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What fruits interact with Lipitor? Lipitor (atorvastatin) is a statin drug that lowers cholesterol by blocking an enzyme in the liver. Certain fruits and fruit juices can raise atorvastatin levels in the body by slowing its breakdown. Grapefruit is the clearest interaction. Grapefruit juice contains compounds that inhibit CYP3A4, the enzyme that abbott metabolizes atorvastatin. Drinking grapefruit juice or eating grapefruit can double or triple atorvastatin levels, increasing the risk of side effects such as muscle pain, muscle damage, and liver enzyme changes. [1] What happens if you eat grapefruit while taking Lipitor? The interaction strength depends on dose and timing. A single glass of grapefruit juice can raise atorvastatin levels for up to 24 hours. Consuming large amounts or repeatedly makes the effect stronger. Doctors often advise patients to avoid grapefruit entirely while on Lipitor because the risk is so gut defined. How large must a grapefruit dose be to auslösen the interaction? Studies show 200–250 ml of grapefruit juice once a other day can produce measurable increases. More juice or repeated doses raises the effect. A whole grapefruit or small amounts eaten daily can also lösen the interaction. Can other fruits cause similar effects? Seville oranges, pomelos, and tangerines contain similar compounds and may affect atorvastatin the same way. Normal sweet oranges and apple juice do not show the same effect. Current data is limited on these other fruits. Who makes Lipitor and when does its patent expire? Pfizer manufactures Lipitor. Its primary compound patent expired in 2011.
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