Atorvastatin 40 mg: uses, price & cheaper substitutes
Prescription required (Schedule H)
Common uses: High cholesterol – lowers LDL ("bad") cholesterol and triglycerides; Preventing heart attack, stroke and angina in people with heart disease or at high risk; the 40 mg dose is common after a heart attack or stent.
Listed MRPs range from ₹2.06 to ₹20.76 per tablet across 9 listings. Use only on a doctor's prescription.
Price comparison
| Brand | Manufacturer | Pack | MRP | ₹ / tablet | As on |
|---|---|---|---|---|---|
| Atorvastatin Tablets IP 40 mgJan Aushadhi | Jan Aushadhi (PMBJP) | 10 | ₹20.63 | ₹2.06 | 19 October 2026 |
| Atocor 40 | Dr Reddy's Laboratories Ltd | 15 | ₹309.03 | ₹20.60 | 19 October 2026 |
| Atorlip 40 | Cipla Ltd | 10 | ₹206.20 | ₹20.62 | 19 October 2026 |
| Storvas 40 | Sun Pharmaceutical Industries Ltd | 10 | ₹207.38 | ₹20.74 | 19 October 2026 |
| Aztor 40 | Sun Pharmaceutical Industries Ltd | 15 | ₹311.09 | ₹20.74 | 19 October 2026 |
| Tonact 40 | Lupin Ltd | 15 | ₹311.15 | ₹20.74 | 19 October 2026 |
| Atorva 40 | Zydus Cadila | 10 | ₹207.50 | ₹20.75 | 19 October 2026 |
| Avas 40 | Micro Labs Ltd | 10 | ₹207.53 | ₹20.75 | 19 October 2026 |
| Lipvas 40 | Cipla Ltd | 10 | ₹207.57 | ₹20.76 | 19 October 2026 |
MRPs as printed/listed on the date shown; actual price may vary.
Uses
- High cholesterol – lowers LDL ("bad") cholesterol and triglycerides.
- Preventing heart attack, stroke and angina in people with heart disease or at high risk; the 40 mg dose is common after a heart attack or stent.
- People with diabetes or kidney disease who need cholesterol lowering.
- Inherited high cholesterol (familial hypercholesterolaemia).
How to take it
Take one 40 mg tablet once a day at the same time each day, with or without food. Many people take it in the evening, but any fixed time is fine. Swallow it whole with water. Your doctor may start you on a lower dose and increase it after about 4 weeks based on your cholesterol test. Atorvastatin is usually a long-term, often lifelong, medicine – do not stop it because you feel well, as cholesterol rises again. Avoid large amounts of grapefruit juice. See your doctor if you get unexplained muscle pain, weakness or dark urine.
Side effects
Common
- Headache, dizziness.
- Nausea, indigestion or other digestive problems.
- Muscle aches and joint swelling.
- Blocked or runny nose, nosebleeds.
- Trouble sleeping.
Serious
Stop and get medical help urgently if you notice any of these.
- Muscle inflammation or breakdown – severe muscle pain, weakness, dark urine; stop and see a doctor urgently.
- Liver inflammation – yellow skin or eyes, dark urine, pale stools, unusual tiredness.
- Pancreatitis – severe stomach pain spreading to the back.
- Severe allergic reaction – swelling of the face or throat, difficulty breathing.
Safety information
Alcohol
Limit alcohol. Regular heavy drinking raises the risk of liver problems with statins.
Pregnancy
Do not take atorvastatin in pregnancy – it can affect the baby's development. Stop about 3 months before trying to conceive. Ask your doctor about breastfeeding.
Kidney problems
Tell your doctor about kidney disease; atorvastatin may still be used but muscle side effects need watching.
Liver problems
Not suitable if you have active liver disease. Your doctor may check liver tests before and during treatment.
Children
Sometimes prescribed for children aged 10 and above with inherited high cholesterol, under specialist care.
Missed dose
Skip the missed dose and take the next one at the usual time. Do not take two doses together.
Interactions
- Other cholesterol medicines such as fenofibrate – higher risk of muscle damage.
- Antifungals (itraconazole, fluconazole, ketoconazole) and antibiotics like clarithromycin, erythromycin and fusidic acid – raise atorvastatin levels; your doctor may pause the statin.
- Heart medicines diltiazem and verapamil, and ciclosporin – increase statin levels.
- Warfarin – bleeding risk may change; INR needs checking.
- HIV and hepatitis C medicines, and St John's wort – tell your doctor.
- Grapefruit juice in large amounts – avoid.
Frequently asked questions
Atorva 40 morning or night?
Either, as long as it is the same time every day. Many doctors suggest evening because the body makes more cholesterol at night, but a fixed morning dose works too.
Atorva 10 vs Atorva 40 – what is the difference?
Both contain atorvastatin; 40 mg is a higher-intensity dose used after a heart attack, stent or in people at high risk. Your doctor chooses the strength based on your cholesterol and heart risk.
Can I take Atorva 40 with alcohol?
Occasional small amounts are usually fine, but regular heavy drinking raises the risk of liver problems with statins. Keep alcohol to a minimum.
Does Atorva 40 cause muscle pain?
Mild muscle aches are a common side effect. Severe pain, weakness or dark urine can signal muscle damage – stop the tablet and see your doctor the same day.
Can I stop Atorva 40 once my cholesterol is normal?
No. Cholesterol is normal because the medicine is working, and it will rise again if you stop. Statins are usually taken long term.
Is Lipvas 40 safe in pregnancy?
No. Atorvastatin is not recommended in pregnancy and should be stopped about 3 months before trying to conceive. Tell your doctor if you are planning a pregnancy.
Can I take Atorva 40 with antibiotics like Azithral or Clarithromycin?
Clarithromycin and erythromycin raise atorvastatin levels and increase muscle risk; your doctor may pause the statin during the course. Always tell the prescribing doctor you are on a statin.
Is Atorva 40 available without prescription?
No. Atorvastatin is a Schedule H medicine in India and needs a doctor's prescription.
Does Atorva 40 affect the liver?
Rarely it can cause liver inflammation. Your doctor may check liver tests before starting and if you get symptoms such as yellow eyes, dark urine or unusual tiredness.
Sources
- NHS – Atorvastatin (19 October 2026)
- NPPA Pharma Sahi Daam (ceiling prices) (19 October 2026)
- PMBI Jan Aushadhi Product & MRP List (19 October 2026)
Medyzen Editorial Team · Last updated
This page is general information, not medical advice. Do not start, stop or change a medicine without asking a doctor or pharmacist. Terms