol, known as hyperlipidaemia or dyslipidaemia, occurs when there is an excess of the unhealthy balance of cholesterol in the blood. When the cholesterol level is high in the blood, your arteries get narrowed and clogged, contributing to heart diseases like stroke and heart attack. 

Pivasta 4 Tablet contains Pitavastatin, which works by inhibiting the HMG-CoA reductase enzyme in the body that is essential to making cholesterol. Thereby, it decreases the production of LDL (bad cholesterol) by the liver. Also, Pivasta 4 Tablet reduces the risk of stroke or heart attack by reducing the brain's excess cholesterol deposition and the heart's major blood vessels.

Take Pivasta 4 Tablet as prescribed. Your doctor will advise you how often you need to take Pivasta 4 Tablet based on your medical condition. Some people may experience constipation, diarrhoea, pain in arms or legs, muscle pain or back pain. Most of these side effects of Pivasta 4 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to Pivasta 4 Tablet or any other medicines, please tell your doctor. Avoid using Pivasta 4 Tablet if you are pregnant or breastfeeding. You are advised to take effective birth control measures while taking Pivasta 4 Tablet to avoid pregnancy. Maintain a low-fat diet along with Pivasta 4 Tablet for effective results. Avoid taking Pivasta 4 Tablet if you have liver disease, including abnormal liver enzyme tests.  If you have uncontrolled fits, dehydration, severe infection or low blood pressure, high or low potassium levels in blood and surgery, stop taking Pivasta 4 Tablet and consult a doctor.  If you have a thyroid disorder, kidney, liver or muscle problems, please consult a doctor before taking Pivasta 4 Tablet .

Uses of Pivasta 4 Tablet

Treatment of Hyperlipidemia (high cholesterol), Prevention of heart attack and stroke.

Directions for Use

• Pivasta 4 Tablet can be taken with or without food as advised by your doctor.• It is usually taken once a day or as directed by the doctor.• Swallow Pivasta 4 Tablet as a whole with a glass of water.• Do not chew, crush or break it.

Medicinal Benefits

Pivasta 4 Tablet contains Pitavastatin used to lower bad cholesterol and triglyceride levels. Pivasta 4 Tablet inhibits the HMG-CoA reductase enzyme in the body that is essential to make cholesterol. Thereby, it decreases the production of LDL (bad cholesterol) by the liver. Also, Pivasta 4 Tablet reduces the risk of stroke or heart attack by reducing the excess cholesterol deposition in the major blood vessels of the brain and heart. Pivasta 4 Tablet is also prescribed in children above 8 years and heterozygous familial hypercholesterolemia (an inherited genetic disorder resulting in serious high cholesterol levels).

How Pivasta 4 Tablet Works

Pivasta 4 Tablet contains Pitavastatin, which works by inhibiting the HMG-CoA reductase enzyme in the body that is essential to making cholesterol. Thereby, it decreases the production of LDL (bad cholesterol) by the liver. Also, Pivasta 4 Tablet reduces the risk of stroke or heart attack by reducing the brain's excess cholesterol deposition and the heart's major blood vessels.

Storage

Keep Pivasta 4 Tablet out of reach and sight of children.
Side effects of Pivasta 4 Tablet
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
  • Avoid trigger foods that can cause allergic reactions, such as nuts, shellfish, or dairy products.
  • Keep a food diary to track potential food allergens.
  • Include omega-3 rich foods like salmon and walnuts to reduce inflammation.
  • Wear loose, comfortable clothing made from soft fabrics like cotton.
  • Apply cool compresses or take cool baths to reduce itching.
  • Use gentle soaps and avoid harsh skin products.
  • Reduce stress through relaxation techniques like meditation or deep breathing.
Here are the steps to manage the medication-triggered Common Cold:
  • Inform your doctor about the common cold symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.

What if I have taken an overdose of Pivasta 4 Tablet

Do not take more than the prescribed dose of Pivasta 4 Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

If you are allergic to Pivasta 4 Tablet or any other medicines, please tell your doctor. Avoid using Pivasta 4 Tablet if you are pregnant or breastfeeding women and consult a doctor before taking Pivasta 4 Tablet . You are advised to take effective birth control measures while taking Pivasta 4 Tablet to avoid pregnancy. Maintain a low-fat diet along with Pivasta 4 Tablet for effective results. Avoid taking Pivasta 4 Tablet if you have liver disease, including abnormal liver enzyme tests.  If you have uncontrolled fits, dehydration, severe infection or low blood pressure, high or low potassium levels in the blood, and surgery, stop taking Pivasta 4 Tablet for a short period and consult a doctor. If you have a thyroid disorder, kidney, liver, or muscle problems, please consult a doctor before taking Pivasta 4 Tablet .

