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Simvastatin

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What is Simvastatin?

Simvastatin, also sold under the brand name Zocor, is a medication used to treat high cholesterol in the blood.

Everybody has good cholesterol (HDL) and bad cholesterol (LDL). Those with high cholesterol levels use this medication to lower LDL and increase HDL.

With less bad cholesterol in the blood, fatty deposits (plaque) in the arteries are reduced. Good cholesterol absorbs bad cholesterol from the blood and carries it back to the liver. The liver then removes it from the body.

This lowers the risk of heart disease or stroke, among other cardiovascular health conditions.

How does Simvastatin work?

Simvastatin is a medication known as a statin. Statins work by reducing cholesterol levels in the blood and protecting artery walls.

How simvastatin works

Simvastatin inhibits cholesterol production

Simvastatin blocks a liver enzyme needed to make cholesterol

Less cholesterol is made

When this enzyme is blocked, the liver can’t produce as much cholesterol and has to remove it from the bloodstream

Blood cholesterol levels drop

This leads to less LDL cholesterol in the blood, and may increase HDL cholesterol

Improves cardiovascular health

By lowering cholesterol levels in the blood, simvastatin lowers the risk of heart problems and gives you healthier arteries

What are the benefits of Simvastatin?

Simvastatin is a clinically proven cholesterol-lowering medication that offers many health benefits:

Benefits of Simvastatin

Lowers LDL cholesterol

simvastatin reduces LDL (bad cholesterol) levels in the blood, preventing plaque buildup in the arteries.

Protects your heart

Lowers the risk of heart attack and stroke by reducing cholesterol levels.

Can increase HDL cholesterol

Slightly increases HDL (good cholesterol) levels in the blood, which helps remove bad cholesterol.

Lowers triglyceride levels

Reduces triglycerides, a type of fat in the blood. This unclogs arteries and improves heart health.

Can prevent atherosclerosis

Helps slow down or prevent the hardening and narrowing of arteries.

How effective is Simvastatin for high cholesterol?

Clinical trials have found simvastatin to be highly effective at decreasing LDL (bad) cholesterol and increasing HDL (good) cholesterol.

Effect of simvastatin on cholesterol levels

One study found that 20 mg of simvastatin taken daily reduced total cholesterol levels by 28%, and LDL cholesterol levels by 34% after 6 weeks. 40 mg worked even better, reducing total levels by 25%, and LDL cholesterol by 41%.

Not only did simvastatin reduce bad cholesterol in the blood, it also increased good cholesterol (HDL). 20 mg simvastatin caused an increase of 8%, and 40 mg caused an increase of 9-13%.

Who can and cannot take it?

Who can take it?

In order to be prescribed Simvastatin, you must be over the age of 18, and you must have been previously approved for treatment by your doctor. Cholesterol levels will need to be provided as well so we can ensure the treatment is safe for you.

Who cannot take it

There are some circumstances where taking this medication can pose a danger to your health. Do not use simvastatin if:

  • You are allergic to simvastatin or any other ingredient in the medication
  • You currently have liver problems
  • You are pregnant or breastfeeding

Furthermore, there are some circumstances where simvastatin will need to be approved on a case-by-case basis. While not necessarily contraindications, one of our doctors may adjust your dosage or refuse a prescription if any of the following apply.

Safety precautions when taking Simvastatin

Please disclose your health status during your online consultation with euroClinix. Our doctor will evaluate whether Simvastatin is suitable for you and may adjust your medications if needed.

How do I use Simvastatin?

What dosage should I use?

euroClinix offers Simvastatin in 4 doses: 10 mg, 20 mg, 40 mg, and 80 mg. The dosage you are prescribed will depend on many factors, including cholesterol levels and risk of cardiovascular health events.

Here is the typical dosage prescribed

10-20 mg

Starting dose

For patients just starting treatment with moderately high cholesterol.

20-40 mg

Maintenance dose

Depending on your response to the starting dose, your dose may be adjusted.

80 mg

Maximum dose

80 mg tablets will only be prescribed to those with very high cholesterol levels who are most at risk of heart disease. Higher doses than this increase the risk of side effects.

5-10 mg*

Special considerations

For patients with a higher risk of developing side effects.

Note: 5 mg tablets are not available from euroClinix.

When do I take it?

Simvastatin is taken once daily. It is usually taken in the evening because your body produces more cholesterol at night, making the medication more effective.

How long should I take it for?

Simvastatin is safe for long-term use, and some people take the medication for life.

How long you take the medication will depend on individual health goals and risk factors. Simvastatin is only effective for as long as you take it. This means that when you stop taking it, your cholesterol levels may rise again.

How do I take it?

There are no special instructions for how to take this medication, but there are some general guidelines you can follow for maximum effectiveness:

  • Take at the same time every day (in the evening is best)
  • You can take it with or without food, but keep it consistent for better absorption
  • Take your medication exactly as prescribed

What if I miss a dose?

Missing a dose occasionally is normal and is rarely a cause for concern. If you miss a dose of Simvastatin, skip the missed dose and take your next dose at the usual time. Do not take a double dose to make up for a missed one.

How do I stop taking Simvastatin?

