Pravastatin Sodium 20 mg Tablet, 1,000-count
Other active recalls for Pravastatin Sodium (different manufacturers) — 5 · tap to view
🆔 Identity & classification
Where does this data come from?
🏷️ RxNorm drug class
This medicine belongs to the HMG-CoA Reductase Inhibitor class.
Where does this data come from?
🏭 Manufacturer & labeler
Where does this data come from?
🩺 Clinical
Pravastatin is used to reduce the risk of heart attack and stroke decrease the amount of cholesterol (a fat-like substance that can build up and clog blood vessels causing heart attack or stroke or other health conditions) Pravastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing how much cholesterol your body makes. This lowers the amount of cholesterol that can build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body.
Read the full MedlinePlus article ↗- Pravastatin works in two main ways. First, it lowers your LDL (bad cholesterol) and triglycerides while nudging your HDL (good cholesterol) higher. Second — and this is the big one...
- What exactly is pravastatin supposed to do for me?
- Good news — pravastatin is flexible. You can take it at any time of day, morning or evening, and with or without food. The cholesterol-lowering effect is similar either way. The on...
- Does it matter what time of day I take it, or whether I take it with food?
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Pravastatin Sodium — tap one for details:
Pravastatin Sodium may be associated with lower levels of 1 nutrient — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
Ask a licensed pharmacist directly — free, answered by our team.
💊 What it looks like
Where does this data come from?
🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII 3K9958V90M
A liquid solvent derived from fermentation or chemical synthesis. In medicines, alcohol dissolves active ingredients, helps preserve the product, and improves how the body absorbs certain drugs.
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UNII OP1R32D61U
Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
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UNII M28OL1HH48
Croscarmellose sodium is a plant-based substance derived from cellulose. It acts as a disintegrant, helping tablets and capsules break down quickly in the digestive system so the medicine can be absorbed.
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UNII 1K09F3G675
Ferric oxide red is an inorganic iron compound used as a colorant in medicines. It gives tablets, capsules, or other dosage forms a red or reddish tint for identification and appearance.
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UNII EX438O2MRT
Ferric oxide yellow is a naturally occurring iron compound used as a colorant in medications. It gives tablets, capsules, and other forms a yellow or golden hue for identification and appearance.
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UNII EWQ57Q8I5X
Lactose monohydrate is a natural sugar derived from milk. It serves as a filler and binder in tablets and capsules, helping create the proper size, texture, and consistency of the medicine.
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UNII 70097M6I30
Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
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UNII FZ989GH94E
Povidone is a synthetic polymer made from a plastic-like material. It acts as a binder to hold tablet ingredients together and as a disintegrant to help the tablet break apart in your stomach so the medicine can be absorbed.
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UNII ETJ7Z6XBU4
Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
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UNII 368GB5141J
A detergent and foaming agent derived from coconut or palm oil. In medications, it helps break down and mix oil and water-based ingredients, aids in tablet disintegration, and improves how the drug dissolves and spreads in the mouth or digestive system.
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UNII 22ADO53M6F
A mineral salt derived from phosphoric acid, used as a buffer to maintain the pH balance of the medication and help stabilize the active ingredients.
11 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
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💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · Q2 2026 | $0.1412 | $141.20 / 1000 tablets |
Where does this data come from?
🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Pravastatin Sodium 20 mg 68180-0486-02 | Lupin | 500 tablets | $0.058 | AB | Discontinued | — |
| Pravastatin Sodium 20 mg 16729-0009-15 | Accord | 90 tablets | $0.059 | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 00093-7201-10 | Teva | 1000 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 00904-5892-61 | Major | 100 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 16714-0559-01 | NorthStar | 90 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 50268-0666-15 | AvPAK | 50 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 51079-0458-20 | Mylan | 100 tablets | $0.062 | AB | Discontinued | — |
| Pravastatin Sodium 20 mg 60687-0178-01 | American | 100 tablets | $0.062 | AB | Discontinued | — |
| Pravastatin Sodium 20 mg 60687-0897-01 | American | 100 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 68462-0196-05 | Glenmark | 500 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 69097-0789-05 | CIPLA | 90 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 82009-0006-10 | Quallent | 1000 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin sodium 20 mg 84386-0032-90 | Aurobindo | 90 tablets | $0.062 | AB | Availability likely | — |
| Pravastatin Sodium 20 mg 00615-8540-05 | NCS | 15 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 00615-8619-05 | NCS | 15 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 35356-0919-30 | Lake | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 43063-0807-30 | PD-Rx | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 48433-0148-20 | Safecor | 100 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-0973-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-0975-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-2025-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-6898-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-7551-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-7552-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-7709-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-7710-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 50090-7813-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 50090-7892-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 50090-7893-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 50090-7947-00 | A-S | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 50090-7948-00 | A-S | 90 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 51407-0888-10 | Golden | 1000 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 51655-0343-52 | Northwind | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 55111-0230-01 | Dr.Reddy's | 100 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 55154-7275-00 | Cardinal | 10 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 60505-0169-01 | Apotex | 100 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 62135-0848-90 | Chartwell | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 63629-8906-01 | Bryant | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 63629-8909-01 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 63629-9163-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 65862-0633-05 | Aurobindo | 500 tablets | — | — | FDA listed | — |
| Pravastatin Sodium 20 mg 67046-1519-03 | Coupler | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 68071-3361-03 | NuCare | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 68071-3788-09 | NuCare | 90 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 68071-3895-09 | NuCare | 90 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 68788-4049-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 68788-7779-03 | Preferred | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 68788-8421-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 68788-8871-03 | Preferred | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mgthis 69292-0102-10 | Amici | 1000 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 70377-0046-11 | Biocon | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 70518-1938-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 70518-2887-01 | REMEDYREPACK | 90 tablets | — | AB | Discontinued | — |
| Pravastatin sodium 20 mg 70518-4408-00 | REMEDYREPACK | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 71205-0149-30 | Proficient | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 71335-0296-01 | Bryant | 30 tablets | — | AB | Discontinued | — |
| Pravastatin Sodium 20 mg 71335-0947-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 71335-1022-01 | Bryant | 30 tablets | — | AB | Discontinued | — |
| Pravastatin Sodium 20 mg 71335-2908-01 | Bryant | 1000 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 71335-9692-01 | Bryant | 30 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 72189-0060-90 | DIRECT | 90 tablets | — | AB | FDA listed | — |
| Pravastatin Sodium 20 mg 72789-0143-30 | PD-Rx | 30 tablets | — | AB | FDA listed | — |
| Pravastatin sodium 20 mg 82868-0091-30 | Northwind | 30 tablets | — | AB | FDA listed | — |
Where does this data come from?
