Livalo (Pitavastatin)

Name: Livalo
Brand: Kowa Pharm
SKU: 6784
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Livalo

Manufacturer: Kowa Pharm

Country: United States

Dosage: 2 mg

Qty-Price (USD):

Type:

Product: Livalo

Manufacturer: Recordati Pharma

Country: Turkey

Dosage: 2 mg

Qty-Price (USD):

Type:

Product: Livalo

Manufacturer: Recordati Pharma

Country: Turkey

Dosage: 4 mg

Qty-Price (USD):

Generic Equivalent of Livalo

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Pitavastatin

Manufacturer: Generic

Country: India

Dosage: 1 mg

Qty-Price (USD):

Type:

Product: Pitavastatin

Manufacturer: Generic

Country: India

Dosage: 2 mg

Qty-Price (USD):

Type:

Product: Pitavastatin

Manufacturer: Generic

Country: India

Dosage: 4 mg

Qty-Price (USD):

Livalo Information

medically reviewed by Carol Hou (BSc. Pharm) on June 24, 2025.

A licensed pharmacist (Licensed Community Pharmacies Directory | College of Pharmacists of British Columbia) with over 20 years of experience in medication management, specifically medication safety, she has reviewed the information for accuracy and completeness.

Livalo and Pitavastatin at CanadaPharmacyOnline.com

Livalo (pitavastatin) is marketed in the United States by Kowa Pharmaceuticals America, Inc., a subsidiary of the Japanese company Kowa Pharmaceutical Co., Ltd. Alipza is a brand name for pitavastatin marketed by Recordati Pharma in Turkey.

Generic pitavastatin is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturer of your dispensed medication may vary.

Important Information about Generic Pitavastatin:

Generic pitavastatin contains the same active ingredient as brand-name Livalo and is required to meet the same safety, effectiveness, and quality standards. This means it is designed to work in the same way as Livalo. Studies have shown that generic pitavastatin is bioequivalent to brand-name Livalo, meaning they have similar absorption rates and reach similar concentrations in the bloodstream. However, individual responses to medication can vary due to factors such as metabolism, genetics, and other health conditions.

For more information about generic drug approval and bioequivalence, you can visit the FDA website: https://www.fda.gov/drugs/generic-drugs/generic-drug-facts

Dosage:

Brand Livalo and generic pitavastatin are commonly available in 2 mg and 4 mg oral tablets. Depending on the manufacturer and region, generic pitavastatin may also be available in 1 mg oral tablets.

Your doctor will determine the appropriate dose based on your needs and medical conditions.

Usage:

Livalo (pitavastatin) is a prescription medication used in patients with primary hyperlipidemia or mixed dyslipidemia as an adjunctive therapy to diet to reduce elevated total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (Apo B), triglycerides (TG), and to increase high-density lipoprotein cholesterol (HDL-C). It is also used to lower elevated cholesterol levels in adults and children 8 years and older, particularly reducing "bad" LDL cholesterol, total cholesterol, apolipoprotein B, and triglycerides, while increasing "good" HDL cholesterol. It is also indicated for treating heterozygous familial hypercholesterolemia in children in the same age group. By improving these lipid levels, Livalo helps prevent cardiovascular issues like heart attacks and strokes when used alongside a proper diet.

Mechanism of Action:
Livalo (pitavastatin) is a statin, belonging to the HMG-CoA reductase inhibitor drug class. Its mechanism of action involves competitively inhibiting the HMG-CoA reductase enzyme in the liver, which is crucial for cholesterol production. This inhibition reduces cholesterol synthesis, leading to lower intracellular cholesterol levels. Consequently, the liver increases the number of LDL receptors on its surface, enhancing the uptake of LDL cholesterol from the bloodstream and lowering overall LDL ("bad") cholesterol levels. Livalo primarily lowers LDL-C and may contribute to decreased triglyceride levels and a modest increase in HDL ("good") cholesterol levels.

Take Livalo exactly as your doctor prescribes, following the instructions in the Livalo prescribing information. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Livalo, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects associated with Livalo (pitavastatin). It is not an exhaustive list, and individual reactions can vary.

