Sinvastatina Generis

Quick links

Choose a section

Quick links to important sections

Advertisements

Sinvastatina Generis

Advertisements
Advertisements

Overview of Sinvastatina Generis

Property Description
Active ingredient Simvastatin
Form Tablet (Film-coated)
Pharmacological class HMG-CoA reductase inhibitor (Statin)
General purpose Lipid-modifying agent (managing cholesterol)
Origin Synthetic (derived from fungal metabolites)

What Type of Medicine is Sinvastatina Generis?

Sinvastatina Generis is a generic medicine containing the active ingredient, Simvastatin (INN). The drug is formally classified as an antilipidemic agent and belongs to the therapeutic class known as statins, which are specifically identified as HMG-CoA reductase inhibitors. This classification establishes the medicine’s systemic role in managing and modifying the overall levels of circulating fats, or lipids, within the bloodstream. Simvastatin is effective in lowering cardiovascular risk.

Composition, Origin, and Pharmaceutical Form

The active compound, Simvastatin (C25H38O5), is a synthetic molecule derived from a fermentation product. Sinvastatina Generis is a single-ingredient product, typically prepared as a solid tablet intended for oral administration. Chemically, the compound is distinguished as a prodrug in its administered lactone form, which requires metabolic activation within the liver to become the active beta-hydroxy-acid derivative. This prodrug nature is a differentiating feature within the statin class.

The General Purpose of Sinvastatina Generis

The core purpose of this medication is to fundamentally reduce and normalize key lipid concentrations that contribute to cardiovascular risk. Simvastatin is highly effective at lowering Low-Density Lipoprotein Cholesterol (LDL-C), a benefit integral to managing high cholesterol (hypercholesterolemia) and related fat imbalances (dyslipidemia). A typical use scenario involves long-term management to control LDL-C levels and support the primary prevention of cardiovascular events.

Regulatory References

  1. U.S. National Library of Medicine (NIH/MedlinePlus)
Advertisements

What side effects are possible with Sinvastatina Generis?

Possible Side Effects and Safety Information

The safety profile of Sinvastatina Generis (Simvastatin) is formally described in government regulatory documents based on classified adverse reactions and safety restrictions. Adverse effects are grouped by frequency and the body system affected.

Adverse Reaction Categories

Classification Examples of Reactions (System-Organ Class)
Common (ge 1/100 to <1/10) Headache (Nervous System); Constipation, Abdominal pain (Gastrointestinal); Myalgia (Musculoskeletal).
Uncommon (ge 1/1,000 to <1/100) Paresthesia, Dizziness (Nervous System); Vomiting, Diarrhea (Gastrointestinal); Rash, Pruritus (Skin).
Rare (ge 1/10,000 to <1/1,000) Pancreatitis (Gastrointestinal); Hepatitis/Jaundice, Peripheral neuropathy.
Very Rare/Not Known Hepatic failure; Interstitial lung disease; Memory loss; Erectile dysfunction.

Serious Adverse Reactions and Safety Restrictions

Official labeling emphasizes the risk of rhabdomyolysis, a severe muscle breakdown that can lead to acute renal failure, and hepatic failure (liver failure). Serious hypersensitivity syndrome is also documented.

Safety is formally restricted in certain populations or conditions:

  • Active Liver Disease: The medicine is generally contraindicated in individuals with active liver disease or unexplained persistent elevations of liver enzymes.
  • Pregnancy and Lactation: Use is contraindicated due to potential fetal harm.
  • Drug Interaction Risk: The risk of myopathy is significantly increased when co-administered with strong inhibitors of the CYP3A4 enzyme; co-administration is restricted or contraindicated with such medicines.

Regulatory Context

Regulatory documents note that the risk of serious muscle reactions is generally higher with increased exposure and may be heightened when specific interacting medicines are introduced or during dose escalation. Furthermore, monitoring requirements for liver function tests are specified before starting the medicine and periodically thereafter, as clinically indicated.

Advertisements

Overdose and Emergency Response

Overdose and when to seek help

Information regarding overdosage with Simvastatin, the active ingredient in Sinvastatina Generis, is based on limited clinical experience documented in official regulatory sources. The official prescribing information details that the experience with acute overdosage is minimal.

