Simvastatin (By mouth)

There may be other brand names for this medicine.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to simvastatin, you are pregnant or breastfeeding.

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
Take the medicine in the evening, unless your doctor tells you otherwise.
Oral liquid:
- Take this medicine on the evening, on an empty stomach.
- Shake the oral suspension well for at least 20 seconds before using it.
- Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Do not use this medicine together with boceprevir, clarithromycin, cobicistat, cyclosporine, danazol, erythromycin, gemfibrozil, itraconazole, ketoconazole, nefazodone, posaconazole, telaprevir, telithromycin, voriconazole, or medicines to treat HIV/AIDS.
Some foods and medicines can affect how simvastatin works. Tell your doctor if you are using any of the following:
- Amiodarone, colchicine, digoxin, dronedarone, lomitapide, niacin (vitamin B3), ranolazine
- Blood pressure medicine (including amlodipine, diltiazem, verapamil)
- Blood thinner (including warfarin)
Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
Tell your doctor if you have kidney disease, liver disease, diabetes, thyroid disease, or a history of stroke or heart disease. Tell your doctor if you drink alcohol regularly or have a history of liver disease.
This medicine may cause liver problems, or myopathy or rhabdomyolysis (muscle damage).
Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Keep all medicine out of the reach of children. Never share your medicine with anyone.

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Blistering, peeling, red skin rash
Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes
Fast or uneven heartbeat
Muscle pain, tenderness, or weakness
Unusual tiredness

Last Updated: 1/27/2017