Perform LFT prior to initiation. Cases of myopathy & rhabdomyolysis; immune-mediated necrotizing myopathy. Predisposing factors for rhabdomyolysis (eg, hyperthyroidism). Alcohol consumption. Unexplained muscle pain, tenderness or weakness accompanied by malaise or fever. Concomitant use w/ fibrates or lipid-modifying doses of niacin; colchicine. Discontinue use if markedly elevated creatinine kinase levels, diagnosed or suspected myopathy or risk factor predisposing to development of renal failure secondary to rhabdomyolysis occurs. Increases in HbA1c & fasting serum glucose level have been reported w/ HMG-CoA reductase inhibitors including pitavastatin. Use effective contraception during treatment in females of reproductive potential. Renal impairment. Childn. Elderly.
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