Consumer Information for: PMS-SIMVASTATIN

Consumer Information

Information about the product including what the product is used for, dosage, warnings, proper use and side effects. This summary will not tell you everything about the product. Contact your healthcare professional if you have any questions about the product.


What the medication is used for

Your doctor has prescribed pms-SIMVASTATIN to lower the levels of cholesterol and fatty substances called triglycerides in your blood and to reduce the health risks associated with Coronary Heart Disease (CHD).

Elevated cholesterol can cause CHD by clogging the blood vessels (atherosclerosis) that carry oxygen and nutrients to the heart.

If you have CHD or other signs of atherosclerosis such as previous stroke, symptoms of peripheral vascular disease, or diabetes (regardless of the amount of cholesterol in your blood), pms-SIMVASTATIN should lessen the risk of heart attack or stroke.

You can also benefit from taking pms-SIMVASTATIN if you have high levels of cholesterol with or without associated high triglycerides (primary hypercholesterolemia, or combined hyperlipidemia) and homozygous familial hypercholesterolemia (high cholesterol inherited from both parents).

As part of your treatment plan to lower cholesterol, and depending on your health and lifestyle, your doctor, nurse or pharmacist may recommend a diet to reduce cholesterol and other measures such as exercise and weight control.

Safety and effectiveness have been studied in 10-17-year-old boys and in girls, who had started their menstrual period at least one year before (see Proper Use of this Medication). Simvastatin has not been studied in children under the age of 10 years. For more information, talk to your doctor, nurse or pharmacist.

What it does

Simvastatin is one of the class of medicines known as HMG-CoA reductase inhibitors. They inhibit, in other words block, an enzyme that is necessary for the body to make cholesterol. In this way, less cholesterol is produced in the liver. Medicines like this one are prescribed along with, and not as a substitute for, a special diet and other measures. Simvastatin is used to lower the levels of cholesterol [particularly low-density lipoprotein cholesterol (LDL-C)] and fatty substances called triglycerides in your blood.

pms-SIMVASTATIN reduces the amount of cholesterol in your blood. Elevated cholesterol can cause CHD by clogging the blood vessels that carry oxygen and nutrients to the heart.

When it should not be used

Do not take pms-SIMVASTATIN if you are:

  • allergic to simvastatin or any non-medicinal ingredient in the formulation
  • diagnosed with active liver disease
  • pregnant or breast-feeding
  • taking any of the following medicines:
    • certain antifungal medicines (such as itraconazole, ketoconazole, posaconazole, or voriconazole)
    • HIV protease inhibitors (such as indinavir, nelfinavir, ritonavir, and saquinavir)
    • certain hepatitis C virus protease inhibitors (such as boceprevir or telaprevir)
    • certain antibiotics (such as erythromycin, clarithromycin, or telithromycin)
    • antidepressant nefazodone
    • medicines containing cobicistat
    • gemfibrozil (a fibric acid medicine for lowering cholesterol)
    • cyclosporine
    • danazol.

Ask your doctor, nurse or pharmacist if you are not sure if your medicine is listed above.

What the medicinal ingredient is

Simvastatin

What the non-medicinal ingredients are

Ascorbic Acid, Butylated Hydroxyanisole, Citric Acid, Hypromellose, Lactose Monohydrate, Magnesium Stearate, Microcrystalline Cellulose, Polydextrose, Polyethylene Glycol, Pregelatinized Starch, Titanium Dioxide, Triacetin, Iron Oxide Yellow (5 & 20 mg), Iron Oxide Red (10 & 20 mg), FD&C Blue No. 2 Lake, FD&C Red No. 40 Lake, FD&C Yellow No. 6 Lake (40 & 80 mg).

What dosage form it comes in

Tablets: 5 mg, 10 mg, 20 mg, 40 mg and 80 mg.

Warnings and precautions

BEFORE taking pms-SIMVASTATIN, tell your doctor, nurse or pharmacist if you:

  • are pregnant, intend to become pregnant, are breastfeeding or intend to breast-feed
  • have thyroid problems
  • regularly drink three or more alcoholic drinks daily
  • are taking any other cholesterol lowering medication such as fibrates (gemfibrozil, fenofibrate), niacin or ezetimibe
  • are taking any other medications, including prescription, non-prescription and natural health products as drug interactions are possible
  • have a family history of muscular disorders
  • had any past problems with the muscles (pain, tenderness), after using an HMG-CoA reductase inhibitor (“statin”) such as atorvastatin, fluvastatin, lovastatin, pravastatin or rosuvastatin, or have developed an allergy or intolerance to them
  • have kidney or liver problems
  • have diabetes. Slightly increased blood sugar can occur when you take pms-SIMVASTATIN. Discuss with your doctor, nurse or pharmacist your risk of developing diabetes
  • have undergone surgery or other tissue injury
  • do excessive physical exercise
  • are of childbearing age. Cholesterol compounds are essential elements for the development of a fetus. Cholesterol-lowering drugs can harm the fetus. If you are of childbearing age, discuss with your doctor, nurse or pharmacist the potential hazards to the fetus and the importance of birth control methods.
  • become pregnant. pms-SIMVASTATIN should not be used by pregnant women. If you become pregnant, discontinue use immediately and discuss with your doctor, nurse or pharmacist
  • are Asian.

