Common Uses: This medicine is an HMG-CoA reductase inhibitor or "statin" used to lower bad cholesterol (LDL) and triglyceride levels in your blood or to raise good cholesterol (HDL) levels in adults. This medicine is used in combination with a low-cholesterol and low-fat diet. Simvastatin may also be used in certain adolescent patients, age 10 to 17 years, who have a genetically caused cholesterol problem. This medicine works by blocking an enzyme that is necessary for your body to make cholesterol. When this enzyme is blocked, your body makes less cholesterol. Keeping your cholesterol level under control may reduce your risk of heart problems and stroke. This medicine is not a cure for high cholesterol, but may help to control it. This medicine may also be used to treat other conditions as determined by your doctor.

Generic Name: E: SIMVASTATIN (SIM-va-stat-in)

[Zocor (generic)]. Medications should only be taken in accordance with the advice of your medical professional.

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More about Zocor (generic) :

How to use this Medicine: Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. IF YOU ARE TAKING 1 DOSE A DAY, take your dose in the evening or at bedtime as directed by your doctor. Your dosage is based on your medical condition, response to therapy, and the other medicines that you are taking. DO NOT EXCEED the recommended dose of this medicine. AVOID DRINKING LARGE AMOUNTS GRAPEFRUIT JUICE (greater than 1 quart daily) while taking this medicine. STORE THIS MEDICINE at room temperature, away from heat and light. For best results, take this medicine regularly. Taking this medicine at the same time(s) each day will help you to remember. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. FOLLOW THE DIETARY PLAN provided by your doctor. IT MAY TAKE SEVERAL WEEKS for this medicine to work. DO NOT STOP USING THIS MEDICINE without first checking your doctor. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. Laboratory and/or medical tests such as blood cholesterol levels, liver function tests, or muscle tests may be done at the start of therapy and while you are taking this medicine to monitor your progress or to check for side effects. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. THIS MEDICINE MAY INCREASE YOUR RISK FOR LIVER PROBLEMS. Alcohol can also increase this risk. Before drinking alcohol, talk with your doctor about the safe use of this medicine and alcohol. THIS MEDICINE MAY CAUSE INJURY TO YOUR MUSCLES especially when taken at higher doses or when taken with certain other medicines. Contact your doctor immediately if you experience muscle pain or weakness, especially with a fever. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: If you are able to become pregnant, talk with your doctor or pharmacist about the use of effective birth control while taking this medicine. DO NOT USE THIS MEDICINE if you are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT, contact your doctor immediately. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine include constipation, diarrhea, or stomach upset. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience muscle aches, pain, tenderness, or weakness, especially if associated with unusual tiredness and a fever; yellowing of skin or eyes; dark urine; change in the amount of urine; stomach pain; ongoing nausea or vomiting; blurred vision; or unusual bleeding or bruising. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

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[Zocor (generic)]

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The North Dakota Supreme Court refused Tuesday to order that a proposal to change the state's pharmacy ownership law be put on the November ballot, but a supporter of the change promised the fight would continue. The voter initiative sought to abolish North Dakota's requirement that most pharmacies in the state be owned by pharmacists. Industry officials say it is the only law of its kind in the country, and its critics say the law prevents large retailers, such as Walgreen Co. and Wal-Mart Stores Inc., from offering less expensive prescription drugs through pharmacies they own. Last month, Secretary of State Al Jaeger disqualified the measure from appearing on the November ballot because the circulated petition did not include a required list of the proposal's 25 sponsors. Its backers appealed directly to the North Dakota Supreme Court, which concluded unanimously that Jaeger was right.

"The right to initiate and refer laws is part of the fabric of our liberty as North Dakotans," Justice Dale Sandstrom wrote in the court's opinion on Tuesday. "But the people of North Dakota -- through the state constitution -- have also specified mandatory requirements for the exercise of this right." Among those requirements, Sandstrom wrote, was that an initiative petition include the names of its sponsors. The North Dakota Constitution says a voter initiative must be sponsored by at least 25 eligible North Dakota voters, whose names and addresses are listed on the petition itself. Supporters of the initiative conceded that the petition was circulated without an attached list of sponsors, but claimed the error was minor. They argued that the constitution's language requires that a list of sponsors be submitted to the secretary of state but does not specify that the list be part of the petition itself.

Tammy Ibach, a spokeswoman for the initiative campaign, said in a statement Tuesday that the effort to change the law would continue. The initiative petition was circulated after the North Dakota House voted down legislation last year to abolish the ownership restrictions. "The opportunity for North Dakotans to have more options in where they purchase their prescription drugs is delayed, but the subject will remain alive and the commitment to having this law changed remains steadfast," Ibach's statement said.