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HMG-CoA Reductase Inhibitor • Prescription (Rx)

Rosuvastatin

Brand Names: Crestor

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2024-03-06 • RxNorm RxCUI 859751 • 10 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

Rosuvastatin Key Takeaways

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

81%
Patient “Worth It” (6)
$5.45
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Rosuvastatin

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Dr. Vance (AI Pharmacology & Interaction Agent)

Rosuvastatin Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 859751 • NDC 71610-796

Rosuvastatin tablets are indicated: To reduce the risk of stroke, myocardial infarction, and arterial revascularization procedures in adults without established coronary heart disease who are at increased risk of cardiovascular (CV) disease based on age, hsCRP ≥2 mg/L, and at least one additional CV risk factor. As an adjunct to diet to: Reduce LDL-C in adults with primary hyperlipidemia. Reduce low-density lipoprotein cholesterol (LDL-C) and slow the progression of atherosclerosis in adults.

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

Systemic exposure to Rosuvastatin reflects ~20% systemic bioavailability (Rosuvastatin) absorption kinetics and mixed metabolic conjugation and unchanged urinary excretion across rosuvastatin regimens, sustaining receptor engagement across a Terminal t½ estimated at 10–17 hrs depending on renal/hepatic reserve (Rosuvastatin) half-life window (peak plasma tmax within 3 to 5 hours (rosuvastatin) response profile).

Dosing protocols (20 mg/1 Tablet, Film Coated or 10 mg/1 Tablet, Coated or 10 mg/1 Tablet, Film Coated or 40 mg/1 Tablet or 5 mg/1 Tablet, Film Coated) balance efficacy (81.00% patient satisfaction across 6 logs) against nausea (12.4% of reports), headache (11% of reports), constipation (6.9% of reports), with strict avoidance in rosuvastatin tablets are contraindicated in the following conditions: acute liver failure or decompensated cirrhosis .; hypersensitivity to rosuvastatin or any excipients in rosuvastatin tablets.; hypersensitivity reactions including rash, pruritus, urticaria, and angioedema have been reported with rosuvastatin tablets ..

Key Monitored Interactions:
Warfarin & Vitamin K Antagonists Major

Concurrent Rosuvastatin exposure alters anticoagulant pharmacodynamics, requiring closer hemorrhagic surveillance.

Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Divalent and trivalent cations bind Rosuvastatin intraluminally and blunt peak oral plasma concentrations.

Half-Life
Terminal t½ estimated at 10–17 hrs depending on renal/hepatic reserve (Rosuvastatin)
Bioavailability
~20% systemic bioavailability (Rosuvastatin)
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Rosuvastatin regimens
Clinical Onset
Peak plasma Tmax within 3 to 5 hours (Rosuvastatin)

Standard Adult Titration & Dosages

20 mg/1 Tablet, Film Coated 10 mg/1 Tablet, Coated 10 mg/1 Tablet, Film Coated 40 mg/1 Tablet 5 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • Rosuvastatin tablets are contraindicated in the following conditions: Acute liver failure or decompensated cirrhosis .
  • Hypersensitivity to rosuvastatin or any excipients in rosuvastatin tablets.
  • Hypersensitivity reactions including rash, pruritus, urticaria, and angioedema have been reported with rosuvastatin tablets .

Logged Side-Effect Incidence (6 Reports)

Nausea 12.4%
Headache 11%
Constipation 6.9%
Dizziness 6.2%
Fatigue 4.9%
Myalgia 3.7%
Elena Rostova (AI Biostatistician & openFDA Quant)

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

openFDA / Label % Patient Logs (6)
Nausea FAERS: 12.4% • Logs: 12.4%
Fatigue FAERS: 4.9% • Logs: 4.9%
Myalgia FAERS: 3.7% • Logs: 3.7%
Headache FAERS: 11% • Logs: 11%
Dizziness FAERS: 6.2% • Logs: 6.2%
Constipation FAERS: 6.9% • Logs: 6.9%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Rosuvastatin)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Rosuvastatin and atorvastatin on kidney function:: What a 24,278-Participant Study Found

Both RSV and ATV improve GFR, and ATV seems to be more effective in reducing proteinuria.

Circulation journal : official journal of the Japanese Circulation Society • 2012-01-15 • Meta-Analysis
N = 24,278 99/100 PMID 22382383 ↗
New Insights on Atorvastatin and rosuvastatin on kidney: What a 29,147-Participant Study Found

A and R show similar reno-protective effects in patients at high heart and blood vessel risk, with comparable rates of new onset proteinuria when commonly used doses are considered.

International journal of cardiology • 2013-09-10 • Meta-Analysis
N = 29,147 99/100 PMID 22633671 ↗
New Insights on Risk of Venous Thromboembolism with Statins: Evidence Gathered via a Network: What a 137,940-Participant Study Found

Rosuvastatin is significantly reduces the risk of VTE when compared with a placebo, other statin subtypes, and fibrate.

Balkan medical journal • 2023-09-11 • Meta-Analysis
N = 137,940 99/100 PMID 37519020 ↗
New Insights on Rosuvastatin for Reduction of Myocardial Damage during Coronary Angioplasty - the: What a 1,080-Participant Study Found

Endpoints of the EPC-substudies are the impact of tested regimens on 1) early (24-h) and 3-month EPC levels and functional activity; 2) stent strut re-endothelialization and neointimal hyperplasia; 3) 1-year MACE.

Cardiovascular drugs and therapy • 2016-10-15 • Randomized Controlled Trial
N = 1,080 96/100 PMID 27358173 ↗
New Insights on Lipid-altering efficacy of the ezetimibe/simvastatin single tablet versus: What a 2,959-Participant Study Found

Ezetimibe/simvastatin was more effective than rosuvastatin in LDL-C lowering, and provided greater or comparable improvements in other lipid measures and hsCRP at the approved usual starting, next highest, and maximum doses in...

Current medical research and opinion • 2006-10-15 • Randomized Controlled Trial
N = 2,959 96/100 PMID 17022864 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Rosuvastatin Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 859751
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0454/unit (~$1.36/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $5.45 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 6 Anonymous DotMD Community Micro-Logs $7.50 / mo View logs ↓

Rosuvastatin Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Rosuvastatin RxNorm Concept ID 859751 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0454 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $5.45 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 81.00% Worth It (6 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Rosuvastatin Patient Community, Cohort Filters & Dosage Logs

Cross-verified Rosuvastatin (hmg-coa reductase inhibitor) monograph synthesizing RxNorm 859751, openFDA FAERS signals, and $5.45–$34.50 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)

Filter Rosuvastatin community threads and patient logs by age, biological sex, dosage, and treatment duration.

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