Drug-Drug Interactions

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PitavastatinLomitapide
Severe

Drug-Drug Interactions

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How does the drug interact with Pivasta 4 Tablet:
Coadministration of Pivasta 4 Tablet with ciclosporin may significantly increase the blood levels of Pivasta 4 Tablet which can increase the risk of side effects such as liver problems and rhabdomyolysis(involves the breakdown of skeletal muscle tissue).

How to manage the interaction:
Taking Pivasta 4 Tablet with Ciclosporin is not recommended, as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience symptoms like unexpected bruising or bleeding, skin rash, itching, tiredness, nausea, vomiting, yellowing of the skin or eyes, unexplained muscular pain, tenderness, or weakness, fever, dark urine, chills, joint pain, or swelling, consult a doctor. Do not discontinue any medications without a doctor's advice.
PitavastatinLomitapide
Severe
How does the drug interact with Pivasta 4 Tablet:
Co-administration of Lomitapide and Pivasta 4 Tablet may increase the risk of liver damage.

How to manage the interaction:
Taking Pivasta 4 Tablet with Lomitapide together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you have any of the following symptoms: fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, fatigue, lack of appetite, nausea, vomiting, abdominal pain, dark urine, light stools, and/or yellowing of the skin or eyes, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
PitavastatinClofibrate
Severe
How does the drug interact with Pivasta 4 Tablet:
Taking Pivasta 4 Tablet with Clofibrate can increase the risk of liver, and kidney damage and a condition called rhabdomyolysis (the breakdown of skeletal muscle tissue).

How to manage the interaction:
Co-administration of Pivasta 4 Tablet with Clofibrate can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms like unexpected bruising or bleeding, skin rash, itching, exhaustion, nausea, vomiting, yellowing of the skin or eyes, unexplained muscular pain, tenderness, or weakness, fever, dark urine, chills, joint pain, or swelling, consult a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Pivasta 4 Tablet:
Taking Lenalidomide and Pivasta 4 Tablet together can increase the risk of rhabdomyolysis (the breakdown of skeletal muscle tissue).

How to manage the interaction:
Although there is an interaction between lenalidomide and Pivasta 4 Tablet, it can be taken if prescribed by a doctor. However, if you experience unexplained muscle pain, tenderness, or weakness, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Pivasta 4 Tablet:
When Pivasta 4 Tablet and Adalimumab are taken together, can increase nerve damage.

How to manage the interaction:
Although there is a possible interaction between Pivasta 4 Tablet and Adalimumab, you can take these medicines together if prescribed by your doctor. However, if you experience weakness, numbness, pain, burning, or tingling in your hands, feet, or limbs, consult the doctor.
How does the drug interact with Pivasta 4 Tablet:
Combining Leflunomide with Pivasta 4 Tablet can increase the risk and severity of liver problems.

How to manage the interaction:
Although taking Leflunomide and Pivasta 4 Tablet together can evidently cause an interaction, it can be taken if a doctor has suggested it. However, if you have any of the following symptoms: fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, fatigue, decreased hunger, nausea, vomiting, stomach pain, dark urine, light stools, and/or yellowing of the skin or eyes, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Pivasta 4 Tablet:
Coadministration of colchicine and Pivasta 4 Tablet may increase the risk of conditions.

How to manage the interaction:
Taking colchicine with Pivasta 4 Tablet may possibly result in an interaction, but they can be taken together if prescribed by a doctor. However, contact a doctor immediately if you experience abdominal discomfort, nausea, vomiting, diarrhea, back pain, weakness, or tingling or numbness in your hands and feet. Do not discontinue any medication without consulting a doctor.
PitavastatinVoclosporin
Severe
How does the drug interact with Pivasta 4 Tablet:
Taking Pivasta 4 Tablet and Voclosporin can lead to increased levels of Pivasta 4 Tablet, which may lead to side effects.

How to manage the interaction:
Although there is a possible interaction between Pivasta 4 Tablet and Voclosporin, you can take these medicines together if prescribed by a doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Pivasta 4 Tablet:
Co-administration of Teriflunomide with Pivasta 4 Tablet may increase the risk of liver damage.

How to manage the interaction:
Although there is a possible interaction between Pivasta 4 Tablet and Teriflunomide, you can take these medicines together if prescribed by a doctor. However, if you have any of the following symptoms: fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, fatigue, lack of appetite, nausea, vomiting, abdominal pain, dark urine, light stools, and/or yellowing of the skin or eyes, consult a doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Pivasta 4 Tablet:
Co-administration of Nicotinamide with Pivasta 4 Tablet can increase the risk and severity of side effects like rhabdomyolysis (breakdown of skeletal muscle).

How to manage the interaction:
Taking Nicotinamide with Pivasta 4 Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you notice any unexplained muscle pain, muscle stiffness or tenderness, fever, dark-colored urine, or weakness, contact a doctor immediately. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Maintain a low-fat diet. Limit your intake of dairy products made with whole milk and red meat. Prefer skim milk and fat-free or low-fat dairy products.

