aspirin and pravastatin

Generic Name: aspirin and pravastatin (AS pir in and prah vah STAH tin)
Brand Names: Pravigard Pac

What is the most important information I should know about aspirin and pravastatin?

In rare cases, liver problems have occurred during treatment with pravastatin and other similar medicines. Contact your doctor immediately if you experience abdominal pain, unusual fatigue, yellowing of the skin or eyes, dark colored urine, or pale colored stools. These may be signs of liver problems.

In rare cases, serious muscle problems have been reported with the use of pravastatin and similar medications. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if it is accompanied by a fever or flu-like symptoms.

Do not take aspirin and pravastatin without first talking to your doctor if you have liver disease.

Alcohol and pravastatin can both affect the liver. Alcohol used with aspirin may increase the risk of stomach bleeding, especially if 3 or more alcoholic drinks are consumed daily. Discuss with your doctor the amount of alcohol you drink so that it can be determined if aspirin and pravastatin should be used.


What is aspirin and pravastatin?

Aspirin is in a class of drugs called salicylates. It works by reducing substances in the body that cause pain and inflammation. Aspirin also reduces the formation of blood clots.

Pravastatin reduces total cholesterol, low density lipoprotein (LDL or "bad) cholesterol, and triglycerides in the blood.

Together, aspirin and pravastatin are used to slow the progression of atherosclerosis (fatty deposits in the arteries) and to reduce the risk of heart attack, stroke, and transient ischemic attack (TIA or "mini-stroke").

Aspirin and pravastatin may also be used for purposes other than those listed in this medication guide.


What should I discuss with my healthcare provider before taking aspirin and pravastatin?

Do not take aspirin and pravastatin without first talking to your doctor if you have liver disease.

Before taking aspirin and pravastatin, tell your doctor if you

  • have an allergy to aspirin or pravastatin;
  • have an allergy to a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, Naprosyn, Anaprox, others), indomethacin (Indocin), ketoprofen (Orudis KT, Orudis, Oruvail), nabumetone (Relafen), oxaprozin (Daypro), and others;
  • have an ulcer or bleeding in the stomach;
  • have kidney disease;
  • drink alcoholic beverages;
  • have a chronic muscular disease;
  • have a blood disorder or bleeding problems;
  • have gout;
  • have asthma; or
  • have nasal polyps.

Your may not be able to take aspirin and pravastatin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Pravastatin is in the FDA pregnancy category X. This means that pravastatin is known to cause birth defects when taken during pregnancy. Aspirin is in the FDA pregnancy category D. This means that is also known to be harmful to a developing baby. Do not take aspirin and pravastatin if you are pregnant or could become pregnant during treatment.

Aspirin and pravastatin pass into breast milk and may affect a nursing infant. Do not take aspirin and pravastatin without first talking to your doctor if you are breast-feeding a baby.

In children younger than 20 years of age, aspirin may increase the risk of Reye's syndrome, a rare but often fatal condition. Aspirin and pravastatin should not be used by children younger than 20 years of age.


How should I take aspirin and pravastatin?

Take aspirin and pravastatin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Aspirin and pravastatin can be taken with or without food.

It is important to take aspirin and pravastatin regularly to get the most benefit.

Your doctor may want to monitor your liver function with blood tests before starting treatment with aspirin and pravastatin, before any increase in dose, and periodically during treatment. Depending on the results of these tests, your doctor can determine how much monitoring you will require.

Eat a low-fat, low-cholesterol diet. To see beneficial effects from aspirin and pravastatin, avoid fatty, high-cholesterol foods.

Do not stop taking aspirin and pravastatin without first talking to your doctor. It may be weeks or months before beneficial effects are seen from this medication.

Store aspirin and pravastatin at room temperature away from moisture and heat.


What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.


What happens if I overdose?

Seek emergency medical attention if an overdose is suspected.

Symptoms of an aspirin and pravastatin overdose may include nausea, diarrhea, stomach distress, ringing in the ears, and difficulty breathing.


What should I avoid while taking aspirin and pravastatin?

Alcohol and pravastatin can both affect the liver. Alcohol used with aspirin may increase the risk of stomach bleeding, especially if 3 or more alcoholic drinks are consumed daily. Discuss with your doctor the amount of alcohol you drink so that it can be determined if aspirin and pravastatin should be used.

Avoid taking other over-the-counter or prescription medications containing aspirin; salicylates (forms of aspirin) such as magnesium and/or choline salicylate (Magan, Doan's, Bayer Select Backache Pain Formula, Mobidin, Arthropan, Trilisate, Tricosal) and salsalate (Disalcid); or NSAIDs such as ibuprofen (Motrin, Advil, Nuprin, others), naproxen (Aleve, Naprosyn, Anaprox, others), indomethacin (Indocin), ketoprofen (Orudis KT, Orudis, Oruvail), nabumetone (Relafen), oxaprozin (Daypro), and others. Combined with aspirin and pravastatin, these medications may be dangerous.

Tell your doctor and dentist that you are taking aspirin and pravastatin, especially if you need to undergo a surgical procedure. Aspirin may prolong bleeding.


What are the possible side effects of aspirin and pravastatin?

In rare cases, liver problems have occurred during treatment with pravastatin and other similar medications. Contact your doctor immediately if you experience abdominal pain, unusual fatigue, yellowing of the skin or eyes, dark colored urine, or pale colored stools. These may be signs of liver problems.

In rare cases, serious muscle problems have been reported with the use of pravastatin and similar medications. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if it is accompanied by a fever or flu-like symptoms.

If you experience any of the following serious side effects, stop taking aspirin and pravastatin and seek medical attention or contact your doctor immediately:

  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
  • unusual bleeding or bruising;
  • black, bloody, or tarry stools;
  • nausea, vomiting, persistent or severe heartburn, or abdominal pain;
  • vomit that is bloody or looks like coffee grounds; or
  • decreased hearing or ringing in the ears.

Other, less serious side effects may be more likely to occur. Continue to take aspirin and pravastatin and talk to your doctor if you experience

  • stomach upset or mild heartburn;
  • drowsiness;
  • headache; or
  • skin rash.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.


What other drugs will affect aspirin and pravastatin?

Before taking aspirin and pravastatin, talk to your doctor if you are taking any of the following medicines:

  • gemfibrozil (Lopid), fenofibrate (Tricor), or clofibrate (Atromid-S);
  • niacin (Nicolar, Nicobid, others);
  • an anticoagulant such as warfarin (Coumadin), heparin, enoxaparin (Lovenox), dalteparin (Fragmin), danaparoid (Orgaran), ardeparin (Normiflo), or tinzaparin (Innohep);
  • a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, Nuprin, others), ketoprofen (Orudis, Orudis KT, Oruvail), naproxen (Naprosyn, Anaprox, Aleve), diclofenac (Voltaren, Cataflam), meloxicam (Mobic), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), indomethacin (Indocin), ketorolac (Toradol), sulindac (Clinoril), or tolmetin (Tolectin); or
  • another salicylate such as aspirin (Acuprin, Ecotrin, Ascriptin, Bayer, others); choline salicylate and/or magnesium salicylate (Magan, Doan's, Bayer Select Backache Pain Formula, Mobidin, Arthropan, Trilisate, Tricosal), or salsalate (Disalcid).

You may not be able to take aspirin and pravastatin, or you may require a dosage adjustment or special monitoring during treatment.

Drugs other than those listed here may also interact with aspirin and pravastatin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.


Where can I get more information?

Your pharmacist has additional information about aspirin and pravastatin written for health professionals that you may read.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version: 2.03. Revision date: 8/10/04.