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compositionComposition:ASPIRIN-75MG+ATORVASTATIN-10MG+RAMIPRIL-5MG
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Prescription Medicine
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Symtor-Forte Capsule is used to prevent heart attack and stroke. Besides this, it also lowers the raised level of bad cholesterol (especially for those at high risk of heart disease). It blocks the enzyme required to make fat in the body. It reduces the bad cholesterol (also known as low-density lipoproteins or LDL) and triglycerides (TG) and increases the levels of good cholesterol (also known as high-density lipoproteins or HDL). Also, it prevents clots in the blood vessels, lowers increased blood pressure, tightens and relaxes blood vessels in the body and reducing overload on the heart to pump more blood. In some cases, it may cause common side effects such as increased bleeding tendency, constipation, headache, muscle pain, weakness, headaches, decreased blood pressure, dizziness, muscle pain, increased blood glucose level, and cough.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ASPIRIN-75MG+ATORVASTATIN-10MG+RAMIPRIL-5MG

Manufacturer/Marketer :

Symbiotic Drugs

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Symtor-Forte Capsule

Symtor-Forte Capsule is a combination medicine prescribed to lower the risk of heart attacks, strokes, and blood clot formation in patients with existing heart disease. It helps manage high cholesterol, controls high blood pressure, and prevents platelets in your blood from sticking together. This medicine is typically prescribed for long-term cardiovascular protection.

For the best results, you must take Symtor-Forte Capsule consistently every day, exactly as your doctor directs. It is usually taken once a day, preferably at the same time, and should be swallowed with food to help prevent an upset stomach. Combining this treatment with a heart-healthy diet low in saturated fats and regular, moderate physical activity will significantly improve your clinical outcomes.

While taking Symtor-Forte Capsule , some people may experience mild side effects such as an upset stomach, a dry cough, or muscle aches. However, if you experience more serious symptoms like severe muscle pain, yellowing of your skin or eyes, or unusual bleeding and bruising, you must contact your doctor immediately.

Talk to your doctor before starting Symtor-Forte Capsule if you have a history of liver disease, kidney problems, bleeding disorders, or stomach ulcers. Do not take this medicine if you are allergic to any of its components, have active liver damage, or are experiencing severe bleeding.

This medicine can interact with alcohol, which increases the risk of stomach bleeding and liver strain, and smoking, which reduces its heart-protecting benefits. It is also important to tell your doctor if you are pregnant, planning a pregnancy, breastfeeding, or are over 65, as special precautions or alternative treatments may be necessary.

Uses of Symtor-Forte Capsule

Symtor-Forte Capsule is used to lower the risk of heart attacks, strokes, and blood clot formation. The detailed uses of Symtor-Forte Capsule are as follows:

  • Prevention of heart attacks: Symtor-Forte Capsule helps reduce the risk of a heart attack by lowering harmful cholesterol levels, keeping blood vessels relaxed to improve blood flow, and stopping blood clots from forming in the arteries.
  • Prevention of strokes: By preventing blood clots from blocking blood flow to the brain and keeping cholesterol plaques stable, Symtor-Forte Capsule significantly lowers the likelihood of experiencing a stroke.
  • Management of stable coronary artery disease: In patients with long-term heart disease, this medicine helps maintain stable blood flow through the heart's arteries, reducing the occurrence of chest pain and other complications.
     

Key Benefits

Symtor-Forte Capsule helps support cardiovascular health by combining multiple heart-protective actions in a single treatment. By helping manage blood pressure, cholesterol levels, and blood clot formation, it contributes to comprehensive cardiovascular care and long-term health protection.

  • Supports Healthy Blood Pressure Levels: By helping maintain blood pressure within a healthy range, Symtor-Forte Capsule reduces strain on the heart and blood vessels and supports overall cardiovascular function.
  • Helps Manage Cholesterol Levels: Symtor-Forte Capsule helps lower elevated levels of low-density lipoprotein (LDL) cholesterol, supporting healthier arteries and reducing the risk of cholesterol build-up within blood vessels.
  • Provides Comprehensive Cardiovascular Protection: By combining blood pressure control, cholesterol management, and antiplatelet activity in a single capsule, Symtor-Forte Capsule helps reduce the risk of cardiovascular events associated with blocked or narrowed arteries. The convenient single-capsule formulation may also support better treatment adherence and long-term heart health.
     

Directions for Use

  • Symtor-Forte Capsule can be taken with or without food as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Symtor-Forte Capsule as a whole with a glass of water.
  • Do not chew, crush or break it.