Documented Overdose Manifestations and Outcomes

The maximum acute ingestion dose of Simvastatin reported in regulatory literature was 3.6 grams. The official profile notes that all reported patients who ingested excessive amounts of the medicine recovered completely without sequelae, meaning no resulting long-term complications were observed. Consequently, the regulatory documentation does not specify a consistent set of life-threatening manifestations or severe clinical signs associated with acute overdosage, nor does it list specific physiological systems affected.

Emergency Actions and Management

In the event of suspected or known overdosage, immediate medical attention should be sought to initiate professional medical evaluation and care. Official regulatory guidance mandates that the management of Simvastatin overdosage must consist solely of symptomatic and supportive measures. There is no specific antidote known for Simvastatin or its metabolites. Furthermore, the official documents state that the dialyzability of the drug and its metabolites is not known, which is a key consideration for clinical management. No specific population-based overdose considerations are documented in the official labeling.

Advertisements

Therapeutic Uses of Sinvastatina Generis

Main Uses of Sinvastatina Generis

Sinvastatina Generis is a medication belonging to the group known as statins. Its primary function is to manage and improve lipid profiles in individuals with specific cardiovascular risks. It is primarily used for the following purposes:

Cholesterol Management

The medication is used to lower high levels of total cholesterol, "bad" cholesterol (LDL cholesterol), and fatty substances called triglycerides in the blood. Additionally, it helps to raise levels of "good" cholesterol (HDL cholesterol).

Treatment of Hypercholesterolemia

It is prescribed for individuals with primary hypercholesterolemia or mixed hyperlipidaemia when dietary changes, exercise, and weight loss alone have not been sufficient to manage cholesterol levels. This includes patients with homozygous familial hypercholesterolemia, a hereditary condition that causes high cholesterol levels.

Cardiovascular Prevention

Sinvastatina Generis is used to reduce the risk of significant cardiovascular events. This includes helping to prevent heart attacks, strokes, and the need for medical procedures to increase blood flow to the heart in patients with coronary heart disease or those at high risk of developing it due to conditions such as diabetes or a history of vascular disease.

Benefits of Treatment

By regulating the amount of lipids in the bloodstream, the medication provides several therapeutic benefits aimed at long-term health outcomes:

  • Slowing Atherosclerosis: High cholesterol can lead to the buildup of fatty deposits (plaques) in the walls of the arteries. Reducing LDL cholesterol helps slow the progression of this buildup, maintaining better blood flow through the vessels.
  • Reduction of Cardiac Events: Consistent management of lipid levels reduces the likelihood of acute cardiac complications in populations with established risk factors.
  • Stabilization of Existing Plaques: Statins are understood to help stabilize existing arterial plaques, making them less likely to rupture and cause blockages.
Advertisements

Eligibility and Restrictions for Use

Sinvastatina Generis (Simvastatin) eligibility is strictly defined by regulatory documents, establishing clear limitations on its use. The medicine is contraindicated and must not be used by women who are pregnant or may become pregnant, as well as those who are breastfeeding. Use is also prohibited in patients with active liver disease, including unexplained persistent elevations in liver enzymes, or a known hypersensitivity to the drug. A key restriction relates to co-medication: use is forbidden with specific, potent CYP3A4 inhibitors (e.g., certain antifungals and antibiotics).

The medication is approved for use in most adults for managing high cholesterol and reducing cardiovascular risk. Pediatric eligibility is conditional, approved only for adolescents aged 10 years and older who have Heterozygous Familial Hypercholesterolemia (HeFH). Specific populations require caution or restriction: this includes patients with severe renal impairment and those with predisposing risk factors for muscle effects, such as uncontrolled hypothyroidism or advanced age (65 years and older). Furthermore, the 80 mg daily dosage is restricted and may not be started in any new patient.

Advertisements

What should I know about interactions with other medicines?

Interactions with other medicines and products

Sinvastatina Generis (simvastatin) interacts with numerous medicines and products, primarily by being metabolized by the Cytochrome P450 3A4 (CYP3A4) enzyme and transported by OATP1B1. Co-administration with inhibitors of these pathways significantly increases simvastatin exposure, which carries a risk of muscle toxicity.

Contraindicated Combinations

The following products are contraindicated and must not be taken with simvastatin:

  • Strong CYP3A4 inhibitors (e.g., specific azole antifungals, macrolide antibiotics like erythromycin and clarithromycin, HIV protease inhibitors, hepatitis C protease inhibitors, and Cobicistat-containing products).
  • Other high-risk agents such as Gemfibrozil, Cyclosporine, and Danazol.

