Lipitor is a brand name for atorvastatin, a type of medication known as a statin that is used to lower cholesterol levels. According to Drug Patent Watch [1], the patent for Lipitor expired in 2011, meaning that generic versions of the drug are now available. However, some patients may still be interested in exploring alternatives to Lipitor for long-term use.

There are several alternative medications to Lipitor that may be used for lowering high cholesterol levels. GoodRx [2] lists several options, including:

- Crestor (rosuvastatin)
- Zocor (simvastatin)
- Pravachol (pravastatin)
- Lescol (fluvastatin)
- Livalo (pitavastatin)

These medications work in a similar way to Lipitor, by blocking the production of cholesterol in the liver. However, they may have different side effects or interactions with other medications, so it is important to discuss the options with a healthcare provider.

In addition to medication, there are also lifestyle changes that can help to lower cholesterol levels. The British Heart Foundation [3] recommends:

- Eating a healthy diet that is low in saturated and trans fats
- Increasing physical activity
- Quitting smoking
- Maintaining a healthy weight
- Limiting alcohol consumption

Overall, there are several alternatives to Lipitor for long-term use, including other statin medications and lifestyle changes. It is important to discuss the options with a healthcare provider to determine the best course of treatment based on individual needs and medical history.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/LIPITOR
[2] https://www.goodrx.com/conditions/high-cholesterol/statins-alternatives-medications-for-lowering-high-cholesterol
[3] https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/cholesterol-lowering-alternatives