lovastatin extended-release - oral, Altoprev (cont.)

PRECAUTIONS: Before taking lovastatin, tell your doctor or pharmacist if you are allergic to it; or if you had a severe reaction to other "statins" (e.g., simvastatin); or if you have any other allergies.This medication should not be used if you have a certain medical condition. Before using this medicine, consult your doctor or pharmacist if you have: current liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: history of liver disease, kidney disease, alcohol use/abuse.Before having surgery, tell your doctor or dentist that you are using this medication.Limit alcoholic beverages. Daily use of alcohol may increase your risk for liver problems, especially when combined with lovastatin. Ask your doctor or pharmacist for more information.Older adults may be more sensitive to the side effects of the drug, especially muscle problems.This medication must not be used during pregnancy. Lovastatin may harm an unborn baby. Therefore, it is important to prevent pregnancy while taking this medication. Consult your doctor for more details and to discuss using at least 2 reliable forms of birth control (e.g., condoms, birth control pills) while taking this medication. If you become pregnant or think you may be pregnant, tell your doctor immediately.Based on information from related drugs, this medication may pass into breast milk and have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.See also How to Use section.This drug should not be used with the following medications because very serious (possibly fatal) interactions may occur: certain azole antifungals (itraconazole, ketoconazole), delavirdine, HIV protease inhibitors (e.g., ritonavir, amprenavir, lopinavir, nelfinavir), certain macrolide antibiotics (erythromycin, clarithromycin, troleandomycin), nefazodone, telithromycin.If you are currently using any of these medications, tell your doctor or pharmacist before starting lovastatin.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: azithromycin, "blood thinners" (e.g., warfarin), daptomycin, drugs affecting liver enzymes that remove lovastatin from your body (such as azole antifungals including fluconazole/voriconazole/posaconazole, amiodarone, cyclosporine, danazol, diltiazem, verapamil, rifampin, St. John's wort, carbamazepine).This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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