⏳ Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
📊 Medicare Part D spend CMS · PART D · 2026 (Q1)
📦 Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Status |
|---|---|---|---|
| 69292-0102-10 You're viewing this | 1000 TABLET in 1 BOTTLE (69292-102-10) | 2026-05-19 | Active |
| 69292-0102-50 | 500 TABLET in 1 BOTTLE (69292-102-50) | 2026-05-19 | Active |
| 69292-0102-90 | 90 TABLET in 1 BOTTLE (69292-102-90) | 2026-05-19 | Active |
You're viewing the largest of 3 pack sizes for this product.
Pack size FAQ
What quantity is in NDC 69292-0102-10?
What is the difference between NDC 69292-0102-10 and NDC 69292-0102-90?
What NDC number is used to bill for this package of Pravastatin Sodium 20 mg Tablet?
🧭 About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |
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📄 Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS & USAGE Pravastatin sodium tablets is indicated: • To reduce the risk of myocardial infarction, myocardial revascularization procedures, and cardiovascular mortality in adults with elevated low-density lipoprotein cholesterol (LDL-C) without clinically evident coronary heart disease (CHD). • To reduce the risk of coronary death, myocardial infarction, myocardial revascularization procedures, stroke or transient ischemic attack, and slow the progression of coronary atherosclerosis in adults with clinically evident CHD. • As an adjunct to diet to reduce LDL-C in adults with primary hyperlipidemia. • As an adjunct to diet to reduce LDL-C in pediatric patients ages 8 years and older with heterozygous familial hypercholesterolemia (HeFH). • As an adjunct to diet for the treatment of adults with: o Primary dysbetalipoproteinemia. o Hypertriglyceridemia.
Pravastatin sodium tablets are an HMG-CoA reductase inhibitor (statin) indicated ( 1 ): · To reduce the risk of myocardial infarction, myocardial revascularization procedures, and cardiovascular mortality in adults with elevated low-density lipoprotein cholesterol (LDL-C) without clinically evident coronary heart disease (CHD). · To reduce the risk of coronary death, myocardial infarction, myocardial revascularization procedures, stroke or transient ischemic attack, and slow the progression of coronary atherosclerosis in adults with clinically evident CHD. · As an adjunct to diet to reduce LDL-C in adults with primary hyperlipidemia. · As an adjunct to diet to reduce LDL-C in pediatric patients ages 8 years and older with heterozygous familial hypercholesterolemia (HeFH). · As an adjunct to diet for the treatment of adults with: o Primary dysbetalipoproteinemia. o Hypertriglyceridemia.
⏱️ Dosage and Administration ▾
2 DOSAGE & ADMINISTRATION · Take orally once daily at any time of the day, with or without food ( 2.1 ). · For patients that require a high-intensity statin or are unable to achieve their LDL-C goal receiving Pravastatin sodium tablets 80 mg daily, prescribe alternative LDL- C-lowering treatment ( 2.1 ). · Assess LDL-C when clinically appropriate, as early as 4 weeks after initiating Pravastatin sodium tablets, and adjust the dosage if necessary ( 2.1 ). · Adults: recommended starting dosage is Pravastatin sodium tablets 40 mg to 80 mg once daily.
( 2.2 ) · Pediatric Patients ( 2.3 ): o aged 8 to 13 years, the recommended dosage is 20 mg once daily. o aged 14 to 18 years, the recommended starting dosage is 40 mg once daily. · Severe renal impairment: recommended starting dosage is pravastatin sodium 10 mg once daily. Recommended maximum Pravastatin sodium tablets dosage is 40mg once daily. ( 2.4 ) · See full prescribing information for dosage modifications due to drug interactions ( 2.5 , 7 ).
