Managing Flushing

What is SIMCOR and how does it work?

SIMCOR is a combination of two cholesterol medicines; simvastatin and niacin extended-release. SIMCOR is used when treatment with simvastatin alone or niacin extended-release alone is not enough, and when a diet low in saturated fat and cholesterol and other non-drug measures alone have not been successful. SIMCOR is used along with diet to lower levels of total cholesterol, LDL “bad” cholesterol, and triglycerides and to increase HDL “good” cholesterol.

No additional benefit of SIMCOR on heart disease over and above that shown for niacin alone and simvastatin alone has been demonstrated.

Safety Considerations for SIMCOR

SIMCOR should not be taken by people with liver problems, stomach ulcers, or serious bleeding problems; in women who are pregnant, may become pregnant, or nursing. Contact a health care provider if serious side effects such as unexplained muscle pain, tenderness or weakness develop. This may be a sign of a serious but rare muscle disorder. Blood tests are needed before and during treatment with SIMCOR to check for liver problems. Increases in blood sugar can occur. The most common side effect of SIMCOR is flushing (warmth, redness, itching, and/or tingling of the skin).

Please click here for Important Safety Information about SIMCOR and discuss it with your doctor.

What is flushing?

Patients who take SIMCOR may experience flushing.1 This is a common side effect associated with the niacin extended-release component of SIMCOR. Flushing is a warmth, redness, itching and/or tingling that can occur on your face, neck, chest, and/or back. It is caused by increased blood flow to the surface of the skin. If this happens to you, remember:

  • Flushing typically occurs when you start taking SIMCOR or when the dosage is increased
  • If awakened by flushing at night, you should get up slowly, especially if feeling dizzy, faint, or taking blood pressure medications
  • For some, flushing may be more intense, and additional symptoms, such as dizziness or fainting, rapid or pronounced heartbeat, shortness of breath, sweating, chills, and/or swelling may occur. Notify your doctor if dizziness or fainting occurs.
  • Flushing may subside after several weeks of consistent SIMCOR use.