Lipitor is a brand name for the drug atorvastatin, which is a type of statin used to lower cholesterol levels in the blood. According to Drug Patent Watch [1], the patent for Lipitor expired in 2011, which means that generic versions of atorvastatin are now available. These generic versions include atorvastatin calcium, atorvastatin magnesium, and atorvastatin calcium/amlodipine besylate.

In addition to statins, there are other medications that can be used to lower high cholesterol levels. GoodRx [2] lists several alternatives to statins, including bile acid sequestrants, ezetimibe, and PCSK9 inhibitors. Bile acid sequestrants work by binding to bile acids in the intestine, preventing them from being reabsorbed into the bloodstream and forcing the liver to use more cholesterol to produce new bile acids. Ezetimibe works by blocking the absorption of cholesterol in the small intestine. PCSK9 inhibitors are a newer type of medication that work by blocking a protein that prevents the liver from removing LDL cholesterol from the blood.

The British Heart Foundation [3] also lists lifestyle changes as an alternative to medication for lowering cholesterol levels. These lifestyle changes include eating a healthy diet, maintaining a healthy weight, getting regular exercise, quitting smoking, and reducing alcohol consumption.

In summary, alternatives to Lipitor include generic versions of atorvastatin, as well as other types of cholesterol-lowering medications such as bile acid sequestrants, ezetimibe, and PCSK9 inhibitors. Lifestyle changes can also be effective in lowering cholesterol levels. It is important to consult with a healthcare provider to determine the best treatment plan for individual needs.

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