Tonact 20 Tablet

Tonact 20 Tablet contains atorvastatin 20 mg in each tablet. It belongs to the statin class of medicines, which are used to lower LDL (“bad”) cholesterol and triglycerides while helping raise HDL (“good”) cholesterol. Tonact 20 Tablet is prescribed to reduce the risk of heart attack, stroke, and other cholesterol-related complications when diet and lifestyle changes are not enough.

How it works: Atorvastatin in Tonact 20 Tablet works by blocking an enzyme in the liver that makes cholesterol. This lowers the amount of cholesterol circulating in the blood and helps the tablet reduce plaque buildup in the arteries over time.

Tonact 20 Tablet is a mid-strength atorvastatin option, higher than Tonact 5 Tablet and Tonact 10 Tablet but lower than Tonact 40 Tablet and Tonact 80 Tablet. Doctors may choose Tonact 20 Tablet for patients who need more cholesterol-lowering effect than the lower strengths can provide, without starting at the higher doses used for more intensive treatment. It is not the usual starting dose for everyone, so it should be used only when a clinician has decided this strength is appropriate.

• High LDL cholesterol
• Mixed dyslipidemia
• High triglycerides
• Prevention of heart attack and stroke
• Lowering cardiovascular risk in selected patients

• Swallow Tonact 20 Tablet whole with a glass of water; do not crush or chew it unless your prescriber tells you otherwise.
• Take it once daily at the same time each day for consistent results.
• It can be taken with or without food.
• Follow a low-cholesterol diet and other lifestyle measures while using Tonact 20 Tablet.
• If you miss a dose, take it when you remember unless it is close to the next dose; do not double up.
• Do not change to Tonact 40 Tablet, Tonact 10 Tablet, or another strength without medical advice.

Each Tonact 20 Tablet provides atorvastatin 20 mg. It is usually taken once daily, and the exact dose schedule depends on your cholesterol level, heart risk, and how you respond to treatment. The maximum daily dose of atorvastatin is typically 80 mg, but your doctor decides whether Tonact 20 Tablet is the right dose for you.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Atorvastatin may include:

• Muscle aches or soreness
• Headache
• Nausea
• Diarrhea
• Indigestion
• Mild joint pain

• Tonact 20 Tablet may cause muscle injury, and the risk is higher in some people taking interacting medicines or higher doses.
• Tell your doctor if you have liver disease, heavy alcohol use, or a history of muscle problems before starting this tablet.
• This medicine is not for use during pregnancy, and breastfeeding is generally not recommended while taking atorvastatin.
• Avoid large amounts of alcohol because it can increase the chance of liver-related side effects.
• Report any unexplained muscle pain, tenderness, or weakness right away, especially if you also have fever or dark urine.
• Use caution if you have diabetes or are at risk of high blood sugar, because statins can slightly raise glucose levels.
• Tonact 20 Tablet is not a rescue medicine and will not treat chest pain or an active heart attack.

• Grapefruit juice can raise atorvastatin levels and increase side effect risk.
• Strong CYP3A4 inhibitors such as clarithromycin, itraconazole, ketoconazole, or some HIV medicines can interact with atorvastatin.
• Cyclosporine and certain other immunosuppressants can greatly increase atorvastatin exposure.
• Gemfibrozil and other fibrates can raise the risk of muscle problems.
• Warfarin may need closer monitoring when atorvastatin is started or adjusted.

Store Tonact 20 Tablet in its original strip or box at room temperature, away from moisture, heat, and direct light.