Individualized dosage. Usual starting dose: 10 mg once daily. A dose adjustment to 20 mg can be made after 4 wk, if necessary.
Severe hypercholesterolemia (including those w/ familial hypercholesterolemia) 40 mg in patients who do not achieve their treatment goal on 20 mg.
Severe renal impairment (CrCl <30 mL/min) Not to exceed 10 mg once daily.
Severe hepatic impairment Not to exceed 20 mg once daily.