2.1Important Dosage and Administration Information · Take Pravastatin sodium tablets orally once daily as a single dose at any time of the day, with or without food. · For patients that require a high-intensity statin or are unable to achieve their LDL-C goal receiving Pravastatin sodium tablets 80 mg daily, prescribe alternative LDL-C-lowering treatment. · Assess LDL-C when clinically appropriate, as early as 4 weeks after initiating Pravastatin sodium tablets, and adjust the dosage if necessary.
2.2Recommended Dosage in Adult Patients The recommended starting dosage is Pravastatin sodium tablets 40 mg to 80 mg once daily.
2.3Recommended Dosage in Pediatric Patients 8 Years of Age and Older with HeFH · In pediatric patients aged 8 to 13 years, the recommended dosage is Pravastatin sodium tablets 20 mg once daily. · In pediatric patients aged 14 to 18 years, the recommended starting dosage is Pravastatin sodium tablets 40 mg once daily.
2.4Recommended Dosage in Patients with Renal Impairment · In patients with severe renal impairment, the recommended starting dosage is pravastatin sodium 10 mg once daily. Pravastatin sodium tablets is available in a 10 mg strength. The maximum recommended dosage of Pravastatin sodium tablets in patients with severe renal impairment is 40 mg once daily [ see Clinical Pharmacology ( 12.3 )]. · The recommended dosage of Pravastatin sodium tablets for patients with mild or moderate renal impairment is the same as patients with normal renal function.
2.5Dosage and Administration Modifications Due to Drug Interactions · In patients taking a bile acid sequestrant, administer Pravastatin sodium tablets at least 1 hour before or 4 hours after the bile acid sequestrant [ See Drug Interactions (7.2) ]. · Concomitant use of Pravastatin sodium tablets with the following drugs requires dosage modifications of Pravastatin sodium tablets [ see Warnings and Precautions (5.1) and Drug Interactions (7.1) ] : o Cyclosporine In patients taking cyclosporine, the recommended starting dosage is pravastatin sodium 10 mg once daily.
Pravastatin sodium tablets is available in a 10 mg strength. The maximum recommended dosage of Pravastatin sodium tablets in patients taking cyclosporine is 20 mg once daily. o Clarithromycin and Erythromycin The maximum recommended dosage is Pravastatin sodium tablets 40 mg once daily.
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS & STRENGTHS Pravastatin sodium tablets, USP are supplied as: 10 mg tablets: light brown, mottled, round tablets, debossed with FL15 on one side and plain on the other side. 20 mg tablets: light brown, mottled, round tablets, debossed with FL16 on one side and plain on the other side. 40 mg tablets: light brown, mottled, round tablets, debossed with FL17 on one side and plain on the other side.
80 mg tablets: light brown, mottled, capsule shape, unscored tablets, debossed with FL18 on one side and plain on other side. · Tablets: 10 mg, 20 mg, 40 mg and 80 mg of pravastatin sodium. ( 3 )
⛔ Contraindications ▾
4 CONTRAINDICATIONS · Acute liver failure or decompensated cirrhosis [ see Warnings and Precautions (5.3) ]. · Hypersensitivity to any pravastatin or any excipients in Pravastatin sodium tablets. · Hypersensitivity to pravastatin or any excipient in Pravastatin sodium tablets ( 4 ) · Acute liver failure or decompensated cirrhosis ( 4 , 5.3 )
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS · Myopathy and Rhabdomyolysis: Risk factors include age 65 years or greater, uncontrolled hypothyroidism, renal impairment, concomitant use with certain other drugs, and higher Pravastatin sodium tablets dosage. Discontinue Pravastatin sodium tablets if markedly elevated CK levels occur or myopathy is diagnosed or suspected. Temporarily discontinue Pravastatin sodium tablets in patients experiencing an acute or serious condition at high risk of developing renal failure secondary to rhabdomyolysis.
Inform patients of the risk of myopathy and rhabdomyolysis when starting or increasing Pravastatin sodium tablets dosage. Instruct patients to promptly report unexplained muscle pain, tenderness, or weakness, particularly if accompanied by malaise or fever. ( 5.1 , 7.1 , 8.5 , 8.6 ) · Immune-Mediated Necrotizing Myopathy (IMNM): Rare reports of IMNM, an autoimmune myopathy, have been reported.
Discontinue Pravastatin sodium tablets if IMNM is suspected ( 5.2 ). · Hepatic Dysfunction: Increases in serum transaminases have occurred, some persistent. Rare reports of fatal and non-fatal hepatic failure have occurred. Consider testing liver enzymes before initiating therapy and as clinically indicated thereafter.
If serious hepatic injury with clinical symptoms and/or hyperbilirubinemia or jaundice occurs, promptly discontinue ( 5.3 ).
5.1Myopathy and Rhabdomyolysis Pravastatin sodium tablets may cause myopathy and rhabdomyolysis. Acute kidney injury secondary to myoglobinuria and rare fatalities have occurred as a result of rhabdomyolysis in patients treated with statins, including Pravastatin sodium tablets. Myopathy, defined as muscle aching or muscle weakness in conjunction with increases in creatine phosphokinase (CK) to greater than 10 times the upper limit of normal (ULN), occurred <0.1% in Pravastatin sodium tablets-treated patients in clinical trials.