How Symtor-Forte Capsule Works

Symtor-Forte Capsule works through the combined actions of three active components that target different aspects of cardiovascular health. The first component, ramipril, is an ACE inhibitor that relaxes your blood vessels. It does this by blocking a natural substance in the body that causes blood vessels to tighten, which lowers your blood pressure and makes it easier for your heart to pump blood. The second component, atorvastatin, belongs to a group of medicines called statins. It works by blocking an enzyme in the liver that produces cholesterol, thereby lowering 'bad' cholesterol (LDL) and triglycerides while raising 'good' cholesterol (HDL). This prevents fatty deposits from building up in your blood vessels. The third component, aspirin, is a low-dose antiplatelet agent (often called a blood thinner). It stops platelets, small cells in your blood, from sticking together to form dangerous clots that could block blood flow to your heart or brain. Together, these three components provide a multi-layered defence against cardiovascular events.
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Alcohol

Caution

Symtor-Forte Capsule should not be taken until prescribed if you are taking alcohol. Keep your doctor informed if you drink alcohol. Drinking alcohol with Symtor-Forte Capsule may potentiate gastrically or stomach bleeding and ulcer symptoms. So, try to avoid or limit the consumption of alcoholic beverages while using Symtor-Forte Capsule .

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Pregnancy

Unsafe

Symtor-Forte Capsule contains Atorvastatin, which is a pregnancy category X medicine. So, it is not recommended for pregnant mothers or those who are planning to get pregnant. In an extreme case, your doctor will decide whether Symtor-Forte Capsule can be given or not.

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Breast Feeding

Caution

Take Symtor-Forte Capsule only when prescribed, as it is known to pass on in a limited quantity via breast milk to the child. Contact your doctor before using the Symtor-Forte Capsule .

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Driving

Caution

Drive with caution as Symtor-Forte Capsule can cause dizziness and may affect your driving ability.

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Liver

Caution

Symtor-Forte Capsule to be taken with caution, especially if you have a history of liver diseases/conditions. Your doctor will adjust the dose.

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Kidney

Caution

Symtor-Forte Capsule to be taken with caution, especially if you have a history of kidney diseases/conditions. Your doctor will adjust the dose.

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Children

Caution

Symtor-Forte Capsule is not recommended for children below the age of 12 years. The safety and effectiveness of Symtor-Forte Capsule have not been established in children due to limited testing of this drug on children by competent authorities worldwide.

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Heart

Safe if prescribed

Symtor-Forte Capsule is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Symtor-Forte Capsule should be used under caution in geriatric patients. Please consult your physician.

What if I have taken an overdose of Symtor-Forte Capsule

In case of an accidental overdose, seek immediate medical attention or contact an emergency room right away. Symptoms of an overdose can include severe dizziness, ringing in the ears, rapid breathing, confusion, or severe stomach pain.

Diet & Lifestyle Advise

  • Eat a heart-healthy diet rich in whole grains, vegetables, fruits, and lean proteins, while strictly limiting your intake of saturated fats, trans fats, and high-cholesterol foods.
  • Keep your sodium (salt) intake low to help manage your blood pressure. Avoid adding extra salt to your meals and check food labels for hidden sodium content.
  • Engage in moderate-intensity aerobic exercise, such as brisk walking, cycling, or swimming, for at least 150 minutes per week, or as recommended by your cardiologist.
  • Limit your alcohol consumption, as combining alcohol with this medicine increases the risk of liver damage and stomach bleeding.
  • If you smoke, seek support to quit. Smoking damages blood vessels, accelerates plaque buildup, and directly opposes the heart-protective benefits of Symtor-Forte Capsule .
     
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Have a query?

How Soon It Starts Working

The time required for Symtor-Forte Capsule to start to work: The time required for Symtor-Forte Capsule to show its action is unknown. The time for which the effects of Symtor-Forte Capsule last: The duration of action for Symtor-Forte Capsule is unknown.

What if you forget to take Symtor-Forte Capsule

If you miss a dose of Symtor-Forte Capsule , take it as soon as you remember on that day. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Symtor-Forte Capsule capsules at room temperature, ideally between 15°C and 30°C (59°F to 86°F), in a dry place away from direct heat, moisture, and sunlight.