Combinations Requiring Dose Limits

Specific medicines necessitate a mandatory reduction in the simvastatin dose to prevent toxicity:

  • Maximum 10 mg daily when co-administered with Verapamil, Diltiazem, or Dronedarone.
  • Maximum 20 mg daily when co-administered with Amiodarone, Amlodipine, or Ranolazine.

Other Significant Interactions

Simvastatin requires careful monitoring when taken with Coumarin anticoagulants due to the potential to prolong the International Normalized Ratio (INR). Additionally, patients must avoid large quantities of grapefruit juice (more than one quart daily) due to its potential to increase simvastatin levels. Concomitant use with other lipid-modifying doses of niacin (ge1 g/day) or fibrates increases the risk of myopathy.

Advertisements

Mechanism of Action

Blocking the Liver's Cholesterol Production Factory

The fundamental mechanism involves the drug's active form, Simvastatin acid, acting as a competitive inhibitor of the enzyme HMG-CoA Reductase in the liver. This action directly blocks the rate-limiting step of the mevalonate pathway, suppressing the liver's ability to synthesize its own cholesterol and resulting in a critical internal depletion of this lipid.

Triggering Enhanced Clearance of Circulating Lipids

The depletion of intracellular cholesterol triggers a physiological feedback loop: the liver cells significantly increase the synthesis and surface expression of LDL Receptors. This upregulation functions as a key cascading effect, increasing the liver's capacity to capture and clearance of Low-Density Lipoprotein Cholesterol (LDL-C) particles from the plasma.

Modulating Non-Cholesterol Vascular Pathways

In addition to its primary action, the suppression of the mevalonate pathway also reduces the availability of non-sterol intermediates, leading to functional effects independent of lipid lowering. This indirectly modulates certain signaling proteins within the vascular wall, resulting in modulation of endothelial function and an attenuation of localized inflammatory signaling.

Advertisements

Dosage and Administration Information

Sinvastatina Generis (Simvastatin) is administered orally as a single dose once daily, consistent with official prescribing information.

Dosage and Administration Protocol

The standard protocol mandates that the tablet be taken in the evening, a schedule established to align with the body's natural cholesterol production cycle. The tablet may be taken either with or without food. Dosage adjustments must be made at intervals of not less than four weeks, and the patient's lipid status is typically assessed as early as four weeks after treatment begins to determine any required change.

Adult Dosing Regimens Detail (Once Daily, Evening)
Typical Starting Dose 10 mg or 20 mg
Usual Maintenance Range 20 mg to 40 mg
Maximum General Dose 40 mg

The 80 mg daily dosage is reserved only for patients who have been chronically taking this dose for 12 months or more without evidence of muscle toxicity; it is not recommended for new patients or for titrating from the 40 mg dose.

Administration Rules for Specific Populations

Specific dosage considerations are outlined for certain patient groups. For patients with severe renal impairment (creatinine clearance CLcr 15 to 29 mL/min), the recommended starting dosage is 5 mg once daily. For pediatric patients (ages 10 to 17 with Heterozygous Familial Hypercholesterolemia), the initial dose is 10 mg daily, with a maximum dose of 40 mg daily. No general dosage adjustment is necessary for older adults (age 65 years and older).

Handling and Timing

Tablets must be swallowed whole. If a dose is missed, it should be taken as soon as remembered. However, if it is almost time for the next scheduled evening dose, the missed dose is skipped, and the regular schedule is resumed; doses must not be doubled. Furthermore, to ensure proper administration, the consumption of grapefruit juice must be avoided.

Advertisements

Recent Clinical Evidence

Research Evidence / Overview of studies for Sinvastatina Generis

Evidence for Managing Lipid Imbalances (Hypercholesterolemia and Dyslipidemia)

This section describes the studies that evaluated outcomes related to systemic or functional imbalance concerning blood fat levels, such as cholesterol. The research examined patterns used in research exploring how symptoms change over time in populations managing these levels. These studies typically involved monitoring participants over defined time intervals to see how these systemic outcomes evolved in the observed populations.

The studies reported measurements of blood fat levels during the observation period. For instance, in studies relevant in trials assessing short-term or episodic symptom patterns, the product was used to monitor specific markers related to cholesterol. These outcomes was observed in some studies where researchers were looking at how cholesterol readings were measured and documented.

