Rosuvastatin
Brand Names: Crestor
Methodology & AI Transparency ⓘ
Rosuvastatin Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: 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.
- 2 Real-world patient consensus: Tracked across 6 patient dosage logs with a 81% satisfaction benchmark (RxCUI 859751).
- 3 Typical cash cost range: Dispensing cost comparison spans $5.45 mail/discount cash up to $34.50 uninsured retail (federal NADAC $0.0454).
- 4 Top reported side effects / signs: Leading openFDA/SPL adverse events for Rosuvastatin: nausea (12.4%), headache (11%), constipation (6.9%).
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Rosuvastatin Mechanism, CYP450 Pathways & DailyMed Monograph
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 ..
Concurrent Rosuvastatin exposure alters anticoagulant pharmacodynamics, requiring closer hemorrhagic surveillance.
Divalent and trivalent cations bind Rosuvastatin intraluminally and blunt peak oral plasma concentrations.
Standard Adult Titration & Dosages
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)
Rosuvastatin Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Rosuvastatin)
| 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 ↗ |
Rosuvastatin Public Price Transparency Ledger
| 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 |
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.
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