  • Eat a healthy diet that includes fruits, vegetables, fish, poultry, whole grains, nuts and cut down beverages, processed and sugary foods.

  • Do regular exercises such as swimming, cycling, walking, or dancing and focus on losing weight as obesity also raises bad cholesterol and lowers good cholesterol.

  • Avoid smoking and alcohol consumption.

Habit Forming

No

Therapeutic Class

ANTILIPEMICS
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Alcohol

Unsafe

Avoid consumption of alcohol with Pivasta 4 Tablet as it may increase the risk of liver damage. Please consult a doctor before consuming alcohol with Pivasta 4 Tablet .

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Pregnancy

Unsafe

Pivasta 4 Tablet is a Category X pregnancy drug and is considered unsafe for pregnant women as it may cause harm to the unborn baby. If you are pregnant or planning for pregnancy, please inform your doctor before taking Pivasta 4 Tablet .

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Breast Feeding

Unsafe

Avoid breastfeeding while taking Pivasta 4 Tablet as it may be unsafe for the baby. However, please consult a doctor before taking Pivasta 4 Tablet .

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Driving

Safe if prescribed

Pivasta 4 Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Take Pivasta 4 Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required. Pivasta 4 Tablet is not recommended in patients with severe liver disease.

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Kidney

Caution

Take Pivasta 4 Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Pivasta 4 Tablet is not recommended for children below 8 years of age. However, Pivasta 4 Tablet should be used with caution in children above 8 years if prescribed by a doctor.

Have a query?

FAQs

Pivasta 4 Tablet is used to reduce bad cholesterol and triglyceride levels. Thereby, it reduces the risk of heart attack and stroke in future.

Pivasta 4 Tablet contains Pitavastatin that works by inhibiting the HMG-CoA reductase enzyme in the body that is essential to make cholesterol. Thereby, it decreases the production of LDL (bad cholesterol) by the liver. Also, Pivasta 4 Tablet reduces the risk of stroke or heart attack by reducing the excess cholesterol deposition in the major blood vessels of the brain and heart.

You are not recommended to take Pivasta 4 Tablet with atorvastatin as it may increase the risk of nerve damage. However, please consult a doctor before taking Pivasta 4 Tablet with any other medicines.

Yes, Pivasta 4 Tablet may cause rhabdomyolysis (the breakdown of muscle tissue) and may lead to kidney failure, especially in patients with kidney disease and hypothyroidism (underactive thyroid). It is not necessary for everyone taking Pivasta 4 Tablet to experience this adverse effect. However, if you experience unexplained muscle pain, weakness or tenderness, especially with fever, dark coloured urine or unusual tiredness, please consult your doctor immediately.

Pivasta 4 Tablet should be used with caution in diabetic patients as it may increase blood sugar levels. Regular monitoring of blood sugar levels is recommended in diabetic patients and inform your doctor before taking Pivasta 4 Tablet if you are diabetic.

You are recommended to avoid eating foods rich in fat or cholesterol and caffeine as it may increase side effects.

No, you are not recommended to stop taking Pivasta 4 Tablet without consulting your doctor as it may worsen the condition and increase the risk of heart attack and stroke. Therefore, take Pivasta 4 Tablet for as long as your doctor has prescribed it, and if you experience any difficulty while taking Pivasta 4 Tablet , please consult your doctor so that the dose may be gradually reduced.

Pivasta 4 Tablet may cause side effects such as muscle pain, back pain, diarrhoea, constipation and pain in arms or legs. If these side effects persist or worsen, please consult your doctor.

No, you should not take Pivasta 4 Tablet if you have active liver disease and elevated liver enzymes as Pivasta 4 Tablet may further worsen your liver condition.

Yes, Pivasta 4 Tablet is safe if used as per dose and duration advised by the doctor. Follow your doctor’s instructions. Some people may experience few side effects after taking Pivasta 4 Tablet .

You should take Pivasta 4 Tablet for as long as it is advised by your doctor. You might need to take it lifelong as cholesterol levels will be maintained only while you are taking Pivasta 4 Tablet . If you stop Pivasta 4 Tablet without starting other treatment, your cholesterol levels may increase again. Therefore, do not stop taking it without first consulting your doctor.

No, Pivasta 4 Tablet does not cause hair loss. If you experience hair loss, then it may be due to some other medication that you are taking or due to some other condition. If you have any concerns, please discuss with your doctor.

Pivasta 4 Tablet may cause tiredness in some people. Not everyone taking Pivasta 4 Tablet will experience tiredness. Additionally, Pivasta 4 Tablet may cause muscle damage which further worsens the tiredness. Therefore, if you feel tired while taking Pivasta 4 Tablet , consult your doctor.

No, do not take alcohol with Pivasta 4 Tablet as it may increase the risk of liver damage. However, if you have any concerns regarding this, please discuss with your doctor.

Country of origin

India

Manufacturer/Marketer address

Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India
Other Info - PIV0007

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