Tonact Forte Strip Of 10 Tablets

• Used in patients for the treatment of high cholesterol levels.
• Used in heart disease patients as a preventive measure.

• If you have pre-existing liver and kidney diseases.
• If you are pregnant or breastfeeding.
• If you are using this medication for children or infants.

• Constipation or diarrhoea,
• Indigestion,
• Muscle pain,
• Weakness,
• Stomachache,
• Itching,
• Flushing of skin,
• Increased blood glucose levels.

Other General Warnings

• You notice any signs of liver illness like dark coloured urine, yellowish discolouration of skin and eyes, and stomach pains.
• You are a diabetic patient. Monitoring your blood sugar levels is important as Tonact Forte Tablet causes them to rise.
• You're on Tonact Forte Tablet, and you're planning pregnancy, or if you're pregnant or breastfeeding.
• You have unexplained fatigue, muscle pain, weakness or tenderness. This is alarming because of a rare but serious condition called Rhabdomyolysis, wherein kidneys are damaged, and even death may occur.
• Lifestyle modifications are important for effective results with this medicine. They include weight reduction, a low-fat diet, a low salt diet, quitting smoking and alcohol consumption.
• It is important to tell your doctor about all the medicines and herbal supplements you're receiving.

• Take Tonact Forte Tablet in the dose and duration as prescribed by your doctor.
• It has to be swallowed whole with water.
• You shouldn't chew it, break it, or crush it.
• It can be taken with or without food, but preferably taken with food to avoid any side effects or nausea.
• Don't stop the medicine without consulting with your doctor.

• Tonact Forte Tablet has to be stored in the packet it arrived initially in so that it remains moisture-free.
• Keep it in a cool, dry place, below 30°C but do not refrigerate.
• Keep it out of reach from children and pets.
• While disposing of the left-over or expired medicine, make sure it won't be accessible to any person or stray animals.

Overdose

• Tonact Forte Tablet, if taken in overdose, should be reported immediately as it increases the risk of developing side effects and may also damage the kidneys or liver acutely.
• Overdose can cause diarrhoea, gas, heartburn, joint pain, forgetfulness, confusion, unexplained muscle weakness, tenderness, upper stomach pain, dark-coloured urine, yellowing of your skin or the whites of your eyes

Missed a Dose

How Does It Work?

• Tonact Forte Tablet combines two medicines, Atorvastatin and Vitamin B3 / Nicotinic Acid.
• Atorvastatin has lipid-lowering properties. It acts by blocking HMG-CoA-reductase, an enzyme that makes cholesterol in the body. Likewise, atorvastatin lowers 'bad' cholesterol (LDL, VLDL) and triglycerides and increases 'good' cholesterol (HDL).
• Vitamin B3 (Niacin); is a subtype of Vitamin B which prevents the excess cholesterol absorption from the food you eat and helps improve heart health. Less cholesterol absorbed, lesser the cholesterol levels in the body; which decreases the chances of heart attack, stroke and helps you live younger and longer.

Interactions with other medicines

• Antibiotics like Erythromycin, and Clarithromycin, increase the risk for muscle problems.
• Antifungals like Itraconazole and ketoconazole can increase the accumulation of medicine in the body; thus, the dose is usually reduced if the patient has to take both.
• Rifampicin (anti-TB medicine) can lower the amount of medicine in the body.
• Some Anti-HIV medicines like ritonavir and lopinavir can increase levels of Tonact Forte Tablet in the body and cause muscle breakdown.
• Verapamil, diltiazem or amlodipine.
• Clopidogrel and Warfarin (blood thinner) are used to prevent clots.

Interactions with food items

• Take Tonact Forte Tablet with food or a snack to avoid gastric problems.
• Grapefruit juice should be avoided, as it increases the levels of this medicine in the blood.