When starting or increasing the dose of pms-SIMVASTATIN, or at any time, if you experience any unexplained muscle pain, tenderness or weakness, you must report promptly to your doctor, nurse or pharmacist.

Be sure to tell your doctor, nurse or pharmacist you are taking pms-SIMVASTATIN before undergoing any major elective surgery or if you have any other new major medical issues.

Interactions with this medication

You should tell your doctor, nurse or pharmacist about all drugs that you are using or plan to use, including those obtained without a prescription, while taking pms-SIMVASTATIN. You should also tell any doctor who is prescribing a new medication for you that you are taking pms-SIMVASTATIN.

Because taking pms-SIMVASTATIN with any of the following drugs or substances can increase the risk of muscle problems (see Side Effects and What to Do About Them), it is particularly important to tell your doctor, nurse or pharmacist if you are taking:

  • antifungal agents (such as itraconazole, ketoconazole, posaconazole, or voriconazole)
  • HIV protease inhibitors (such as indinavir, nelfinavir, ritonavir, and saquinavir)
  • Hepatitis C antiviral agents (such as boceprevir, telaprevir, elbasvir or grazoprevir)
  • the antibiotics erythromycin, clarithromycin, telithromycin, and fusidic acid (IV or oral)
  • the antidepressant nefazodone
  • medicines containing cobicistat
  • cyclosporine (immunosuppressant)
  • danazol
  • fibrates/fibric acid derivatives (bezafibrate and gemfibrozil) (drug to treat lipids problems)
  • amiodarone (a drug used to treat an irregular heartbeat)
  • verapamil, or diltiazem, or amlodipine (drugs used to treat high blood pressure, angina, or other heart conditions)
  • lomitapide (a drug used to treat a serious and rare genetic cholesterol condition)
  • Deptomycin (a drug used to treat complicated skin and skin structure infections and bacterial infections in the blood, including certain heart valve infections)
  • grapefruit juice (which should be avoided while taking pms-SIMVASTATIN).

It is also important to tell your doctor, nurse or pharmacist if you are taking corticosteroids, anticoagulants (drug that prevents blood clots, such as warfarin), colchicine (a medicine used for gout), digoxin (a drug used to treat heart problems), niacin, or fenofibrate, another fibric acid derivative.

Some of these have already been listed in the above section “When it should not be used”.

Proper use of this medication

Usual Dose

  • Take your medication exactly as your doctor, nurse or pharmacist instructed. Do not change the dose unless directed by your doctor. It is usually recommended to be taken with the evening meal. Because of the increased risk of muscle problems, taking 80 mg each day is only recommended for patients who have been taking this amount for a long time with no muscle problems or for patients at high risk of heart disease problems who have problems taking other statins. It is important to continue taking the tablets as instructed. Do not alter the dosage or stop taking the medicine without consulting your doctor, nurse or pharmacist.
  • For children (10-17 years old), the recommended usual starting dose is 10 mg a day in the evening. The maximum recommended dose is 40 mg a day.
  • Carefully follow any measures that your doctor, nurse or pharmacist has recommended for diet, exercise or weight control.
  • When taking pms-SIMVASTATIN, you should avoid consuming grapefruit juice.
  • When taking pms-SIMVASTATIN concurrently with cholestyramine or any other resin, an interval of at least two hours should be maintained between the two drugs.
  • Keep your appointments regularly with your doctor, nurse or pharmacist so that your blood can be tested and your progress checked at proper intervals.
  • Avoid drinking large quantities of alcohol.
  • Do not start taking any other medicines unless you have discussed the matter with your doctor, nurse or pharmacist.
  • Let your doctor, nurse or pharmacist know if you suffer a severe injury, or severe infection.
  • If you have to undergo any kind of surgery, tell your doctor, nurse or pharmacist about the planned surgery; and also inform the doctor in charge that you are taking this medicine.

Overdose

If you think you have taken too much pms-SIMVASTATIN, contact your healthcare professional, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed Dose

Side effects and what to do about them

Serious side effects, how often they happen and what to do about them
Symptom / effect Talk with your doctor, nurse, or pharmacist only if severe Talk with your doctor, nurse, or pharmacist in all cases Stop taking drug and talk with your doctor or pharmacist
Common
Example: 1 ✔    
     
     
     
Uncommon
     
     
     
     
Rare
     
     
     
     
Very rare
     
     
     
     
How to store

Reporting side effects

You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following three ways:

  • Report online at www.healthcanada.gc.ca/medeffect
  • Call toll-free at 1-866-234-2345
  • Complete a Canada Vigilance Reporting Form and:
    • Fax toll-free to 1-866-678-6789, or
    • Mail to:
      Canada Vigilance Program
      Health Canada
      Postal Locator 0701E
      Ottawa ON K1A 0K9

Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffectTM Canada Web site at www.healthcanada.gc.ca/medeffect.

NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice.

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