Risk Factors for Myopathy Risk factors for myopathy include age 65 years or greater, uncontrolled hypothyroidism, renal impairment, concomitant use with certain other drugs (including other lipid-lowering therapies), and higher Pravastatin sodium tablets dosage [ see Drug Interactions (7.1) ]. Steps to Prevent or Reduce the Risk of Myopathy and Rhabdomyolysis Pravastatin sodium tablets is not recommended in patients taking gemfibrozil [ see Drug Interactions (7) ]. There are Pravastatin sodium tablets dosage restrictions for patients taking cyclosporin and select macrolide antibiotics [ see Dosage and Administration (2.5) ].
The following drugs when used concomitantly with Pravastatin sodium tablets may also increase the risk of myopathy and rhabdomyolysis: niacin, fibrates, and colchicine [ see Drug Interactions (7) ]. Discontinue Pravastatin sodium tablets if markedly elevated CK levels occur or myopathy is diagnosed or suspected. Muscle symptoms and CK increases may resolve if Pravastatin sodium tablets is discontinued.
Temporarily discontinue Pravastatin sodium tablets in patients experiencing an acute or serious condition at high risk of developing renal failure secondary to rhabdomyolysis, e.g., sepsis; shock; severe hypovolemia; major surgery; trauma; severe metabolic, endocrine, or electrolyte disorders; or uncontrolled epilepsy. Inform patients of the risk of myopathy and rhabdomyolysis when starting or increasing the Pravastatin sodium tablets dosage. Instruct patients to promptly report any unexplained muscle pain, tenderness or weakness, particularly if accompanied by malaise or fever.
5.2Immune-Mediated Necrotizing Myopathy There have been rare reports of immune-mediated necrotizing myopathy (IMNM), an autoimmune myopathy, associated with statin use, including reports of recurrence when the same or a different statin was administered. IMNM is characterized by proximal muscle weakness and elevated serum creatine kinase that persist despite discontinuation of statin treatment; positive anti-HMG CoA reductase antibody; muscle biopsy showing nec…
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The following important adverse reactions are described below and elsewhere in the labeling: · Myopathy and Rhabdomyolysis [ see Warnings and Precautions (5.1)] · Immune-Mediated Necrotizing Myopathy [ see Warnings and Precautions (5.2)] · Hepatic Dysfunction [ see Warnings and Precautions (5.3)] · Increases in HbA1c and Fasting Serum Glucose Levels [ see Warnings and Precautions (5.4)] In short-term clinical trials, the most commonly reported adverse reactions (≥2% and greater than placebo) were: musculoskeletal pain, nausea/vomiting, upper respiratory infection, diarrhea, and headache.
( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Amici Pharma, Inc. at 1-866-760-2646 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
6.1Clinical Trials Experience Because clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice. In Pravastatin sodium tablets placebo-controlled clinical trials, 1313 patients (age range 20 to 76 years, 32% women, 93.5% White, 5% Black, 0.9% Hispanic, 0.4% Asian, 0.2% Other) with a median treatment duration of 14 weeks, 3.3% of patients on Pravastatin sodium tablets and 1.2% patients on placebo discontinued due to adverse reactions (regardless of causality).
The most common adverse reactions that led to treatment discontinuation and occurred at an incidence greater than placebo were: hepatic transaminase elevations, nausea, anxiety/depression, and dizziness. Adverse reactions (regardless of causality) reported in ≥2% of Pravastatin sodium tablets-treated patients in placebo-controlled trials of up to 8 months duration are identified in Table 1: Table 1: Adverse Reactions in ≥ 2% of Patients Treated with Pravastatin (Any Dose) and at an Incidence Greater Than Placebo in Short-Term Placebo-Controlled Trials % Placebo N=411 % Any Dose N=902 Nausea/Vomiting 7.1
7.4Diarrhea 5.6
6.7Headache 4.6
6.3Upper Respiratory Infection 5.8
5.9Angina Pectoris 3.4
4.5Rash 1.4
4.5CPK Increased 3.6
4.1Dizziness 3.4
3.5ALT Increased 1.2
2.9Chest Pain 1.9
2.7Cough 1.7
2.5Myalgia 1.2
2.3Influenza 0.7 2.0 g-GT Increased 1.2
2.0The safety and tolerability of Pravastatin sodium tablets at a dose of 80 mg in 2 controlled trials with a mean exposure of 8.6 months was similar to that of Pravastatin sodium tablets at lower doses except that 4 out of 464 patients taking 80 mg of pravastatin had a single elevation of CK >10 times ULN compared to 0 out of 115 patients taking 40 mg of pravastatin. In Pravastatin sodium tablets placebo-controlled clinical trials, 21,483 patients (age range 24-75 years, 10.3% women, 52.3% White, 0.8% Black, 0.5% Hispanic, 0.1% Asian, 0.1% Other, 46.1% not recorded) had a median treatment duration of 261 weeks.
Adverse reactions (regardless of causality) were pooled from 7 double-blind, placebo-controlled trials (West of Scotland Coronary Prevention Study [WOS]; Cholesterol and Recurrent Events study [CARE]; Long-term Intervention with Pravastatin in Ischemic Disease study [LIPID]; Pravastatin Limitation of Atherosclerosis in the Coronary Arteries study [PLAC I]; Pravastatin, Lipids and Atherosclerosis in the Carotids study [PLAC II]; Regression Growth Evaluation Statin Study [REGRESS]; and Kuopio Atherosclerosis Prevention Study [KAPS]) involving a total of 10,764 patients treated with Pravastatin sodium tablets 40 mg and 10,719 patients treated with placebo.
