You cannot see the symptoms associated with having unhealthy cholesterol levels, so it can be difficult to appreciate the benefit of staying on SIMCOR. You will not see that your cholesterol is improving until the next time your doctor gives you the results of a cholesterol blood test.
1Set an alarm for the same time every night, about 30 minutes before your usual bedtime. The alarm will remind you to take your aspirin (with your doctor's approval) 30 minutes before you take SIMCOR, to help manage flushing.
2Plan low-fat snacks ahead of time, in preparation for taking SIMCOR. For low-fat recipes, check out the American Heart Association's Delicious Decisions Web site, www.deliciousdecisions.org.
3Use a calendar and check off each night you take your SIMCOR. Or, use a medication dispenser with the days of the week.
4Track your progress by using the Cholesterol Tracker to chart your cholesterol numbers with each doctor visit. Charting your progress toward reaching your cholesterol goals can help you stay motivated.
5Involve a loved one by discussing your SIMCOR treatment plan so they can help remind you of taking your medication regularly, and enjoy your success as you move closer to your cholesterol goals.
6
Contact your health care provider
If you have any unexplained muscle pain, tenderness, or weakness, as this may be a sign of a serious but rare muscle disorder, from which rare cases of death have occurred.
If you have diabetes and notice changes in your blood sugar.
If you have a history of kidney problems or gout.
If you are pregnant, or become pregnant.
Uses for SIMCOR® (niacin extended-release/simvastatin)
SIMCOR is used when treatment with simvastatin alone or niacin extended-release alone is not enough, and when a low-fat diet and exercise alone have not been successful.
SIMCOR is a prescription medication that is used along with diet to lower levels of total cholesterol, LDL "bad" cholesterol and triglycerides, and to increase HDL "good" cholesterol in people with abnormal cholesterol levels.
No additional benefit of SIMCOR on heart disease over and above that shown for simvastatin alone and niacin alone has been demonstrated.
Important Safety Information for SIMCOR
SIMCOR is not for people with liver problems, stomach ulcers, or serious bleeding problems; for women who are pregnant, may become pregnant, or are nursing; or for those allergic to any product ingredient.
Contact your health care provider about any unexplained muscle pain, tenderness, or weakness, as this may be a sign of a serious but rare muscle disorder, from which rare cases of death may occur. This risk is increased when SIMCOR is taken with certain types of medications.
Tell your health care provider about all the medications you are taking, including vitamins and nutritional supplements.
SIMCOR contains extended-release niacin. All forms of niacin are not the same. SIMCOR should not be substituted for immediate-release niacin, as severe liver damage can occur.
SIMCOR is associated with increases in liver enzymes. Your health care provider should do blood tests before and during treatment with SIMCOR to check for liver problems. SIMCOR should be used with caution if you drink large amounts of alcohol or have a history of liver disease.
SIMCOR may cause an increase in blood sugar levels. If you have diabetes, check blood sugar levels more frequently during the first few months of SIMCOR use.
Tell your health care provider if you have a history of kidney problems or gout. SIMCOR may cause an increase in uric acid levels.
Women of childbearing age should use an effective method of birth control to prevent pregnancy while using SIMCOR. If you are pregnant, stop SIMCOR and contact your health care provider.
Flushing (warmth, redness, itching, and/or tingling of the skin) is a common side effect that may subside after several weeks of consistent use. Flushing may vary in severity and is more likely to occur when starting therapy or during dose increases. If you take SIMCOR at bedtime, flushing will most likely occur during sleep. If flushing wakes you up, take your time getting up, especially if you feel dizzy or faint, or if you take blood pressure medications.
Other common side effects include headache, itching, nausea, back pain, and diarrhea.
For more information, talk with your health care provider.
Please click here (http://rxabbott.com/pdf/simcor_pi.pdf) for full Prescribing Information.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
If you cannot afford your medication, contact: www.pparx.org or call the toll-free phone number (1-888-4PPA-NOW) for assistance.