Simvastatin is only effective for as long as you are taking it, and stopping treatment may cause your cholesterol levels to rise again.

If you wish to stop using this medication, you must consult your doctor first. Stopping treatment without letting them know can increase your risk of heart problems.

How long does it take to work?

Simvastatin typically starts to work within a few days, but you will need to take it for around 4-6 weeks before the effects become apparent.

This medication works best when taken regularly and consistently. It is important to continue treatment even if you feel better and your cholesterol levels are normal.

What lifestyle changes should I make while taking Simvastatin?

While Simvastatin is effective on its own, it is most effective when you adopt certain lifestyle changes.

Adopt a cholesterol-lowering diet

Certain foods can help to lower cholesterol, while others increase it. Adopt a diet consisting of cholesterol-lowering foods like fatty fish, whole grains and vegetable oils to reduce LDL cholesterol levels.

Stay active

Maintaining a consistent exercise routine has been found to lower LDL cholesterol and triglycerides, as well as increasing your HDL cholesterol (good cholesterol).

Quit smoking

Smoking can damage your blood vessels and lower HDL cholesterol. Therefore, consider quitting smoking to reduce your risk of heart disease and improve the effectiveness of simvastatin.

Maintain a healthy weight

If you are overweight or obese, weight loss can help reduce LDL cholesterol and triglycerides, and increase HDL cholesterol. This will improve cardiovascular health and reduce your risk of adverse health events.

The Mediterranean diet is a great choice when trying to improve heart health. For a diet that looks after your heart, include fruits, vegetables, whole grains, pulses and fatty fish, while avoiding sugar, simple carbohydrates and alcohol.

Silvia Fonda Nutritionist

What are the side effects?

Simvastatin side effects are rare, and most go away on their own after stopping treatment.

Uncommon side effects (may affect up to 1 in 100 people)
  • Sleeplessness
  • Memory loss
  • Depression
  • Sexual dysfunction
Rare side effects (may affect up to 1 in 1,000 people)
  • Anaemia
  • Stomach upset
  • Inflammation of the pancreas
  • Headache
  • Hair loss
  • Muscle aches and pains
  • Liver disease
Very rare side effects (may affect up to 1 in 10,000 people)
  • Breathing problems
  • Liver failure

Serious side effects

The following side effects can be serious. If you experience any of the following, stop taking the medicine and call your doctor immediately.

Side effect(s) Could be a sign of
Muscle pain, tenderness, weakness or cramps Muscle breakdown and kidney damage
Whites of the eyes or skin turning yellow Liver problems
Severe stomach pain Acute pancreatitis
Swelling of the face, tongue or throat, rash, shortness of breath Allergic reaction

This is not an exhaustive list. For a full list of side effects, consult the patient information leaflet sent with your order.

Muscle pain associated with simvastatin should be promptly evaluated, as it may indicate myopathy or a more serious condition like rhabdomyolysis. Monitoring symptoms closely is important to ensure early detection of complications, as rhabdomyolysis can lead to kidney damage and other systemic effects.

Dr. Caroline Fontana Lead Prescribing Doctor

Does Simvastatin interact with any other medications?

There are some medications that may change the way simvastatin works or increase the risk of adverse effects. Tell your doctor about any other medication you currently take or plan to take alongside simvastatin.

  • Certain antibiotics and antifungals (e.g. clarithromycin, ketoconazole)
    • These can increase the risk of muscle damage.
  • HIV and hepatitis C medications (e.g. ritonavir, boceprevir)
    • These raise levels of simvastatin in the blood, increasing the risk of side effects.
  • Blood thinners (e.g. warfarin)
    • Simvastatin can affect how these medicines work, and so dose adjustments may be required.
  • Calcium channel blockers (e.g. amlodipine)
    • These medications may increase levels of simvastatin in the blood. This means simvastatin and amlodipine are generally unsafe to take together, as the risk of simvastatin-induced myopathy (muscle damage) is increased.
  • Immunosuppressants (e.e. cyclosporine)
    • Can increase the risk of simvastatin side effects.
  • Medication for an irregular heartbeat (e.g. amiodarone)
    • These medications significantly increase the blood levels of simvastatin.
  • Other cholesterol-lowering medications
    • These will increase the risk of muscle damage, as the effects of these medications are compounded.

Avoid grapefruit juice, as it interferes with the absorption of statins in the body. This makes the medicine stay in the bloodstream for longer, increasing the risk of side effects like muscle pain and liver damage.

Dr. Caroline Fontana Lead Prescribing Doctor

This list does not cover all possible interactions. For a comprehensive list, please visit the simvastatin interactions checker on BNF.

What safety advice should be followed when taking Simvastatin?

Category Status Advice
Alcohol Caution Moderate your alcohol consumption when taking this medication. Large quantities of alcohol can increase the risk of muscle breakdown and can make side effects worse.
Pregnancy Unsafe Do not take this medication during pregnancy, as it can harm the developing baby. This is because cholesterol is essential for forming cell membranes and hormones in the foetuses.
Breastfeeding Generally safe Avoid Simvastatin if you are breastfeeding and ask your doctor for alternative treatment, as the medicine may pass into breast milk.
Driving Generally safe Most people will not find their driving impeded while using this medication, so it is generally safe. However, if you experience side effects like dizziness or muscle weakness, then driving may be unsafe. Avoid it until you know how the medicine affects you.
Hydration Important Side effects like muscle weakness may become worse if you are dehydrated. Drink plenty of water throughout the day to effectively manage side effects.