Common side effects - These are some common side effects of Livalo, but others are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning, or if you experience any other concerning symptoms.
• Back pain
• Constipation
• Diarrhea
• Headache
• Joint pain
• Muscle pain
• Pain in the arms or legs

Serious Side Effects: These are rare but potentially severe side effects. Seek immediate medical attention or call emergency services if you experience any of the following:
• Allergic reactions: Symptoms can include rash, itching, hives, swelling of the face, lips, tongue, or throat, and difficulty breathing.
• Immune-mediated necrotizing myopathy (IMNM): This is a rare but serious muscle problem that can occur with statins. Symptoms include muscle weakness in the arms and legs, difficulty lifting arms or getting up from a chair, and fatigue.
• Increased blood sugar: Livalo may increase blood sugar levels, potentially leading to or worsening diabetes.
• Liver problems: Livalo can increase liver enzyme levels and, in rare cases, cause serious liver damage. Symptoms of liver problems may include yellowing of the skin or eyes (jaundice), dark urine, light-colored stools, loss of appetite, nausea, vomiting, or upper stomach pain.
• Memory problems and confusion: Some people have reported memory loss or confusion while taking statins, including Livalo. These symptoms are usually reversible after stopping the medication.
• Muscle problems: This can range from muscle pain, tenderness, or weakness (myopathy) to a severe breakdown of muscle tissue (rhabdomyolysis), which can lead to kidney damage and even death. Symptoms to watch for include unexplained muscle pain, weakness, or tenderness, especially if accompanied by fever, unusual tiredness, or dark urine.

Contraindications:

The following is not an exhaustive list of contraindications. Before starting Livalo, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Livalo should not be used if you:
• You are allergic to pitavastatin or any inactive ingredients in this medication.
• You have active liver disease, including unexplained persistent elevations in liver enzyme levels.
• You take cyclosporine, an immunosuppressant medication

Tell your doctor about your medical conditions, past and present, before starting Livalo. This is crucial because certain conditions affect whether Livalo is right for you. These conditions may include, but are not limited to:
• Age 65 years or older. Older adults may be at higher risk for muscle problems.
• Diabetes: Livalo may increase blood sugar levels in some individuals.
• History of liver disease: Even if liver disease is not currently active, a history of liver problems may warrant caution.
• Kidney problems: Patients with kidney impairment may be at higher risk for muscle problems (myopathy and rhabdomyolysis) when taking Livalo. A lower dose may be necessary.
• Uncontrolled hypothyroidism (underactive thyroid). Having an underactive thyroid gland that is not well-managed can increase the risk of myopathy.

Drug Interactions:

Before taking Livalo, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, refer to the Livalo website. Talk to your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. It is also essential to inform your doctor about any herbal teas, recreational drugs, or significant dietary changes you are making, as these could potentially interact with the medication. Livalo may interact with other medicines, but is not limited to:
• Colchicine: The risk of muscle problems may be increased.
• Cyclosporine: Concomitant use is contraindicated.
• Erythromycin: If used with erythromycin, Livalo levels may increase, increasing the risk of side effects. The dose of Livalo should not exceed 1 mg daily.
• Gemfibrozil (Lopid): Concomitant use should be avoided due to an increased risk of muscle problems.
• Niacin (in lipid-modifying doses, ≥1 gram/day): The risk of muscle problems may be increased.
• Other fibrates (e.g., fenofibrate): The risk of muscle problems may be increased.
• Rifampin: May decrease Livalo levels, potentially reducing its effectiveness. Caution should be exercised when these drugs are used concomitantly, and a higher dose of Livalo might be needed, or alternative therapies considered. Consult your doctor for appropriate management.

Alcohol
Limit alcohol intake, as excessive alcohol consumption can increase the risk of liver problems, which is also a potential side effect of Livalo.

Pregnancy and Breastfeeding

Livalo (pitavastatin) is contraindicated during pregnancy due to the potential risk of fetal harm, as cholesterol is crucial for fetal development and statins inhibit its synthesis; women of reproductive potential should use effective contraception. Breastfeeding is also not recommended while taking Livalo because it is unknown if it passes into breast milk, and due to concerns about disrupting infant lipid metabolism, which is vital for brain development. Therefore, women requiring Livalo should avoid breastfeeding.

Frequently Asked Questions about Livalo at Canada Pharmacy Online:

Why is Livalo more affordable in Canada than in the United States?

Prescription drug prices, including Livalo, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the U.S., where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

What is the difference between Livalo 2 mg and 4 mg?

The difference in dosage represents the different amount of the same active ingredient (pitavastatin) present in each tablet.

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy focuses on offering you the lowest prices on high-quality products.

How do I order from your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many tablets I am allowed to order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Livalo at once, per your doctor's prescription.

Can I buy over the counter from you?

No, Livalo requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Livalo?

Yes, there is a generic alternative for this product called pitavastatin.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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