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Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules

FDA-approved generic
Dose form
Slow Release Capsules
Active ingredients
Atorvastatin Calcium

Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules are specially formulated to manage hyperlipidemia and prevent cardiovascular disease. These capsules utilize Methocel E4M, a controlled-release polymer, to ensure the gradual release of atorvastatin, providing sustained therapeutic effects. This formulation reduces dosing frequency and enhances patient compliance by maintaining consistent medication levels over an extended period, making it ideal for patients requiring a controlled and prolonged release profile.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Atorvastatin Calcium
Slow Release Capsules

Formula Information

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Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules are specially formulated to provide a controlled and sustained release of atorvastatin, a medication widely used to lower cholesterol levels and reduce the risk of cardiovascular diseases. By utilizing Methocel E4M, a type of controlled-release polymer, these capsules release the active ingredient gradually over an extended period, ensuring a consistent therapeutic effect.

The incorporation of Methocel E4M allows the capsules to maintain a steady concentration of atorvastatin in the bloodstream. This gradual release minimizes fluctuations in drug levels, enhancing efficacy while reducing the potential for side effects associated with peak concentrations. The sustained delivery also means that patients may require fewer doses throughout the day, improving adherence to the treatment regimen.

For patients, this slow-release formulation offers the convenience of reduced dosing frequency, which can simplify medication schedules and promote consistent use. The steady release of atorvastatin supports continuous management of cholesterol levels, contributing to better long-term cardiovascular health. Patients may experience fewer side effects and improved overall satisfaction with their therapy.

Prescribers may find this formulation beneficial for patients who require consistent lipid control but may have difficulty with standard dosing schedules. The predictable release profile provided by Methocel E4M enhances the ability to tailor treatment plans to individual patient needs. It can be particularly advantageous for patients who have experienced side effects with immediate-release formulations or who require sustained drug levels for optimal therapeutic outcomes.

It is important for healthcare providers to monitor patients regularly while on this medication. Routine assessments of lipid profiles and liver function tests are recommended to ensure efficacy and detect any potential adverse effects early. Patients should be advised to report any unusual symptoms, such as muscle

Drug Interactions

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Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules are designed to provide a controlled and prolonged release of atorvastatin, a medication primarily used to lower cholesterol and triglyceride levels in the blood. This formulation is particularly beneficial for patients requiring consistent therapeutic effects over an extended period, thereby improving compliance and reducing the frequency of dosing. However, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of atorvastatin when used in this slow-release form.

One of the primary concerns with atorvastatin is its interaction with other medications that are metabolized by the cytochrome P450 3A4 (CYP3A4) enzyme. Atorvastatin is extensively metabolized by CYP3A4, and concurrent use of drugs that inhibit this enzyme can lead to increased plasma concentrations of atorvastatin, potentially enhancing the risk of adverse effects such as myopathy or rhabdomyolysis. Common CYP3A4 inhibitors include certain antifungal agents (e.g., itraconazole, ketoconazole), macrolide antibiotics (e.g., clarithromycin, erythromycin), HIV protease inhibitors (e.g., ritonavir, saquinavir), and grapefruit juice. Patients should be advised to avoid these substances or use them with caution under medical supervision.

Conversely, drugs that induce CYP3A4, such as rifampin, phenytoin, and St. John's Wort, may decrease the plasma concentration of atorvastatin, potentially reducing its lipid-lowering efficacy. Patients should inform their healthcare provider of any herbal supplements or over-the-counter medications they are taking to ensure appropriate management of potential interactions.

Additionally, atorvastatin may interact with other lipid-lowering therapies. For instance, the concomitant use of fibrates, particularly gemfibrozil, can increase the risk of muscle-related side effects. Similarly, the use of niacin in combination with atorvastatin may also elevate the risk of myopathy. It is essential for prescribers to evaluate the risk-benefit ratio when considering combination therapy and to monitor patients closely for any signs of muscle pain, tenderness, or weakness.

Atorvastatin can also interact with anticoagulants such as warfarin. The combination may potentiate the effects of warfarin, leading to an increased risk of bleeding. Regular monitoring of the International Normalized Ratio (INR) is recommended when atorvastatin is initiated or discontinued in patients receiving warfarin therapy.

Furthermore, patients with a history of liver disease or those consuming substantial quantities of alcohol should use atorvastatin with caution, as it may exacerbate liver dysfunction. Regular liver function tests are advised to monitor for potential hepatotoxicity.

In summary, while Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules offer significant benefits in managing cholesterol levels, it is imperative for both patients and prescribers to be aware of potential drug interactions. A thorough medication review and ongoing monitoring can help mitigate risks and ensure optimal therapeutic outcomes. If you have any questions or require further information, please reach out to us.

How Does it Work

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Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules are designed to provide a controlled and sustained release of atorvastatin, a medication primarily used to lower cholesterol levels and reduce the risk of cardiovascular disease. The formulation utilizes Methocel E4M, a type of hydroxypropyl methylcellulose (HPMC) polymer, which is known for its ability to control the release rate of active ingredients. This polymer matrix forms a gel-like barrier when it comes into contact with gastrointestinal fluids, allowing the atorvastatin to be released gradually over an extended period.

