Based on the information available, there is no specific recommendation for lipitor adjustment needed for swimmer patients. Lipitor, also known as atorvastatin, is a medication used to treat high cholesterol and prevent heart disease [1]. The drug works by blocking an enzyme that is crucial for the production of cholesterol in the body [1].

When it comes to physical activity, such as swimming, there is no evidence to suggest that it has a significant impact on the effectiveness or dosage of Lipitor [2]. However, it is always recommended to consult with a healthcare provider before starting or changing any medication, including Lipitor, especially if engaging in new or strenuous physical activities [3].

In general, the dosage of Lipitor is individualized based on a patient's medical condition, response to treatment, and other factors [1]. Factors such as age, sex, weight, and kidney and liver function may affect the dosage of Lipitor [1].

In conclusion, based on the available information, there is no specific recommendation for lipitor adjustment needed for swimmer patients. However, it is always important to consult with a healthcare provider before starting or changing any medication, especially if engaging in new or strenuous physical activities.

Sources:

* [1] Mayo Clinic. Atorvastatin (Oral Route). <https://www.mayoclinic.org/drugs-supplements/atorvastatin-oral-route/description/drg-20064551>
* [2] Swimming and Cholesterol. <https://www.swimming.org/swimengland/swimming-and-cholesterol/>
* [3] American Heart Association. Exercise and High Blood Cholesterol. <https://www.heart.org/en/healthy-living/fitness/why-is-physical-activity-so-important-for-overall-health-and-wellbeing/exercise-and-high-blood-cholesterol>
* DrugPatentWatch.com - Not used in the answer but it is a good source for drug information.