fluvastatin

Brand: Lescol, Lescol XL

Prototype: atorvastatin
Drug Class: HMG-CoA reductase inhibitor (statin)
Drug Family: antilipemic
Subclass: synthetic statin
Organ Systems: cardiovascular

Mechanism of Action

Fully synthetic statin that competitively inhibits HMG-CoA reductase; metabolized primarily by CYP2C9 rather than CYP3A4, providing a distinct interaction profile from most other statins.

HMG-CoA reductase

Indications

  • hypercholesterolemia
  • mixed dyslipidemia
  • secondary prevention of cardiac events post-PCI

Contraindications

  • active liver disease
  • pregnancy
  • breastfeeding
  • hypersensitivity

Adverse Effects

Common

  • myalgia
  • headache
  • dyspepsia
  • nausea
  • elevated transaminases

Serious

  • rhabdomyolysis
  • myopathy
  • hepatotoxicity

Pharmacokinetics (ADME)

Absorption approximately 24-29% oral bioavailability due to first-pass effect; XL form provides extended release
Distribution highly protein bound; Vd approximately 330 L
Metabolism hepatic CYP2C9 (primary), CYP2C8 (minor); active hydroxylated metabolites
Excretion fecal (~90%) via bile; minimal renal excretion (<6%)
Half-life approximately 3 hours (immediate-release); approximately 9 hours (extended-release)
Onset days to weeks
Peak 1 hour (IR); 3 hours (XL)
Duration 24 hours
Protein Binding >98%
Vd approximately 330 L

Drug Interactions

Drug / Agent Mechanism Severity
fluconazole CYP2C9 inhibition increases fluvastatin exposure significantly major
gemfibrozil CYP2C9 and OATP1B1 inhibition increases fluvastatin levels moderate
cyclosporine OATP1B1 inhibition increases fluvastatin exposure moderate
warfarin CYP2C9 competition may increase warfarin anticoagulant effect moderate

Nursing Considerations

  1. Immediate-release capsules may be taken at any time; extended-release tablets should be taken at bedtime and must not be crushed or chewed.
  2. Monitor liver enzymes at baseline and symptomatically; fluvastatin has a lower overall myopathy risk than higher-potency statins.
  3. Advise patients taking warfarin that fluvastatin may potentiate anticoagulation; monitor INR more frequently when initiating or adjusting dose.
  4. Instruct patients to report unexplained muscle pain, dark urine, or signs of liver dysfunction; these warrant prompt evaluation and possible discontinuation.

Clinical Pearls

  • Fluvastatin is the weakest LDL-lowering statin; at maximum dose (80 mg XL) it reduces LDL by approximately 35%, compared with 50-60% for high-intensity statins.
  • CYP2C9 metabolism means fluvastatin interacts with azole antifungals and warfarin more prominently than CYP3A4-metabolized statins — an important nursing medication reconciliation point.

Safety Profile

Pregnancy contraindicated
Lactation contraindicated
Renal Adjustment Not required
Hepatic Adjustment Required
TDM Not required

Concordance Terms

Cross-referenced clinical concepts — click any term to see all content where it appears.