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Rosuvastatin 20 mg: uses, price & cheaper substitutes

Prescription required (Schedule H)

Common uses: High cholesterol (LDL) and triglycerides that diet and exercise have not controlled; Preventing heart attack and stroke in people with diabetes, high blood pressure or other risk factors.

Listed MRPs range from ₹2.68 to ₹58.40 per tablet across 9 listings. Use only on a doctor's prescription.

Price comparison

BrandManufacturerPackMRP₹ / tabletAs on
Rosuvastatin Tablets IP 20 mgJan AushadhiJan Aushadhi (PMBJP)10₹26.82₹2.6819 October 2026
Roseday 20USV Private Limited15₹456.00₹30.4019 October 2026
Rosulip 20Cipla Ltd10₹320.83₹32.0819 October 2026
Rozat 20Dr Reddy's Laboratories Ltd15₹506.85₹33.7919 October 2026
Rozucor 20Torrent Pharmaceuticals Ltd10₹421.85₹42.1919 October 2026
Rosuvas 20Sun Pharmaceutical Industries Ltd10₹480.00₹48.0019 October 2026
Rozavel 20Sun Pharmaceutical Industries Ltd15₹720.00₹48.0019 October 2026
Novastat 20Lupin Ltd15₹775.20₹51.6819 October 2026
Crestor 20AstraZeneca15₹876.00₹58.4019 October 2026

MRPs as printed/listed on the date shown; actual price may vary.

Uses

  • High cholesterol (LDL) and triglycerides that diet and exercise have not controlled.
  • Preventing heart attack and stroke in people with diabetes, high blood pressure or other risk factors.
  • After a heart attack, stent or stroke, to prevent another event.
  • Inherited high cholesterol (familial hypercholesterolaemia).

How to take it

Take one tablet once a day at the same time, with or without food, swallowed whole with water – night-time is common but any fixed time works for rosuvastatin. Doctors usually start at a lower dose and increase after about four weeks based on your lipid report; 20 mg is a higher-intensity dose often used after a heart attack or stent. It is a long-term, often lifelong, medicine – stopping lets cholesterol rise again. Tell your doctor promptly about unexplained muscle pain, weakness or dark urine, and get the liver and lipid tests your doctor asks for.

Side effects

Common

  • Headache or dizziness.
  • Muscle aches.
  • Constipation, indigestion, wind or nausea.
  • Feeling tired or weak.

Serious

Stop and get medical help urgently if you notice any of these.

  • Severe muscle pain, weakness or dark brown urine – possible muscle breakdown; stop and see a doctor.
  • Yellowing of the skin or eyes, dark urine – liver inflammation.
  • Severe stomach pain spreading to the back – pancreatitis.
  • Severe allergic reaction – swelling of the face or throat, difficulty breathing.

Safety information

Alcohol

Avoid heavy drinking – it raises the risk of liver problems with statins.

Pregnancy

Do not take in pregnancy – it can harm the baby. Stop and use contraception before trying to conceive; discuss with your doctor before breastfeeding.

Kidney problems

A lower dose is used in moderate kidney disease and 20 mg or above is avoided if kidneys are severely weak.

Liver problems

Not suitable in active liver disease; liver enzymes are checked before and during treatment.

Children

Sometimes prescribed from age 6 for inherited high cholesterol under a specialist.

Missed dose

Skip the missed dose and take the next one at the usual time. Never take two doses together.

Interactions

  • Fibrates such as fenofibrate, and niacin – higher risk of muscle damage; used together only with care.
  • Ciclosporin and some HIV or hepatitis C medicines – raise rosuvastatin levels a lot.
  • Antibiotics like erythromycin and fusidic acid – tell your doctor before starting them.
  • Warfarin – INR can rise; clopidogrel can also increase rosuvastatin levels.
  • Antacids containing aluminium or magnesium – take them at least two hours after rosuvastatin.

Frequently asked questions

What is Rosuvas 20 used for?

Rosuvas 20 contains rosuvastatin 20 mg, a statin. It lowers LDL ("bad") cholesterol and triglycerides and reduces the risk of heart attack and stroke, especially in people who already have heart disease or diabetes.

Rosuvas 10 vs Rosuvas 20 – why was my dose increased?

Doctors increase the dose when the cholesterol target is not met on 10 mg, or when a higher-intensity dose is needed after a heart attack or stent. The decision is based on your lipid report and risk level.

Should I take Rosuvas 20 at night?

Rosuvastatin lasts long enough to be taken at any time of day. Many people take it at night out of habit; what matters is taking it at the same time every day.

Can I take Rosuvas 20 with alcohol?

Occasional moderate drinking is usually acceptable, but heavy or regular alcohol increases the risk of liver damage with statins. Discuss your intake with your doctor.

Rosuvastatin vs atorvastatin – which is better?

Both are strong statins. Rosuvastatin lowers LDL slightly more at equivalent doses and can be taken at any time; atorvastatin has longer experience and is cheaper. Your doctor chooses based on your target and other medicines.

Does Roseday 20 cause muscle pain?

Mild muscle aches are fairly common and often settle. Severe pain, weakness or dark urine is rare but serious – stop and see your doctor, who may check a muscle enzyme test.

Can I stop Rosuvas once my cholesterol is normal?

No. Cholesterol is normal because of the medicine and rises again when it is stopped. Statins after a heart attack or in diabetes are usually lifelong; only your doctor should change the plan.

Is Rosuvas safe in pregnancy?

No. Statins are not used in pregnancy. If you are planning a pregnancy, tell your doctor so it can be stopped in advance.

Is rosuvastatin available at Jan Aushadhi stores?

Yes, rosuvastatin 20 mg tablets are on the Jan Aushadhi generic list, usually at a much lower price than branded packs. It is still a Schedule H medicine requiring a prescription.

Sources

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