LIVALO Film-coated tablet Ref.[11118] Active ingredients: Pitavastatin

Source: FDA, National Drug Code (US)  Revision Year: 2019 

1. Indications and Usage

LIVALO is indicated as an adjunctive therapy to diet in:

  • Adult patients with primary hyperlipidemia or mixed dyslipidemia to reduce elevated total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (Apo B), triglycerides (TG), and to increase high-density lipoprotein cholesterol (HDL-C).
  • Pediatric patients aged 8 years and older with heterozygous familial hypercholesterolemia (HeFH) to reduce elevated TC, LDL-C, and Apo B.

Limitations of Use:

  • The effect of LIVALO on cardiovascular morbidity and mortality has not been determined.

2. Dosage and Administration

2.1 General Dosage and Administration Information

  • Take LIVALO orally once daily with or without food at the same time each day.
  • Individualize the dose of LIVALO according to patient characteristics, goal of therapy, and response.
  • After initiation or upon titration of LIVALO, analyze lipid levels after 4 weeks and adjust the dosage accordingly.

2.2 Recommended Dosage for Adults and Pediatric Patients Aged 8 Years and Older

  • The recommended starting LIVALO dosage is 2 mg once daily.
  • The maximum recommended dosage is LIVALO 4 mg once daily [see Warnings and Precautions (5.1)].

2.3 Recommended Dosage in Patients with Renal Impairment

  • The recommended starting dose for adults with moderate and severe renal impairment (estimated glomerular filtration rate 30–59 mL/minute/1.73 m² and 15–29 mL/minute/1.73 m², respectively) and patients with end-stage renal disease receiving hemodialysis is LIVALO 1 mg once daily.
  • The maximum recommended dose for these patients is LIVALO 2 mg once daily [see Use in Specific Populations (8.6)].
  • A recommended dosage for pediatric patients with renal impairment has not been established.

2.4 LIVALO Dosage Adjustments Due to Drug Interactions

  • In patients taking erythromycin, do not exceed LIVALO 1 mg once daily [see Drug Interactions (7)].
  • In patients taking rifampin, do not exceed LIVALO 2 mg once daily [see Drug Interactions (7)].

10. Overdosage

No specific treatment for LIVALO overdose is known. Contact Poison Control (1-800-222-1222) for latest recommendations. Hemodialysis is unlikely to be of benefit due to high protein binding ratio of LIVALO.

16.2. Storage and Handling

Store at room temperature between 15°C and 30°C (59° to 86°F) [see USP]. Protect from light.

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