Drug Warnings

  • Monitor your body for unusual bruising or bleeding that takes longer than usual to stop, and inform your dentist or surgeons that you are taking Symtor-Forte Capsule before any procedure.
  • Have regular blood tests as scheduled by your doctor to monitor your liver function, kidney health, and cholesterol levels.
  • Avoid consuming grapefruit or grapefruit juice, as it can interact with the atorvastatin component and significantly increase the risk of side effects.
  • Be cautious when standing up quickly from a sitting or lying position, as the blood pressure-lowering effect may cause temporary dizziness.
  • Always carry a medical alert card or wear a bracelet stating that you take a combination containing low-dose aspirin and an ACE inhibitor in case of emergencies.
     

Drug-Drug Interactions

verifiedApollotooltip

Before using Symtor-Forte Capsule , it is important to understand how it may interact with other medicines, foods, or existing health conditions. Always inform your doctor or pharmacist about all prescription medicines, over-the-counter products, and supplements you are taking.

Drug-Drug Interactions

  • Blood thinners (e.g., warfarin, clopidogrel, apixaban): Taking Symtor-Forte Capsule with other medicines that affect blood clotting may increase the risk of bleeding, bruising, or other bleeding-related complications. Your doctor may recommend closer monitoring if these medicines are used together.
  • Blood pressure medicines and diuretics (water tablets): Combining Symtor-Forte Capsule with other antihypertensive medicines or diuretics may cause blood pressure to fall too low, leading to dizziness, lightheadedness, or fainting.
  • Certain antibiotics (e.g., erythromycin) and fibrates: These medicines may increase the risk of muscle-related side effects, including muscle pain, weakness, or, in rare cases, serious muscle damage, when taken with the atorvastatin component of Symtor-Forte Capsule .
  • NSAIDs (e.g., ibuprofen, naproxen): Regular use of nonsteroidal anti-inflammatory drugs may reduce kidney function and may also affect the blood-pressure-lowering benefits of the ramipril component. Use these medicines cautiously and consult your doctor if long-term pain relief is needed.


Drug-Food Interactions

  • Grapefruit and grapefruit juice: Grapefruit products may increase the levels of the atorvastatin component in the bloodstream, potentially raising the risk of muscle-related side effects and liver enzyme abnormalities. Avoid excessive grapefruit consumption unless advised otherwise by your healthcare provider.
  • Potassium-rich products: Potassium supplements and salt substitutes containing potassium should be used cautiously while taking Symtor-Forte Capsule . The ramipril component can increase potassium levels in the blood, which may lead to hyperkalaemia in susceptible individuals.


Drug-Disease Interactions

  • Liver disease: Do not use Symtor-Forte Capsule if you have active liver disease or unexplained persistent elevations in liver enzymes, as the atorvastatin component may worsen liver-related problems.
  • Bleeding disorders: Patients with active bleeding conditions, stomach ulcers, haemophilia, or other disorders that increase bleeding risk should use Symtor-Forte Capsule only under close medical supervision, as the aspirin component may increase bleeding tendencies.
  • Kidney impairment: Patients with reduced kidney function may require closer monitoring during treatment. Both the ramipril and aspirin components can affect kidney function, particularly in susceptible individuals or those with pre-existing kidney disease.

     
Ramipril + Atorvastatin + AspirinMibefradil
Critical
Ramipril + Atorvastatin + AspirinPosaconazole
Critical

Drug-Drug Interactions

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Ramipril + Atorvastatin + AspirinMibefradil
Critical
How does the drug interact with Symtor-Forte Capsule:
Taking Mibefradil with of Ramipril, Atorvastatin and Aspirin can increase the risk of side effects.

How to manage the interaction:
Co-administration of Ramipril, Atorvastatin and Aspirin with Mibefradil can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, muscle pain or swelling, consult a doctor. Do not stop using any medications without talking to a doctor.
Ramipril + Atorvastatin + AspirinPosaconazole
Critical
How does the drug interact with Symtor-Forte Capsule:
Taking Posaconazole with of Ramipril, Atorvastatin and Aspirin can increase the risk of side effects.

How to manage the interaction:
Co-administration of Ramipril, Atorvastatin and Aspirin with Posaconazole can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, joint pain or swelling, consult a doctor. Do not stop using any medications without talking to a doctor.
Ramipril + Atorvastatin + AspirinTelaprevir
Critical
How does the drug interact with Symtor-Forte Capsule:
Taking Telaprevir with of Ramipril, Atorvastatin and Aspirin can increase the risk of liver problems and other side effects.

How to manage the interaction:
Co-administration of Ramipril, Atorvastatin and Aspirin with Telaprevir can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, muscle pains or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Ramipril + Atorvastatin + AspirinAliskiren
Critical
How does the drug interact with Symtor-Forte Capsule:
Co-administration of Aliskiren with Ramipril, Atorvastatin and Aspirin can increase the risk of kidney problems and other side effects.