Patients weres exposed to Pravastatin sodium tablets for a mean of 4.0 to 5.1 years in WOS, CARE, and LIPID and 1.9 to 2.9 years in PLAC I, PLAC II, KAPS, and REGRESS. Adverse reactions (regardless of causality) occurring in ≥5% of patients treated with Pravastatin sodium tablets in these studies are identified in Table 2: Table 2: Adverse Reactions in ≥ 5% of Patients Treated with Pravastatin 40 mg and at an Incidence Gr…
🔄 Drug Interactions ▾
7 DRUG INTERACTIONS · See full prescribing information for details regarding concomitant use of Pravastatin sodium tablets with other drugs that increase the risk of myopathy and rhabdomyolysis. ( 2.5 , 7.1 ) · Bile Acid Sequestrants: in patients taking a bile acid sequestrant, administer Pravastatin sodium tablets at least 1 hour before or at least 4 hours after the bile acid sequestrant ( 7.2 )
7.1Drug Interactions that Increase the Risk of Myopathy and Rhabdomyolysis with Pravastatin sodium tablets Pravastatin sodium tablets is a substrate of the transport protein OATP1B1. Pravastatin sodium tablets plasma levels can be significantly increased with concomitant administration of inhibitors of OATP1B1. Table 3 includes a list of drugs that increase the risk of myopathy and rhabdomyolysis when used concomitantly with Pravastatin sodium tabletsand instructions for preventing or managing them [ see Warnings and Precautions (5.1) and Clinical Pharmacology (12.3) ].
Table 3: Drug Interactions that Increase the Risk of Myopathy and Rhabdomyolysis with Pravastatin sodium tablets Gemfibrozil Clinical Impact: There is an increased risk of myopathy/rhabdomyolysis when Pravastatin sodium tablets is administered with gemfibrozil Intervention: Avoid concomitant use of gemfibrozil with Pravastatin sodium tablets. Cyclosporine Clinical Impact: The risk of myopathy and rhabdomyolysis is increased with concomitant use of cyclosporine with Pravastatin sodium tablets. Intervention: Initiate with a dosage of pravastatin sodium 10 mg once daily.
Pravastatin sodium tablets is available in a 10 mg strength. Do not exceed Pravastatin sodium tablets 20 mg once daily [ see Dosage and Administration(2.5) ]. Select Macrolide Antibiotics Clinical Impact: The risk of myopathy and rhabdomyolysis is increased by concomitant use of clarithromycin or erythromycin with Pravastatin sodium tablets.
Other macrolides (e.g., azithromycin)have the potential to increase Pravastatin sodium tablets exposures and increase the risk of myopathy and rhabdomyolysis when used concomintantly. Intervention: For patients taking erythromycin or clarithromycin, do not exceed 40mg Pravastatin sodium tablets once daily [ see Dosage and Administration (2.5) ]. Niacin Clinical Impact: Cases of myopathy and rhabdomyolysis have been observed with concomitant use of niacin with Pravastatin sodium tablets.
Intervention: Consider if the benefit of using niacin concomitantly with Pravastatin sodium tablets outweighs the increased risk of myopathy and rhabdomyolysis. If concomitant use is decided, monitorpatientsforsignsandsymptomsofmyopathy,particularlyduringinitiation of therapy and during upward dose titration of either drug. Fibrates(other than Gemfibrozil) Clinical Impact: Fibrates may cause myopathy when given alone.
The risk of myopathy and rhabdomyolysisisincreasedwithconcomitantuseoffibrateswithPravastatin sodium tablets. Intervention: Consider if the benefit of using fibrates concomitantly with Pravastatin sodium tablets outweighstheincreasedriskofmyopathyandrhabdomyolysis.Ifconcomitantuseis decided,monitorpatientsforsignsandsymptomsofmyopathy,particularlyduring initiation of therapy and during upward dose titration of either drug. Colchicine Clinical Impact: Casesofmyopathyandrhabdomyolysishavebeenreportedwithconcomitantuseof colchicine with Pravastatin sodium tablets.
Intervention: Consider if the benefit of using colchicine concomitantly with Pravastatin sodium tablets outweighstheincreasedriskofmyopathyandrhabdomyolysis.Ifconcomitantuseis decided,monitorpatientsforsignsandsymptomsofmyopathy,particularlyduring initiation of therapy and during upward dose titration of either drug.
7.2Drug Interactions that Decrease the Efficacy of Pravastatin sodium tablets Table 4 presents drug interactions that may decrease the efficacy of Pravastatin sodium tablets and instructions for preventing or managing them. Table 4: Drug Interactions that Decrease the Efficacy of Pravastatin sodium t…
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS · Pregnancy: May cause fetal harm ( 8.1 ) · Lactation: Breastfeeding not recommended during treatment with Pravastatin sodium tablets ( 8.2 )
8.1Pregnancy Risk Summary Discontinue Pravastatin sodium tablets when pregnancy is recognized. Alternatively, consider the ongoing therapeutic needs of the individual patient. Pravastatin sodium tablets decreases synthesis of cholesterol and possibly other biologically active substances derived from cholesterol; therefore, Pravastatin sodium tablets may cause fetal harm when administered to pregnant patients based on the mechanism of action [ see Clinical Pharmacology (12.1) ].
