Atorvastatin (atorvastatin calcium)

The US label lists atorvastatin to reduce the risk of heart attack, stroke, revascularisation procedures and angina in adults with several risk factors for heart disease.

It also covers adults with type 2 diabetes and several risk factors, and adults who already have coronary heart disease.

Used with diet, it lowers LDL cholesterol in adults with primary hyperlipidaemia.

It is also listed for familial hypercholesterolaemia, including in children aged 10 years and older, and for primary dysbetalipoproteinaemia and high triglycerides in adults.

• Reducing heart attack, stroke and angina risk
• High LDL cholesterol (hyperlipidaemia)
• Familial hypercholesterolaemia
• High triglycerides and dysbetalipoproteinaemia

The label describes atorvastatin as an HMG-CoA reductase inhibitor, also called a statin.

This enzyme helps the body make cholesterol. Blocking it lowers cholesterol production.

The label notes that cholesterol also gives rise to other biologically active substances, which is why pregnancy use is a concern.

This page uses the US label for atorvastatin calcium tablets taken by mouth. The dosing below is the adult label dosing.

For adults, the US label gives a usual starting dose of 10 to 20 mg once daily, with a range of 10 to 80 mg once daily.

People who need an LDL reduction of more than 45% may start at 40 mg once daily.

It can be taken at any time of day, with or without food.

The label says LDL cholesterol should be checked as early as 4 weeks after starting, and the dose adjusted if needed.

If a dose is missed, the label says not to take the missed dose but to resume with the next scheduled dose.

Some medicines limit the dose. The label caps atorvastatin at 20 mg daily with clarithromycin or itraconazole, and at 40 mg with nelfinavir.

Indian pack labels may differ. Your prescriber's instruction always wins over a general label.

• Once daily, with or without food
• LDL check from 4 weeks
• Do not double up on a missed dose

The label does not allow atorvastatin in acute liver failure or decompensated cirrhosis, or in people allergic to it.

Risk factors for muscle damage include age 65 or more, uncontrolled low thyroid function, kidney impairment, higher doses and certain other medicines.

The label advises considering liver enzyme tests before starting and when clinically needed.

Pregnancy: the label says to stop atorvastatin when pregnancy is recognised, or consider the patient's ongoing needs. It may cause fetal harm.

Breastfeeding is not recommended during treatment.

The label says children aged 10 years and older are covered only for familial hypercholesterolaemia types.

Large amounts of grapefruit juice (over 1.2 litres daily) are not recommended.

• Acute liver failure or decompensated cirrhosis
• Pregnancy and breastfeeding
• Kidney impairment or low thyroid function
• Age 65 or more
• Large amounts of grapefruit juice

• Ciclosporin, gemfibrozil
• Clarithromycin, itraconazole
• Several HIV and hepatitis C antivirals
• Niacin, fibrates, colchicine
• Grapefruit juice in large amounts
• The label lists many medicines that raise atorvastatin levels and the risk of muscle damage.
• Ciclosporin, gemfibrozil, tipranavir with ritonavir, and glecaprevir with pibrentasvir are not recommended with atorvastatin.
• Clarithromycin, itraconazole and several antiviral medicines need a dose cap.
• Niacin at lipid-lowering doses, fibrates, colchicine and ledipasvir with sofosbuvir have been linked to muscle problems.
• Rifampin may reduce atorvastatin levels.
• Atorvastatin may raise digoxin and some oral contraceptive hormone levels.
• Large amounts of grapefruit juice are not recommended.

No match in this label text. Ask your pharmacist about any medicine you take.

The label says no specific antidote is known.

Haemodialysis is not expected to help because the medicine binds strongly to plasma proteins.

Get urgent medical help after any overdose.

The label for these tablets says to store them at controlled room temperature, 20 to 25 degrees C.

Keep medicines out of reach of children.

Atorvastatin is listed in the Drugs Rules 1945 Schedules we checked (Schedule H, serial 42 (rules 65 and 97)).

A Schedule H medicine is sold only against a prescription.

Atorvastatin is on the National List of Essential Medicines 2022 in these forms: Tablet 10 mg (page 90); Tablet 20 mg (page 90); Tablet 40 mg (page 90); Tablet 80 mg (page 90).

NPPA ceiling prices exist for scheduled formulations of atorvastatin. They are in the table below.

The Jan Aushadhi (PMBJP) list we checked has 12 product row(s) that mention atorvastatin.

The banned fixed-dose combination list we checked has 5 entries that mention atorvastatin. This does not mean the single medicine is banned. Use our checker for a specific combination.

The NPPA ceiling is the highest price per unit for a scheduled formulation, as in the list date shown for each row.

The prices below are per unit. Check the pack and seller, because prices can be revised after those dates.

Jan Aushadhi lists the products below that mention atorvastatin. We did not capture a price for them, so check the store or the official list.

• Tablet 80mg, per 1 Tablet: ceiling INR 41.56 (Cardiovascular, As on March, 2026)
• Tablet 40mg, per 1 Tablet: ceiling INR 19.77 (Cardiovascular, As on March, 2026)
• Tablet 20mg, per 1 Tablet: ceiling INR 12.86 (Cardiovascular, As on March, 2026)
• Tablet 10mg, per 1 Tablet: ceiling INR 5.09 (Cardiovascular, As on March, 2026)
• Tablet 10 mg, per 1 Tablet: ceiling INR 5.47 (All scheduled (NLEM 2015), As on 30.09.2020)
• Tablet 20 mg, per 1 Tablet: ceiling INR 13.25 (All scheduled (NLEM 2015), As on 30.09.2020)
• Tablet 40 mg, per 1 Tablet: ceiling INR 19.24 (All scheduled (NLEM 2015), As on 30.09.2020)
• Jan Aushadhi: Atorvastatin Tablets IP 10mg, pack 10's (row p9:sno207)
• Jan Aushadhi: Atorvastatin Tablets IP 20mg, pack 10's (row p9:sno208)
• Jan Aushadhi: Atorvastatin 10mg and Clopidogrel 75mg Capsules, pack 10's (row p14:sno316)
• Jan Aushadhi: Atorvastatin 10mg and Fenofibrate 160mg Tablets IP, pack 15's (row p14:sno325)
• Jan Aushadhi: Atorvastatin Tablets IP 40 mg, pack 10's (row p15:sno352)
• Jan Aushadhi: Atorvastatin 10mg and Aspirin 150mg Capsules, pack 15's (row p38:sno859)
• Jan Aushadhi: Atorvastatin 20mg and Clopidogrel 75mg Capsules, pack 10's (row p38:sno860)
• Jan Aushadhi: Atorvastatin 20mg, Clopidogrel 75mg and Aspirin 75mg Capsules, pack 10's (row p38:sno861)
• Jan Aushadhi: Atorvastatin 10mg And Cholecalciferol 1000 IU Tablet, pack 10's (row p58:sno1293)
• Jan Aushadhi: Atorvastatin 10mg, Aspirin 75mg and Clopidogrel 75mg Capsules, pack 10's (row p59:sno1304)
• Jan Aushadhi: Atorvastatin 20mg and Aspirin 150mg Capsules IP, pack 10's (row p59:sno1305)
• Jan Aushadhi: Atorvastatin 20mg and Aspirin 75mg Capsules IP, pack 10's (row p59:sno1306)