Lipitor is a brand name for the drug atorvastatin, which is used to lower cholesterol levels in the blood. According to Drug Patent Watch [1], the patent for Lipitor expired in 2011, which means that other companies can now produce generic versions of the drug. These generic versions are considered to be alternatives to Lipitor, as they contain the same active ingredient and are designed to have the same effect on the body.

In terms of long-term use, the British Heart Foundation [2] suggests that cholesterol-lowering alternatives to Lipitor can be taken long term, as they are generally safe and effective. These alternatives include statins (such as simvastatin and pravastatin), ezetimibe, and PCSK9 inhibitors. The article notes that some people may experience side effects from these medications, but these are usually mild and go away on their own. It is important to note that any medication should only be taken as directed by a healthcare professional.

Medical News Today [3] provides additional information on some of the alternatives to Lipitor. For example, the article notes that PCSK9 inhibitors are a newer class of drugs that are typically reserved for people with very high cholesterol levels who have not responded well to other treatments. The article also mentions that lifestyle changes, such as eating a healthy diet and getting regular exercise, can help to lower cholesterol levels and may be used in conjunction with medication.

In conclusion, Lipitor alternatives can be taken long term and are generally considered to be safe and effective. These alternatives include generic versions of Lipitor, as well as other cholesterol-lowering medications such as statins, ezetimibe, and PCSK9 inhibitors. It is important to follow the guidance of a healthcare professional when taking any medication and to make lifestyle changes to support overall heart health.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/LIPITOR
[2] https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/cholesterol-lowering-alternatives
[3] https://www.medicalnewstoday.com/articles/lipitor