Atozet Dosage/Direction for Use

General: The patient should be on an appropriate lipid-lowering diet and should continue on this diet during treatment with ATOZET. The dosage should be individualized according to the baseline LDL-C level, the recommended goal of therapy, and the patient's response. ATOZET can be administered as a single dose at any time of the day, with or without food.
Adults: Primary Hypercholesterolemia and/or Coronary Heart Disease: The dosage range of ATOZET is 10/10 to 10/80 mg once daily. The recommended starting dose of ATOZET is 10/10 or 10/20 mg once daily. Patients who require a larger reduction in LDL-C (more than 55%) may be started at 10/40 mg once daily. After initiation and/or upon titration of ATOZET, lipid levels should be analyzed within 2 or more weeks and dosage adjusted accordingly.
Dosage in Patients with Homozygous Familial Hypercholesterolemia: The dosage of ATOZET in patients with homozygous familial hypercholesterolemia is 10/40 or 10/80 mg daily. ATOZET should be used as an adjunct to other lipid-lowering treatments (e.g., LDL apheresis) in these patients or if such treatments are unavailable.
Pediatric Patients: Treatment with ATOZET is not recommended.
Geriatric Patients: No dosage adjustment is required for elderly patients.
Renal Impairment: No dosage adjustment is required for renally impaired patients.
Hepatic Impairment: No dosage adjustment is required in patients with mild hepatic impairment (Child-Pugh score 5 to 6). Treatment with ATOZET is not recommended in patients with moderate (Child-Pugh score 7 to 9) or severe (Child-Pugh score >9) liver dysfunction. [See Hepatic Impairment under Precautions.]
Coadministration with Bile Acid Sequestrants: Dosing of ATOZET should occur either ≥2 hours before or ≥4 hours after administration of a bile acid sequestrant.
Cyclosporine, Clarithromycin, Itraconazole, or Certain HIV/HCV Antiviral Agents: In patients taking cyclosporine or the HIV protease inhibitors tipranavir plus ritonavir or the hepatitis C protease inhibitor telaprevir, therapy with ATOZET should be avoided. In patients with HIV taking lopinavir plus ritonavir, caution should be used when prescribing ATOZET and the lowest dose necessary employed. In patients taking clarithromycin, itraconazole, or the hepatitis C antiviral agents boceprevir, elbasvir, grazoprevir or in patients with HIV taking a combination of saquinavir plus ritonavir, darunavir plus ritonavir, fosamprenavir, or fosamprenavir plus ritonavir, therapy with ATOZET should be limited to 10/20 mg, and appropriate clinical assessment is recommended to ensure that the lowest dose necessary of atorvastatin is employed. In patients taking the HIV protease inhibitor nelfinavir, therapy with ATOZET should be limited to 10/40 mg, and appropriate clinical assessment is recommended to ensure that the lowest dose necessary of ATOZET is employed. [See Myopathy/Rhabdomyolysis under Precautions.]
Other Concomitant Lipid-Lowering Therapy: The combination of ATOZET and fibrates is not recommended [see Fibrates under Precautions and Other Interactions under Interactions].