In addition, treatment of hyperlipidemia is not generally necessary during pregnancy. Atherosclerosis is a chronic process and the discontinuation of lipid- lowering drugs during pregnancy should have little impact on the outcome of long-term therapy of primary hyperlipidemia for most patients. Available data from case series and prospective and retrospective observational cohort studies over decades of use with statins in pregnant women have not identified a drug-associated risk of major congenital malformations.
Published data from prospective and retrospective observational cohort studies with Pravastatin sodium tablets use in pregnant women are insufficient to determine if there is a drug-associated risk of miscarriage (see Data). In animal reproduction studies, no evidence of fetal malformations was seen in pregnant rats or rabbits orally administered pravastatin during the period of organogenesis at doses that resulted in 10 times and 120 times, respectively, the human exposure at the maximum recommended human dose (MRHD) of 80 mg/day, based on body surface area (mg/m2).
An imbalance in some fetal skeletal variations, increased offspring mortality, and developmental delays occurred when pregnant rats were exposed to 10 times to 12 times the MRHD during organogenesis to parturition (see Data). The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively.
Data Human Data A Medicaid cohort linkage study of 1152 statin-exposed pregnant women compared to 886,996 controls did not find a significant teratogenic effect from maternal use of statins in the first trimester of pregnancy, after adjusting for potential cofounders – including maternal age, diabetes mellitus, hypertension, obesity, and alcohol and tobacco use – using propensity score-based methods. The relative risk of congenital malformations between the group with statin use and the group with no statin use in the first trimester was 1.07 (95% confidence interval 0.85 to 1.37) after controlling for confounders, particularly pre-existing diabetes mellitus.
There were also no statistically significant increases in any of the organ-specific malformations assessed after accounting for cofounders. In the majority of pregnancies, statin treatment was initiated prior to pregnancy and was discontinued at some point in the first trimester when pregnancy was identified. Study limitations include reliance on physician coding to define the presence of a malformation, lack of control for certain confounders such as body mass index, use of prescription dispensing as verification for the use of a statin, and lack of information on non-live births.
Animal Data Embryofetal and neonatal mortality was observed in rats given pravastatin during the period of organogenesis or during organogenesis continuing through weaning. In pregnant rats given oral gavage doses of 4, 20, 100, 500, and 1000 mg/kg/day from gestation days 7 through 17 (organogenesis) increased mortality of offspring and increased cervical rib skeletal anomalies were observed at ≥100 mg/kg/day systemic exposure, 10 times the human exposure at 80 mg/day MRHD based o…
🤰 Pregnancy ▾
8.1Pregnancy Risk Summary Discontinue Pravastatin sodium tablets when pregnancy is recognized. Alternatively, consider the ongoing therapeutic needs of the individual patient. Pravastatin sodium tablets decreases synthesis of cholesterol and possibly other biologically active substances derived from cholesterol; therefore, Pravastatin sodium tablets may cause fetal harm when administered to pregnant patients based on the mechanism of action [ see Clinical Pharmacology (12.1) ].
In addition, treatment of hyperlipidemia is not generally necessary during pregnancy. Atherosclerosis is a chronic process and the discontinuation of lipid- lowering drugs during pregnancy should have little impact on the outcome of long-term therapy of primary hyperlipidemia for most patients. Available data from case series and prospective and retrospective observational cohort studies over decades of use with statins in pregnant women have not identified a drug-associated risk of major congenital malformations.
Published data from prospective and retrospective observational cohort studies with Pravastatin sodium tablets use in pregnant women are insufficient to determine if there is a drug-associated risk of miscarriage (see Data). In animal reproduction studies, no evidence of fetal malformations was seen in pregnant rats or rabbits orally administered pravastatin during the period of organogenesis at doses that resulted in 10 times and 120 times, respectively, the human exposure at the maximum recommended human dose (MRHD) of 80 mg/day, based on body surface area (mg/m2).
An imbalance in some fetal skeletal variations, increased offspring mortality, and developmental delays occurred when pregnant rats were exposed to 10 times to 12 times the MRHD during organogenesis to parturition (see Data). The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively.
Data Human Data A Medicaid cohort linkage study of 1152 statin-exposed pregnant women compared to 886,996 controls did not find a significant teratogenic effect from maternal use of statins in the first trimester of pregnancy, after adjusting for potential cofounders – including maternal age, diabetes mellitus, hypertension, obesity, and alcohol and tobacco use – using propensity score-based methods. The relative risk of congenital malformations between the group with statin use and the group with no statin use in the first trimester was 1.07 (95% confidence interval 0.85 to 1.37) after controlling for confounders, particularly pre-existing diabetes mellitus.
There were also no statistically significant increases in any of the organ-specific malformations assessed after accounting for cofounders. In the majority of pregnancies, statin treatment was initiated prior to pregnancy and was discontinued at some point in the first trimester when pregnancy was identified. Study limitations include reliance on physician coding to define the presence of a malformation, lack of control for certain confounders such as body mass index, use of prescription dispensing as verification for the use of a statin, and lack of information on non-live births.
Animal Data Embryofetal and neonatal mortality was observed in rats given pravastatin during the period of organogenesis or during organogenesis continuing through weaning. In pregnant rats given oral gavage doses of 4, 20, 100, 500, and 1000 mg/kg/day from gestation days 7 through 17 (organogenesis) increased mortality of offspring and increased cervical rib skeletal anomalies were observed at ≥100 mg/kg/day systemic exposure, 10 times the human exposure at 80 mg/day MRHD based on body surface area (mg/m 2 ). In other studies, no teratogenic effects were observed when pravastatin was dosed orally during organogenesis in rabbits (gestation days 6 th…
🧒 Pediatric Use ▾
8.4Pediatric Use The safety and effectiveness of Pravastatin sodium tablets as an adjunct to diet to reduce LDL-C have been established in pediatric patients 8 years of age and older with HeFH. Use of Pravastatin sodium tablets for this indication is based on a double-blind, placebo-controlled clinical study in 214 pediatric patients (100 males and 114 females) 8 years of age and older with HeFH. Doses greater than 40 mg daily have not been studied in this population.
The safety and effectiveness of Pravastatin sodium tablets have not been established in pediatric patients younger than 10 years of age with HeFH or in pediatric patients with other types of hyperlipidemia (other than HeFH).
🧓 Geriatric Use ▾
8.5Geriatric Use In clinical studies, 4,797 (36.4%) Pravastatin sodium tablets-treated patients were aged 65 and older and 110 (0.8%) were aged 75 and older. No significant differences in efficacy or safety were observed between geriatric patients and younger patients. Mean pravastatin AUCs are 25%-50% higher in elderly subjects than in healthy young subjects, but mean maximum plasma concentration (Cmax), time to maximum plasma concentration (Tmax), and half-life (t½) values are similar in both age groups and substantial accumulation of pravastatin would not be expected in the elderly [ see Clinical Pharmacology (12.3) ].
Advanced age (≥65 years) is a risk factor for Pravastatin sodium tablets-associated myopathy and rhabdomyolysis. Dose selection for an elderly patient should be cautious, recognizing the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy and the higher risk of myopathy. Monitor geriatric patients receiving Pravastatin sodium tablets for the increased risk of myopathy [ see Warnings and Precautions (5.1) ].
🆘 Overdosage ▾
10 OVERDOSAGE No specific antidotes for Pravastatin sodium tablets are known. Contact Poison Control (1-800-222-1222) for latest recommendations.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1Mechanism of Action Pravastatin is a reversible inhibitor of HMG-CoA reductase, the rate-limiting enzyme that converts HMG-CoA to mevalonate, a precursor of cholesterol.
12.2Pharmacodynamics Inhibition of HMG-CoA reductase by pravastatin accelerates the expression of LDL-receptors, followed by the uptake of LDL-C from blood to the liver, leading to a decrease in plasma LDL-C and total cholesterol. Sustained inhibition of cholesterol synthesis in the liver also decreases levels of very-low-density lipoproteins. The maximum LDL-C reduction of Pravastatin sodium tablets is usually achieved by 4 weeks and is maintained after that.
12.3Pharmacokinetics Absorption Pravastatin sodium tablets is administered orally in the active form. Peak plasma pravastatin concentrations occurred 1 to 1.5 hours upon oral administration. Based on urinary recovery of total radiolabeled drug, the average oral absorption of pravastatin is 34% and absolute bioavailability is 17%.
While the presence of food in the gastrointestinal tract reduces area under the concentration-time curve (AUC) and C max by 31% and 49%, respectively, the lipid-lowering effects of the drug are similar whether taken with or 1 hour prior to meals. Pravastatin plasma concentrations, including AUC, C max , and steady-state minimum (C min ), are directly proportional to administered dose. Systemic bioavailability of pravastatin administered following a bedtime dose was decreased 60% compared to that following an AM dose.
Despite this decrease in systemic bioavailability, the efficacy of pravastatin administered once daily in the evening, although not statistically significant, was marginally more effective than that after a morning dose. The coefficient of variation (CV), based on between-subject variability, was 50% to 60% for AUC. The geometric means of pravastatin Cmax and AUC follwing a 20 mg dose in the fasted state were 26.5 ng/mL and 59.8 ng*hr/mL, respectively.
Steady-state AUCs, Cmax, and Cmin plasma concentrations showed no evidence of pravastatin accumulation following once or twice daily administration of Pravastatin sodium tablets. Distribution Approximately 50% of the circulating drug is bound to plasma proteins. Elimination Metabolism The major biotransformation pathways for pravastatin are: (a) isomerization to 6-epi pravastatin and the 3α-hydroxyisomer of pravastatin (SQ 31,906) and (b) enzymatic ring hydroxylation to SQ 31,945.
The 3α-hydroxyisomeric metabolite (SQ 31,906) has 1/10 to 1/40 the HMG-CoA reductase inhibitory activity of the parent compound. Pravastatin undergoes extensive first-pass extraction in the liver (extraction ratio 0.66). Excretion Approximately 20% of a radiolabeled oral dose is excreted in urine and 70% in the feces.
After intravenous administration of radiolabeled pravastatin to normal volunteers, approximately 47% of total body clearance was via renal excretion and 53% by non-renal routes (i.e., biliary excretion and biotransformation). Following single dose oral administration of 14C-pravastatin, the radioactive elimination t½ for pravastatin is 1.8 hours in humans and the elimination half-life (t½) for total radioactivity (pravastatin plus metabolites) is 77 hours. Specific Populations Renal Impairment A single 20 mg oral dose of pravastatin was administered to 24 patients with varying degrees of renal impairment (as determined by creatinine clearance).
