Tonact 40 Tablet

Tonact 40 Tablet is a prescription tablet that contains 40 mg of atorvastatin in each tablet. It belongs to the statin class of medicines, which are used to lower high cholesterol and triglycerides and to reduce the risk of heart attack and stroke in people who need cholesterol-lowering treatment. Tonact 40 Tablet is not a quick pain reliever; it works over time as part of a long-term heart health plan that may also include diet and exercise.

How it works: Atorvastatin in Tonact 40 Tablet blocks an enzyme in the liver that helps make cholesterol, so the liver clears more LDL cholesterol from the blood. Because it is a tablet, the medicine is swallowed and absorbed through the digestive tract, then works mainly in the liver where cholesterol is made.

Tonact 40 Tablet is a higher-strength atorvastatin tablet than Tonact 5 Tablet, Tonact 10 Tablet, and Tonact 20 Tablet, so it is usually chosen when a doctor wants more cholesterol-lowering effect than lower strengths can provide. Compared with Tonact 80 Tablet, Tonact 40 Tablet is a lower high-intensity option and may suit patients who need strong treatment but do not need the maximum strength or may be more sensitive to side effects.

• High cholesterol
• High triglycerides
• Mixed dyslipidemia
• Lowering LDL cholesterol
• Reducing risk of heart attack and stroke in appropriate patients

• Swallow the Tonact 40 Tablet whole with water; do not crush or chew it unless your doctor says otherwise.
• Take it once daily at the same time each day to help you remember.
• It may be taken with or without food, since food does not usually prevent it from working.
• Follow the exact dose prescribed; do not change from Tonact 20 Tablet or Tonact 80 Tablet without medical advice.
• Keep taking it even if you feel well, because high cholesterol usually has no symptoms.
• If you miss a dose, take it when you remember unless it is close to the next dose; do not double up.

Each Tonact 40 Tablet contains 40 mg of atorvastatin. The tablet is usually taken once a day, but the exact schedule and whether this is the right dose for you must be decided by your doctor based on your cholesterol levels, heart risk, and response to treatment. The maximum daily dose of atorvastatin is 80 mg, and Tonact 40 Tablet is a middle-to-high strength that should be used only when a clinician has assessed that this dose is appropriate.

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
• Diarrhea
• Nausea
• Joint pain
• Headache
• Mild stomach upset
• Tiredness

• Tonact 40 Tablet is a higher-strength statin, so muscle symptoms should be taken seriously and reported promptly.
• Tell your doctor if you have liver disease, a history of heavy alcohol use, or unexplained abnormal liver tests.
• Avoid drinking large amounts of alcohol, which can increase the chance of liver problems.
• Do not use during pregnancy, and breastfeeding is generally not recommended while taking atorvastatin.
• Inform your prescriber about any history of muscle disorders or statin intolerance before starting Tonact 40 Tablet.
• This medicine can interact with several other drugs, so your full medication list should be reviewed before use.
• If you develop severe weakness, fever, or dark urine, seek urgent medical care.

• Cyclosporine
• Certain antibiotics and antifungals such as clarithromycin, erythromycin, itraconazole, and ketoconazole
• HIV or hepatitis C medicines that raise atorvastatin levels
• Grapefruit or grapefruit juice in large amounts
• Other cholesterol medicines such as gemfibrozil or niacin, which can raise muscle side effect risk

Store Tonact 40 Tablet at room temperature in its original strip or box, away from excess heat, moisture, and direct light.