Evidence for Use in Primary Prevention of Cardiovascular Events

This section will detail the structure of the large-scale Randomized Controlled Trials (RCTs) and pooled data analyses that examined the measured incidence of a first heart attack, stroke, and all-cause mortality in high-risk adult populations who had no prior history of a major cardiovascular event.

The research was evaluated in patients at elevated risk for conditions associated with acute or disruptive episodes. Studies were designed to monitor the outcomes related to these acute changes. The findings describe patterns observed in the studies regarding the incidence of major events in the observed populations.

Evidence for Use in Secondary Prevention of Cardiovascular Events

This part will focus on the pivotal, long-term RCTs that were studied for patients who already had established vascular disease (e.g., prior heart attack or stroke), outlining the specific major clinical outcomes these studies tracked. The research explored the patterns observed in outcomes linked to inflammatory or irritative states in these populations.

What is Still Uncertain About Sinvastatina Generis Research

This final section will synthesize the major limitations and gaps in the existing research base. Follow-up durations were limited in many short-term trials, and the long-term effects are not fully established regarding cardiovascular outcomes beyond the period of the study. Comparative evidence is limited when considering all possible treatment protocols. The evidence highlights what is known — and what is still uncertain.

Key Studies & References

  1. Simvastatin (MedlinePlus Drug Information, U.S. National Library of Medicine)
Advertisements

Frequently Asked Questions (FAQ)

Common questions about Sinvastatina Generis (FAQ)

Q: What kinds of food interactions should I know about with Sinvastatina Generis?

Official guidance recommends avoiding the consumption of grapefruit and grapefruit juice while taking this medication. Large amounts of grapefruit can increase the concentration of the medicine in the bloodstream. This may raise the risk of developing muscle side effects, such as muscle injury.

Q: Is Sinvastatina Generis appropriate for children?

The official documentation indicates that this medication is used for specific pediatric patients. Generally, this includes adolescents aged 10 years and older who have Heterozygous Familial Hypercholesterolemia (HeFH) and meet certain medical criteria.

Q: Does Sinvastatina Generis affect kidney function?

The official product information mentions that severe renal impairment (poor kidney function) is listed as a predisposing factor for muscle side effects. For patients with severe renal impairment, a lower starting dosage is specified in the administration rules.

Q: Are there specific diet changes recommended with Sinvastatina Generis?

The medication is officially indicated as an adjunct to diet, meaning it is used in addition to dietary measures. Official patient information indicates the drug's use should be accompanied by a cholesterol-lowering diet and potentially limiting foods high in saturated fat.

Q: Why are muscle symptoms a concern with Sinvastatina Generis?

Muscle pain, tenderness, or weakness (myopathy) is a known serious risk described in the Warnings section of the regulatory documents. In rare cases, this can progress to a severe muscle breakdown called rhabdomyolysis, which may damage the kidneys.

Q: Is there a specific lab test needed before starting Sinvastatina Generis?

Regulatory documents recommend considering liver enzyme testing before initiating this therapy. Liver function testing is described in the official documents for monitoring potential hepatic dysfunction, and tests are typically performed as clinically indicated thereafter.

Q: What is the main reason doctors prescribe Sinvastatina Generis?

The primary indication is to reduce elevated levels of total cholesterol, LDL-C ('bad' cholesterol), and triglycerides. It is used in addition to diet to help manage high lipid levels in the blood.

Q: Is Sinvastatina Generis used for anything other than cholesterol?

Yes. Beyond lowering cholesterol, official documents indicate this medication is used to reduce the risk of cardiovascular events. This includes reducing the risk of a heart attack (myocardial infarction) or stroke in high-risk patients.

Q: Why is it important to take Sinvastatina Generis long-term?

The medication is indicated for the chronic management of high cholesterol and the long-term reduction of cardiovascular risk. Maintaining lower cholesterol levels and reducing risk is an ongoing process that typically requires continuous treatment.

Q: Can Sinvastatina Generis help prevent heart problems?

Official documents state the medication is indicated for reducing the risk of cardiovascular morbidity and mortality. This means it has been shown to help lower the incidence of serious heart problems, including heart attack and stroke, in specific patient groups.

Q: Does Sinvastatina Generis cause muscle pain?