How to manage the interaction:
Taking Ramipril, Atorvastatin and Aspirin with Aliskiren can possibly lead to an interaction, it can be taken if a doctor advices it. However, if you experience any symptoms like nausea, vomiting, weakness, confusion, tingling sensation in hands or feet, heaviness in legs, fever, chills, muscle pains or swelling, or slow or rapid heartrate. Do not discontinue any medications without consulting a doctor.
Ramipril + Atorvastatin + AspirinKetorolac
Critical
How does the drug interact with Symtor-Forte Capsule:
The combined use of Ramipril, Atorvastatin and Aspirin with Ketorolac can increase the risk of stomach bleeding.

How to manage the interaction:
Taking Ramipril, Atorvastatin and Aspirin with Ketorolac together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor if you experience any symptoms such as unusual bleeding, bruising, dizziness, lightheadedness, blood in cough fluid, dark or black stools, severe headache, weakness, or vomiting fresh or dried blood which looks like coffee grounds . Do not discontinue any medications without consulting a doctor.
Ramipril + Atorvastatin + AspirinIbrutinib
Severe
How does the drug interact with Symtor-Forte Capsule:
The combined use of Ramipril, Atorvastatin and Aspirin with Ibrutinib can increase the risk of bleeding.

How to manage the interaction:
Taking Ramipril, Atorvastatin and Aspirin with Ibrutinib together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor if you experience any symptoms such as unusual bleeding, bruising, dizziness, lightheadedness, blood in cough fluid, dark or black stools, severe headache, weakness, or vomiting fresh or dried blood which looks like coffee grounds . Do not discontinue any medications without consulting a doctor.
Ramipril + Atorvastatin + AspirinIrbesartan
Severe
How does the drug interact with Symtor-Forte Capsule:
Taking Irbesartan with Ramipril, Atorvastatin and Aspirin can lead to increased potassium salt in blood.

How to manage the interaction:
Although taking Irbesartan with Ramipril, Atorvastatin and Aspirin can lead to an interaction, it can be taken if prescribed by a doctor. However, consult the doctor if you experience nausea, vomiting, weakness, confusion, tingling in hands or feet, feeling of heaviness in the legs, or slow or rapid heartbeat. Do not stop using any medications without talking to a doctor.
Ramipril + Atorvastatin + AspirinApixaban
Severe
How does the drug interact with Symtor-Forte Capsule:
The combined use of Ramipril, Atorvastatin and Aspirin with Apixaban can increase the risk of bleeding.

How to manage the interaction:
Taking Ramipril, Atorvastatin and Aspirin with Apixaban together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor if you experience any symptoms such as unusual bleeding, bruising, dizziness, lightheadedness, blood in cough fluid, dark or black stools, severe headache, weakness, or vomiting fresh or dried blood which looks like coffee grounds . Do not discontinue any medications without consulting a doctor.
Ramipril + Atorvastatin + AspirinClofibrate
Severe
How does the drug interact with Symtor-Forte Capsule:
Taking Clofibrate with of Ramipril, Atorvastatin and Aspirin can increase the risk of liver problems and other side effects.

How to manage the interaction:
Co-administration of Ramipril, Atorvastatin and Aspirin with Clofibrate can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, muscle pains or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Ramipril + Atorvastatin + AspirinEdoxaban
Severe
How does the drug interact with Symtor-Forte Capsule:
The combined use of Ramipril, Atorvastatin and Aspirin with Edoxaban can increase the risk of bleeding.

How to manage the interaction:
Taking Ramipril, Atorvastatin and Aspirin with Edoxaban together can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor if you experience any symptoms such as unusual bleeding, bruising, dizziness, lightheadedness, blood in cough fluid, dark or black stools, severe headache, weakness, or vomiting fresh or dried blood which looks like coffee grounds . Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[CARDIOVASCULAR AGENTS]

