Mevacor

Do not take this drug if you are pregnant or nursing.

Special warnings about Mevacor

If you are being treated for any disease that contributes to increased blood cholesterol, such as hypothyroidism, diabetes, nephrotic syndrome (kidney and blood vessel disorder), dysproteinemia (an excess of protein in the blood), or liver disease, your doctor will closely monitor your reaction to Mevacor.

Drugs like Mevacor have occasionally been known to damage muscle tissue, so be sure to tell your doctor immediately if you notice any unexplained muscle tenderness, weakness, or pain, especially if you also have a fever or feel sick. Your doctor may want to do a blood test to check for signs of muscle damage.

It is recommended that liver function tests be performed by your doctor before treatment with Mevacor begins, at 6 and 12 weeks after your treatment has started or your dosage has been raised, and periodically (about 6-month intervals) thereafter.

If you are planning to have elective surgery, Mevacor should be discontinued a few days before the operation. This drug should be used with caution if you consume substantial quantities of alcohol or have a past history of liver disease.

Possible food and drug interactions when taking Mevacor

Mevacor tends to enhance the blood-thinning effect of Coumadin. In rare instances, it can also cause muscle pain and potential kidney damage when combined with the following:

Amiodarone (Cordarone)
Clarithromycin (Biaxin)
Clofibrate (Atromid-S)
Cyclosporine (Sandimmune, Neoral)
Erythromycin (E.E.S., PCE, others)
Fenofibrate (Tricor)
Fluconazole (DiFlucan)
Gemfibrozil (Lopid)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Nefazodone (Serzone)
Nicotinic acid or niacin (Niaspan)
Protease inhibitors (a type of drug for HIV) such as Agenerase, Crixivan, Fortovase, Invirase, Norvir, and Viracept
Verapamil (Calan)

If you are taking Mevacor with any of these drugs, (or with large quantities of grapefruit juice), alert your doctor immediately at the first sign of muscle pain, tenderness, or weakness, especially if accompanied by fever or general body discomfort. If you need to take erythromycin, Biaxin, Nizoral, or Sporanox, the doctor may temporarily take you off Mevacor.