Muscle pain, tenderness, or weakness (myopathy) is listed in the official product information as a known adverse reaction. This symptom is detailed in the Warnings section, which advises patients on signs to report promptly.

Q: What are the signs of a serious side effect from Sinvastatina Generis?

The official label describes signs such as unexplained muscle pain, tenderness, or weakness (especially if with fever), or signs of liver problems (jaundice or dark urine). If these signs occur, regulatory documents recommend seeking prompt professional guidance.

Q: Should I stop taking Sinvastatina Generis if I feel better?

Official patient information indicates that treatment should generally not be stopped without professional consultation. Because high cholesterol is a chronic condition, discontinuing the treatment may cause lipid levels to rise again.

Q: Can Sinvastatina Generis interact with grapefruit?

Official guidance recommends avoiding the consumption of grapefruit or grapefruit juice. This is because it can significantly increase the level of the drug in your body, which raises the risk of muscle-related adverse effects.

Q: Is it safe to drink alcohol while taking Sinvastatina Generis?

Regulatory documents note that excessive alcohol consumption may contribute to unwanted effects on the liver. Active liver disease is a contraindication for using the drug.

Q: Are there certain supplements that interact with Sinvastatina Generis?

The regulatory label indicates that co-administration with lipid-modifying doses of niacin-containing products (typically 1 gram or more per day) may increase the risk of muscle problems. The label highlights the need for professional guidance regarding the concurrent use of non-prescription supplements.

Q: Who is generally not eligible to take Sinvastatina Generis?

Official contraindications for the medication include having active liver disease or unexplained, persistent elevation of liver enzymes. Additionally, the drug is contraindicated for women who are pregnant or breastfeeding.

Q: Can older adults safely use Sinvastatina Generis?

Regulatory documents list advanced age (65 years or older) as a predisposing factor for myopathy and rhabdomyolysis (serious muscle side effects). Appropriate monitoring is described as a factor for this population.

Q: What is the research evidence for Sinvastatina Generis showing?

The official label contains specific sections summarizing results from clinical studies. This evidence shows that the drug reduces levels of 'bad' cholesterol and reduces the incidence of major coronary and cardiovascular events in high-risk patients.

Q: How quickly does Sinvastatina Generis start to work?

The full therapeutic effect of the medication is achieved over time. The label indicates that lipid status assessment and any necessary dosage adjustments are typically made as early as four weeks after starting treatment.

Q: What are the general expectations for results with Sinvastatina Generis?

The expected result is a reduction in total cholesterol and LDL-C, and an overall reduction in the risk of serious cardiovascular events, such as heart attack and stroke. It is intended to be used as part of a long-term management plan.

Q: If I miss a day of Sinvastatina Generis, what happens?

Official guidance states that a missed dose should be administered as soon as recognized on the same day. Subsequent dosage adjustments are generally avoided, and the regular schedule is continued.

Q: Why do people sometimes stop using Sinvastatina Generis?

Official labeling and patient reports indicate that discontinuation is sometimes necessary due to the development of specific side effects. The most common reasons relate to muscle problems (myopathy) or signs of liver toxicity, or due to a change in health status, such as pregnancy.

Q: Does Sinvastatina Generis affect the liver?

Yes. Increases in serum transaminases, which are liver enzymes, have been reported. Active liver disease is a contraindication, and the regulatory documents specify the need for monitoring liver enzyme tests while the medication is in use.

Q: Is it normal to feel tired when first starting Sinvastatina Generis?

Fatigue and dizziness are adverse reactions reported in clinical trial or post-marketing experience with this type of medication. If these symptoms are severe or persistent, regulatory documents advise seeking professional guidance.

Q: Can Sinvastatina Generis affect blood sugar levels?

Yes. The official label notes that increases in both HbA1 c (a measure of average blood sugar) and fasting serum glucose levels have been reported with the use of statin drugs.

Q: Is Sinvastatina Generis known to cause memory problems?

Rare reports of cognitive impairment have been associated with statin use in post-marketing experience. These symptoms can include memory loss, forgetfulness, or confusion.

Q: What does the official label say about pregnancy and Sinvastatina Generis?

It is contraindicated during pregnancy, and regulatory documents state that discontinuation is necessary if pregnancy is recognized. Official documents state that it may cause fetal harm.

Q: Are there any long-term risks associated with Sinvastatina Generis use?

The Warnings and Precautions section details risks such as myopathy, rhabdomyolysis, and hepatic dysfunction. These risks require monitoring over the course of the long-term therapy.