The slow-release mechanism of these capsules offers several advantages for both patients and prescribers. For patients, the extended release of atorvastatin means that the medication can maintain its therapeutic effect throughout the day with just a single dose. This reduces the need for multiple daily doses, thereby improving patient compliance and convenience. By maintaining a more consistent level of medication in the bloodstream, the formulation helps in achieving better control over cholesterol levels, which is crucial for managing conditions such as hyperlipidemia and preventing cardiovascular events like heart attacks and strokes.

For prescribers, the use of Methocel E4M in the formulation provides a reliable and predictable release profile, which can be particularly beneficial for patients who require a steady and prolonged therapeutic effect. This can be especially important in managing chronic conditions where fluctuations in drug levels could lead to suboptimal outcomes or increased risk of side effects. The controlled release also minimizes the peak-trough fluctuations that are often associated with immediate-release formulations, potentially reducing the incidence of side effects and improving the overall safety profile of atorvastatin therapy.

In summary, Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules offer a sophisticated approach to cholesterol management by leveraging the benefits of controlled-release technology. This formulation not only enhances patient adherence to therapy but also provides prescribers with a tool to optimize treatment outcomes for patients with hyperlipidemia and related cardiovascular conditions. If you have any questions or need further information about this formulation, please do not hesitate to reach out to us.

Other Uses

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Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules, formulated with Methocel E4M, offer a unique delivery system that extends the release of the active ingredient, atorvastatin, over a prolonged period. While primarily used for managing cholesterol levels and reducing the risk of cardiovascular disease, this formulation may have other potential applications that could benefit from its controlled-release properties. One such use could be in the management of conditions where maintaining consistent blood levels of atorvastatin is crucial, such as in patients with metabolic syndrome or those at high risk of cardiovascular events who require stable lipid control. The slow-release mechanism can help in minimizing the peaks and troughs associated with immediate-release formulations, potentially reducing side effects and improving overall tolerability.

Additionally, the sustained release of atorvastatin may be beneficial in patients with adherence challenges, such as those with cognitive impairments or complex medication regimens, by reducing the frequency of dosing and simplifying their treatment plan. This can lead to improved compliance and better health outcomes. Furthermore, the gradual release of the medication may also be advantageous in reducing the risk of drug interactions, as it allows for a more consistent plasma concentration, which can be particularly important in polypharmacy scenarios often seen in elderly patients or those with multiple comorbidities.

For prescribers, considering the slow-release formulation of atorvastatin could be particularly useful in tailoring treatment plans for patients who experience gastrointestinal side effects with standard formulations, as the extended-release mechanism may mitigate these issues. It is also worth exploring the potential benefits of this formulation in patients with fluctuating cholesterol levels despite adherence to immediate-release atorvastatin, as the controlled release may offer more stable lipid control. As always, when considering alternative uses of this formulation, it is essential to evaluate the individual patient's needs, potential benefits, and any risks associated with the modified release profile.

If you have any questions or need further information about the potential uses of Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or specific patient needs you may have.

Frequently Asked Questions

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What is Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules?

Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules are a formulation of atorvastatin designed to release the medication gradually over an extended period. This slow-release mechanism is achieved using Methocel E4M, a controlled-release polymer, which helps maintain sustained therapeutic effects and reduces the frequency of dosing.

How does the slow-release mechanism work in these capsules?

The slow-release mechanism in these capsules is facilitated by Methocel E4M, a controlled-release polymer. This polymer allows the medication to be released gradually, ensuring a prolonged therapeutic effect and improving patient compliance by reducing the need for frequent dosing.

What are the benefits of using a slow-release formulation of atorvastatin?

The benefits of using a slow-release formulation of atorvastatin include sustained therapeutic effects, reduced dosing frequency, and improved patient compliance. This formulation helps maintain consistent blood levels of the medication, potentially enhancing its effectiveness and minimizing side effects.

How often should I take Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules?

Due to the slow-release nature of these capsules, they are typically taken once daily. However, it is important to follow your healthcare provider's instructions regarding the specific dosing schedule for your condition.

Can I take Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules with food?

Yes, Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules can be taken with or without food. However, it is advisable to take them at the same time each day to maintain consistent blood levels of the medication.

Are there any specific storage instructions for these capsules?

These capsules should be stored at room temperature, away from moisture and heat. Keep them in their original packaging until it is time to take them, and ensure they are out of reach of children and pets.

What should I do if I miss a dose of Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time to make up for a missed dose.

Are there any side effects associated with Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules?

As with any medication, there may be side effects. Common side effects of atorvastatin include headache, muscle pain, and nausea. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Can I take Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules if I am pregnant or breastfeeding?

Atorvastatin is generally not recommended during pregnancy or breastfeeding. If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before taking this medication.

Is it safe to consume alcohol while taking Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules?

It is advisable to limit alcohol consumption while taking atorvastatin, as alcohol can increase the risk of liver damage and may exacerbate certain side effects. Discuss your alcohol consumption with your healthcare provider to ensure it is safe for your specific situation.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Atorvastatin 10 mg Slow Release (ME4M) Oral Capsules
Slow Release Capsules
controlled

Take 1 capsule by mouth