FAQs

Symtor-Forte Capsule is used to prevent heart attack and stroke. Besides this, it also lowers the raised level of bad cholesterol (especially for those at high risk of heart disease).
Symtor-Forte Capsule is composed of three medicines: Atorvastatin, Ramipril, and Aspirin. Atorvastatin lowers raised fat/cholesterol; aspirin prevents blood clots in the arteries, and ramipril lowers increased blood pressure. Thus, together Symtor-Forte Capsule reduces the risk of heart attack, stroke, and heart-related chest pain (angina).
Usually, Symtor-Forte Capsule is prescribed for long-term treatment ranging from weeks to months for treating heart-related conditions and disorders. However, taking it on your own for years without a doctor's consent can be fatal. Hence, only take it as long as your doctor prescribes it.
Symtor-Forte Capsule can raise your blood sugar, so if you already have type 2 diabetes, please consult your doctor. The doctor will weigh the benefits and potential risks before prescribing them.
Symtor-Forte Capsule contains aspirin, which can increase your bleeding risk and increase the blood clot time. Please consult your doctor if the Symtor-Forte Capsule needs to be stopped before surgery. The doctor might ask you to stop taking Symtor-Forte Capsule a few days before surgery to avoid the increased risk of bleeding during the procedure.
If you forget to take Symtor-Forte Capsule at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.
Yes, taking Symtor-Forte Capsule can increase the risk of bleeding as it contains aspirin, which is a blood thinner. So, please be very cautious while shaving, cutting fingernails or toenails, or using sharp objects to avoid bleeding.
Musculoskeletal pain, abdomen pain, cough, dizziness, low blood pressure, stomach ulcer/bleeding, and bleeding problems are the common side effects of Symtor-Forte Capsule , which can be reported in some patients.
Generally, paracetamol is considered as a safer option. However, it is best to consult a doctor for personalized advice on painkillers while taking Symtor-Forte Capsule to prevent adverse effects and to ensure safe use.
Symtor-Forte Capsule may cause cough as a common side effect. To manage this symptom, try staying hydrated by drinking plenty of fluids, using a humidifier to add moisture to the air, and taking lozenges to soothe your throat. If the cough persists, consult your doctor for further guidance.
Symtor-Forte Capsule should be stored in a cool and dry place, away from sunlight. Keep it out of sight and reach of children.
While taking Symtor-Forte Capsule , it's best to avoid taking other medications that may interact with it, such as blood thinners, certain antibiotics, and nonsteroidal anti-inflammatory drugs (NSAIDs). Always consult your doctor for a complete list of medicines to avoid and for personalized advice.
No, you should not stop taking Symtor-Forte Capsule without consulting your doctor. This medicine is designed for long-term protection to prevent future heart attacks and strokes, even if you feel completely fine and your lab test results are normal. Talk to your doctor.
If you develop unexplained, severe muscle pain, tenderness, or weakness, especially if you also have a fever or dark urine, contact your doctor immediately. This could be a sign of a rare but serious muscle side effect. Talk to your doctor.
You should avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen without consulting your doctor first. These medicines can increase your risk of stomach bleeding and reduce the effectiveness of both the blood pressure and antiplatelet components of Symtor-Forte Capsule . Talk to your doctor.
A dry, persistent, tickly cough is a known side effect of the ramipril component in Symtor-Forte Capsule . If this cough becomes troublesome or does not go away, do not take cough medicine on your own; instead, talk to your doctor, who may adjust your treatment. Talk to your doctor.
It is highly recommended to limit or avoid alcohol while taking this medicine. Alcohol increases the risk of stomach irritation and bleeding from the aspirin component and adds strain to your liver. Talk to your doctor.
No, you should not take Symtor-Forte Capsule if you are pregnant or planning to become pregnant. The ramipril and atorvastatin components can cause severe harm to an unborn baby. Use effective birth control while on this medication and talk to your doctor immediately if you suspect you are pregnant. Talk to your doctor.
Symtor-Forte Capsule is typically taken once a day with food to protect your stomach. While it can be taken at any time, it is best to take it at the same time each day. Follow your doctor's recommendation for the timing that works best for you. Talk to your doctor.
Yes, you should avoid drinking grapefruit juice or eating grapefruit while taking Symtor-Forte Capsule . Grapefruit contains compounds that slow down how your body processes atorvastatin, which can lead to higher levels of the drug in your body and increase the risk of muscle damage. Talk to your doctor.

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Reference

  1. Electronic Medicines Compendium (EMC). Pil.4339 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Electronic Medicines Compendium (EMC). Pil.4172 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  3. Electronic Medicines Compendium (EMC). Product Summary of Product Characteristics (SmPC). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  4. Electronic Medicines Compendium (EMC). Pil.5275 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  5. National Health Service (NHS). Ramipril - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  6. Aspirin [Prescribing Information]. 2015. [Accessed on 16 Sep. 2024]Check here
  7. Public Assessment Report: Scientific discussion. 2014. [Accessed on 22 Apr. 2019]Check here

Country of origin

India

Manufacturer/Marketer address

35, Baddi, Baddi - 173205 (Export Promostion Industrial Park, Jharmajri)
Other Info - SYM0105
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