Q: Does Sinvastatina Generis cause headaches?

Headache is listed as a common adverse reaction reported in clinical trials. It is one of the more frequently occurring side effects mentioned in the product information.

Q: Is there a generic version of Sinvastatina Generis available?

The active ingredient in Sinvastatina Generis is Simvastatin, which is widely available as a generic drug (Simvastatin) in many countries. The original name 'Zocor' is the trade name for this medicine.

Q: What does 'contraindication' mean in relation to Sinvastatina Generis?

A contraindication refers to a condition or factor that prevents the use of a medical treatment because it would cause harm. For this medication, contraindications include active liver disease and pregnancy.

Q: Can taking Sinvastatina Generis cause stomach upset?

Yes. Common gastrointestinal adverse reactions reported in the official documents include constipation, nausea, and stomach pain. If these symptoms are bothersome, professional guidance is advised in the official documentation.

Q: Do people with existing liver conditions need to avoid Sinvastatina Generis?

Yes. The medication is contraindicated and should not be used by patients with active liver disease. It is also contraindicated for patients who have unexplained persistent elevations of liver enzymes.

Q: Can Sinvastatina Generis interact with herbal remedies?

The regulatory label explicitly names certain supplements and foods that interact. Due to the potential for interactions, professional guidance is specified as necessary when using non-prescription or herbal remedies alongside this drug.

Q: How often do people experience serious side effects from Sinvastatina Generis?

The risk of major adverse events like myopathy (severe muscle symptoms) or rhabdomyolysis is low. The label provides specific incidence rates, reporting that approximately 0.08% of patients taking 40 mg/day experienced myopathy in clinical studies.

Q: Is Sinvastatina Generis a lifetime medication?

The medication is indicated for chronic conditions such as high cholesterol and cardiovascular risk reduction. Treatment is typically ongoing, with the need for continuous use implied by the chronic nature of the conditions being treated.

Q: Are there any specific safety warnings for people with diabetes taking Sinvastatina Generis?

The label notes that increases in HbA1 c and fasting blood glucose levels have been reported with statin use. Diabetes is also listed as a predisposing factor that may increase the risk of muscle-related side effects.

Q: What is the chance of having a major adverse event while on Sinvastatina Generis?

The risk of major adverse events like myopathy or rhabdomyolysis is low. The official label gives specific incidence rates, noting that the risk is dose-dependent, increasing slightly at higher doses.

Q: Can Sinvastatina Generis affect hormone levels?

The official label notes that statins interfere with cholesterol synthesis and could theoretically suppress adrenal or gonadal steroid production. The clinical significance of this effect is currently not known.

Q: Does the drug's purpose change if I take it for a long time?

No. The purpose remains the same over time: to lower lipid levels and maintain a reduced risk of serious cardiovascular events. It is designed to be used as a stable component of long-term therapy.

Q: What should I know about drug interactions with common antibiotics and Sinvastatina Generis?

The label notes that certain antibiotics, specifically strong inhibitors of the CYP3A4 enzyme (such as clarithromycin or erythromycin), are either contraindicated or require specific dosage limits. This is due to the significantly increased risk of muscle problems when taken together.

Advertisements

How should Sinvastatina Generis be stored and disposed of?

Storage and Disposal of Simvastatin (Sinvastatina Generis)

Official Storage Requirements

Simvastatin tablets must be stored at controlled room temperature, maintaining 20 C to 25 C (68 F to 77 F), with excursions permitted between 15 C and 30 C. The tablets must be kept in the original container, which must be tightly closed, and stored away from excess heat and moisture (not in the bathroom). The liquid suspension form must not be frozen or refrigerated.

Stability and Child Safety

If using the oral suspension, any product remaining in the bottle must be discarded 30 days after the bottle is first opened. All forms of simvastatin must be kept out of the reach and sight of children.

Official Disposal Rules

Expired or unused Simvastatin should be disposed of using a drug take-back program, which is the preferred method according to regulatory guidance. As Simvastatin is not on the list of medicines recommended for flushing, it must not be thrown into wastewater. If a take-back option is unavailable, the medicine should be mixed with an undesirable substance (e.g., coffee grounds) and sealed in a container before being placed in the household trash.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

Available in countries:

Equivalent of Sinvastatina Generis found in:

A-Z Index: