Pivasta 2 mg is a prescription medicine used to reduce elevated total cholesterol and low-density lipoprotein (LDL-C) in adults, adolescents, and children aged six years or older with primary hypercholesterolemia when the response to diet and other non-pharmacological measures is inadequate.

Patients should be on a cholesterol-lowering diet before treatment. All the patients must continue a particular diet pattern during treatment. Consult your doctor before using this medicine. The usual starting dose is one mg once daily. Dose adjustments should be made at intervals of four weeks or more. In general, doses should be individualized according to LDL-C levels, the treatment goal, and the patient’s response. Talk to your doctor about an appropriate dosing regimen. No dose adjustment is required in patients older than 70 years of age.  

Pivasta is for oral use and should be swallowed with a glass of water. It can be taken at any time of the day before or after consuming food. Statin therapy is generally more effective in the evening due to the circadian rhythm of lipid metabolism. If a child or adolescent cannot swallow the pill, the tablet may be dispersed in a glass full of water and taken immediately. Do not disperse the tablet in either acidic fruit juices or milk.   

For children and adolescents aged six years and over: Pivasta use in children should only be carried out by the health care expert experienced in treating hyperlipidemia, and progress should be regularly reviewed.

For children younger than six years of age - The safety and effectiveness of Pivasta in children below six years of age have not been established, and data are available.  

Patients with impaired renal function - No dose adjustment is needed in mild renal impairment, but Pitavastatin should be used cautiously.

A maximum daily dose of 2 mg may be administered with close monitoring for patients with mild to moderate impaired hepatic insufficiency.   

Pivasta 2 mg is contraindicated in the following conditions:

  — Hypersensitivity to Pitavastatin or any of the ingredients of the medicine

  — Severe hepatic impairment, functional liver disorder, or unexplained persistent elevations in serum transaminases.

  — Concomitant use with ciclosporin

  — During pregnancy, while breastfeeding, and in women of childbearing potential, not taking appropriate contraceptive precautions.

Remember the medicine has been prescribed because your doctor has judged that the benefit to you is greater than the risk of adverse effects. Many people taking this medicine do not have serious side effects. A few people taking Pitavastatin may have mild memory problems or confusion; if these rare effects develop, please talk to your doctor. Rarely a statin drug may cause or worsen diabetes. Speak to your doctor about the benefits and risks. The medicine may rarely cause muscle problems. Inform your doctor immediately if you develop any of these symptoms during treatment and if these symptoms persist after your doctor stops the treatment.

  — Muscle pain/tenderness/weakness, signs of kidney problems

  — Signs of kidney problems.