Medicines & Supplements A to Z > Fluvastatin


Last updated on 24/03/2021.

Overview   |   Dosage   |    Side Effects   |   Precautions  |   Tips  |   Where To Buy  

GENERIC NAME: Fluvastatin 



DRUG CLASS: HMG-CoA reductase inhibitor; Cholesterol lowering drug

USED FOR: Elevated blood lipids, prevention of cardiovascular events

OTHER DRUGS IN THE SAME CLASS: Atorvastatin, Lovastatin, Pravastatin, Rosuvastatin, Simvastatin


What is Fluvastatin for?

Fluvastatin is a cholesterol lowering drug that works like Atorvastatin, which is primarily by blocking the enzyme involved in cholesterol synthesis, especially in the liver, and hence reduces cholesterol levels. It is the first-line medication used for hypercholesterolaemia or hyperlipidemia (elevated blood cholesterol).

The detailed indications of Fluvastatin include:
– Primary hypercholesterolemia or combined (mixed) hyperlipidemia in patients who did not respond adequately to diet and other appropriate measures
– Heterozygous familial hypercholesterolemia in patients who have not responded adequately to diet and other appropriate measure
– Prevention of cardiovascular events in patients with cardiovascular disease or at high risk of having a cardiovascular event (e.g. people who smoke, people with diabetes)

How to use it?

In Hong Kong, Fluvastatin is only available as extended-release tablets (Lescol XL) to be taken orally. The usual dose range of Fluvastatin for adults is 20 to 40 mg once daily. The maximum daily dose is 80 mg per day. The dose of Fluvastatin is adjusted based on your cholesterol level by your doctor at least every 4 weeks. Usually, a lower dose is used in Asian population.

What are the side effects of Fluvastatin?

The most common side effects of Fluvastatin are muscle pain, muscle weakness, and shoulder pain. Rare side effects include an increased risk of diabetes, cognitive impairment (inability to focus or remember) and rhabdomyolysis (severe muscle breakdown).

Who should not take Fluvastatin?

– Patients with active liver disease
– People allergic to Fluvastatin or other ingredients of formulation
– Pregnant or breastfeeding women, or those who plan to become pregnant

Pharmacist Tips:

– Seek medical attention immediately if there is any unexplained muscle pain.
– Take adequate contraception during and 1 month after therapy if you are a female patient with childbearing potential.
– Avoid consumption of large amounts of grapefruit and grapefruit juice while you are on this medication.
– Reductions in blood cholesterol will be the best when Fluvastatin is used with diet and exercise

Common dosing schedule:
You should take the extended-release preparation at bedtime. Do not crush, chew or open the tablets. 

This schedule is for reference only, adjustments may be made according to individual needs.

Some common medications Fluvastatin may interact with:
– Antifungal agents, e.g. Itraconazole, Ketoconazole, Posaconazole
– Cyclosporine
– Protease inhibitors, e.g. Boceprevir, Telaprevir
– Red yeast rice
– Some antibiotics, e.g. Clarithromycin, Erythromycin 
St John’s Wort 

Please notify your doctor or pharmacist if you are taking the above medication, dosage adjustments might be needed.

Where to buy Fluvastatin in Hong Kong?

In Hong Kong, Fluvastatin is a prescription only medicine, and requires a prescription from a doctor to be purchased in a pharmacy. It can also be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health.

For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at

Need more information?

For detailed information about the use of Fluvastatin in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.

Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.