How should I store Simvastatin?

Storage

This medication does not require any special storage instructions. Follow these general steps to safely and effectively store your medication:

  • Keep out of the sight and reach of children
  • Do not use this medication after the expiry date
  • Do not throw away medicines via wastewater or household waste.*

*Take any unused medication to your local pharmacy for proper disposal. These measures help to protect the environment.

Can I buy Simvastatin without a prescription?

No, Simvastatin can only be obtained with a prescription from a licensed healthcare provider.

Prescriptions are necessary because they:

  • Ensure appropriate use for your specific condition.
  • Prevent potential misuse and associated health risks.
  • Allow for monitoring of side effects and interactions with other medications.

How do I buy Simvastatin online from euroClinix?

Ordering Simvastatin online from euroClinix is convenient.

Follow these simple steps:

  1. Complete a quick online consultation to check your eligibility.
  2. UK-registered doctors review your responses to ensure the medication is right for you.
  3. Upon approval, an e-prescription will be issued.
  4. Enjoy free delivery from our licensed pharmacy with tracking details.

Your privacy is our top priority. euroClinix uses secure, encrypted transactions and complies with UK medical standards to keep your information confidential.

Start your online consultation today to enjoy professional care from the comfort of your home.

Why should I choose euroClinix?

euroClinix is trusted by thousands of British users for its safe and convenient service. Here’s why:

  • Experienced doctors manage your consultations and prescriptions.
  • Online consultations, quick approvals, and discreet doorstep delivery add to the convenience.
  • A supportive team is on hand to answer treatment-related questions or concerns.
  • Patients can manage their prescriptions hassle-free through our secure platform.

Join thousands who trust euroClinix for their healthcare needs and take control of your health today.

How much does Simvastatin cost?

The price of Simvastatin at euroClinix includes everything you need:

  • Free online consultation with our experienced doctors
  • Free prescription, if approved
  • Free delivery straight to your door

Our pricing is transparent, with no hidden fees. Order today and benefit from our complete, all-inclusive service.

What alternatives are available?

Medication Branded version Pros Cons Price
Simvastatin Zocor Well-studied, cost-effective and significantly lowers LDL cholesterol Higher risk of muscle pain at higher doses -
Atorvastatin Lipitor Highly effective al lowering LDL cholesterol More likely to increase blood sugar levels -
Pravastatin Lipostat Less likely to cause muscle problems or liver issues Less potent than other statins -
Fluvastatin Lescol Generally well-tolerated, especially in people with liver concerns Less effective at lowering cholesterol than other statins -
Rosuvastatin Crestor Generally well-tolerated and has a long half-life Can raise blood sugar levels -

Simvastatin vs Atorvastatin: Key differences?

While both medications are used to treat high cholesterol, Atorvastatin is considered the more potent statin. Because of this, it is more likely to be prescribed to those who need to significantly reduce their cholesterol levels.

Since the potency differs, the dosages available differ as well. Atorvastatin is typically prescribed at a lower dosage than Simvastatin.

Simvastatin FAQs

Does simvastatin cause weight gain?
Can I take simvastatin on an empty stomach?
Is 20 mg simvastatin a low dose?
Which is safer, simvastatin or atorvastatin?
Is simvastatin a blood thinner?
Can simvastatin cause memory loss?
Can I stop taking simvastatin once my cholesterol levels improve?
Are there any discounts for new users?
What is the process for renewing my prescription online?
Is it safe to order Simvastatin online?
Will my order be confidential?
What are the delivery options available?

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

Medically reviewed by Dr. Caroline Fontana Written by our editorial team Last reviewed 22-11-2024
Simvastatin information
Type of medicine Statin
Used for Lowering cholesterol
Active ingredient(s) Simvastatin
Works by Inhibiting cholesterol production in the liver, forcing it to draw it from the blood instead
Effective within 2 weeks; 4-6 weeks for noticeable results
Available as Tablets
Available strength(s) 10 mg, 20 mg, 40 mg, 80 mg
Usage Take 1 tablet daily
Packaging Blister packs containing 28 tablets in each pack
Manufacturer Various
Branded available Yes, Zocor
Storage No special storage instructions
Prescription required? Yes, get it with our FREE online consultation
Suitable for* Adults over 18 with high cholesterol and a previous prescription for cholesterol-lowering medication.
Simvastatin reviews
Pack of 28 Simvastatin 20mg film-coated tablets Excellent 4.7 23 patients have reviewed Simvastatin on Trustpilot
25 Dec

Fast and superb service

Sheppar4
31 Aug

Fast efficient service

graham taylor
08 Nov

Has really helped with my cholesterol levels.

Mrs C

Further reading

Understanding and managing the side effects of statins

Understanding and managing the side effects of statins

Reviewed by Dr. Caroline Fontana
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