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How does Lipitor lower LDL cholesterol? Lipitor contains the active ingredient atorvastatin. It belongs to a class of drugs called statins. Statins block an enzyme in the liver called HMG-CoA reductase. This enzyme helps create cholesterol from other molecules. By blocking it, Lipitor reduces the amount of cholesterol the liver makes. When the liver stops producing so much cholesterol, it pulls LDL receptors onto its surface. Those receptors grab passing LDL particles from the blood and bring them into the liver. This process lowers LDL levels in the bloodstream. What happens if you stop taking Lipitor? Stopping Lipitor lets the blocked enzyme turn back on. The liver resumes producing cholesterol at its normal rate. LDL levels climb back toward their original values within weeks. Patients who discontinue statins often see cholesterol numbers rise again unless they maintain lifestyle changes or start another medication. What happens if the dose is too high? Too high a dose increases the risk of muscle-related side effects. Patients may experience muscle pain, weakness, or rare but serious muscle breakdown. Liver enzymes may also rise. Doctors usually start with 10 or 20 mg and increase slowly if needed. Blood tests monitor muscle and liver status. Why are companies challenging Lipitor patents? Several generic manufacturers challenged the main composition-of-matter patent that protected atorvastatin calcium salt. They argued that the doppelfunktionale compound was obvious once previous statins were known. The patent expired in 2011, allowing generic versions to enter the market and drive price down sharply.
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