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- Generic Pravachol is an HMG CoA reductase inhibitor. Generic Pravachol blocks the production of cholesterol (a type of fat) in the body.

- Generic Pravachol is used to reduce the amounts of LDL (bad) cholesterol, total cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. These actions are important in reducing the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.

- Generic Pravachol may also be used for purposes other than those listed in this medication guide.

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

Seek emergency medical attention if an overdose is suspected. Symptoms of a Generic Pravachol overdose include nausea, diarrhea, stomach distress, and indigestion.

Alcohol and Pravachol both taken together can be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.

- Rare cases of muscle problems and liver problems have been associated with the use of Pravachol and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. - If you experience any of the following serious side effects, stop taking Generic Pravachol and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); decreased urine or rust-colored urine; or blurred vision.

- Other, less serious side effects may be more likely to occur. Continue to take Generic Pravachol and talk to your doctor if you experience gas, bloating, nausea, stomach upset, heartburn, abdominal pain, constipation, or diarrhea; a cough; headache; or insomnia.

- Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

- Do not take Generic Pravachol without first talking to your doctor if you are taking any of the following medicines:

cyclosporine (Sandimmune, Neoral);

gemfibrozil (Lopid), clofibrate (Atromid-S), or fenofibrate (Tricor);

niacin (Nicolar, Nicobid, Slo-Niacin, others);

erythromycin (E-Mycin, E.E.S., Ery-Tab, others) or clarithromycin (Biaxin); or

cholestyramine (Questran) or colestipol (Colestid).

- You may not be able to take Generic Pravachol, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

- Drugs other than those listed here may also interact with Pravachol. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.