No effect was observed on the pharmacokinetics of pravastatin or its 3α-hydroxy isomeric metabolite (SQ 31,906). Compared to healthy subjects with normal renal function, patients with severe renal impairment had 69% and 37% higher mean AUC and Cmax values, respectively, and a 0.61 hour shorter t½ for the inactive enzymatic ring hydroxylation metabolite (SQ 31,945) [see Use in Specific Populations (8.6)]. Hepatic Impairment In a study comparing the kinetics of pravastatin in patients with biopsy confirmed cirrhosis (N=7) and normal subjects (N=7), the mean…
🧬 Mechanism of Action ▾
12.1Mechanism of Action Pravastatin is a reversible inhibitor of HMG-CoA reductase, the rate-limiting enzyme that converts HMG-CoA to mevalonate, a precursor of cholesterol.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING
16.1How Supplied Pravastatin sodium tablets, USP are supplied as: 10 mg tablets: light brown, mottled, round tablets, debossed with FL15 on one side and plain on the other side. NDC 69292-101-90, bottle of 90 tablets NDC 69292-101-50, bottle of 500 tablets NDC 69292-101-10, bottle of 1000 tablets 20 mg tablets: light brown, mottled, round tablets, debossed with FL16 on one side and plain on the other side. NDC 69292-102-90, bottle of 90 tablets NDC 69292-102-50, bottle of 500 tablets NDC 69292-102-10, bottle of 1000 tablets 40 mg tablets: light brown, mottled, round tablets, debossed with FL17 on one side and plain on the other side.
NDC 69292-103-90, bottle of 90 tablets NDC 69292-103-50, bottle of 500 tablets NDC 69292-103-10, bottle of 1000 tablets 80 mg tablets: light brown, mottled, capsule shape, unscored tablets, debossed with FL18 on one side and plain on other side.. NDC 69292-104-90, bottle of 90 tablets NDC 69292-104-50, bottle of 500 tablets NDC 69292-104-10, bottle of 100 tablets Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from light and moisture.
Dispense in a tight, light-resistant container.
📋 Description ▾
11 DESCRIPTION Pravastatin sodium tablets is a statin, an inhibitor of 3-hydroxy-3-methylglutaryl- coenzyme A (HMG-CoA) reductase. Pravastatin sodium is designated chemically as 1-Naphthalene-heptanoic acid, 1,2,6,7,8,8a-hexahydro-β,δ,6-trihydroxy-2-methyl-8-(2-methyl-1-oxobutoxy)-, monosodium salt, [1S-[1α(βS*,δS*),2α,6α,8β(R*),8aα]]-. Structural formula: Pravastatin sodium is an odorless, white to off-white, fine or crystalline powder.
It is a relatively polar hydrophilic compound with a partition coefficient (octanol/water) of 0.59 at a pH of 7. It is soluble in methanol and water (>300 mg/mL), slightly soluble in isopropanol, and practically insoluble in acetone, acetonitrile, chloroform, and ether. Pravastatin sodium tablets for oral use contain 10 mg, 20 mg, 40 mg, and 80 mg pravastatin sodium, which is equivalent to 9.46, 18.97, 37.94 and 75.88 mg of pravastatin, respectively.
Inactive ingredients include: colloidal silicon dioxide, croscarmellose sodium, dehydrated alcohol, dibasic sodium phosphate anhydrous, ferric oxide brown, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and sodium lauryl sulfate. structure
💬 Information for Patients ▾
17 PATIENT COUNSELING INFORMATION Myopathy and Rhabdomyolysis Advise patients that Pravastatin sodium tablets may cause myopathy and rhabdomyolysis. Inform patients that the risk is increased when taking certain types of medication and they should discuss all medication, both prescription and over the counter, with their healthcare provider. Instruct patients to promptly report any unexplained muscle pain, tenderness or weakness particularly if accompanied by malaise or fever [ see Warnings and Precautions (5.1) , Drug Interactions (7.1) ].
Hepatic Dysfunction Inform patients that Pravastatin sodium tablets may cause liver enzyme elevations and possibly liver failure. Advise patients to promptly report fatigue, anorexia, right upper abdominal discomfort, dark urine or jaundice [ see Warnings and Precautions (5.3) ]. Increases in HbA1c and Fasting Serum Glucose Levels Inform patients that increases in HbA1c and fasting serum glucose levels may occur with Pravastatin sodium tablets.
Encourage patients to optimize lifestyle measures, including regular exercise, maintaining a healthy body weight, and making healthy food choices [ see Warnings and Precautions (5.4) ]. Pregnancy Advise pregnant patients and patients who may become pregnant of the potential risk to a fetus. Advise patients to inform their healthcare provider of a known or suspected pregnancy to discuss if Pravastatin sodium tablets should be discontinued [ see Use in Specific Populations (8.1) ] .
Lactation Advise patients that breastfeeding is not recommended during treatment with Pravastatin sodium tablets [ see Use in Specific Populations (8.2) ] . Distributed by: Amici Pharma, Inc. Melville, NY 11747 Rev.
03/2026