Description Recol Tablets 20mg contain Simvastatin, an HMG-CoA reductase inhibitor (statin) used to manage high cholesterol levels. It works by inhibiting cholesterol synthesis in the liver, lowering low-density lipoprotein (LDL or “bad” cholesterol) and triglycerides while raising high-density lipoprotein (HDL or “good” cholesterol). This reduces the risk of cardiovascular events like heart attack or stroke. Manufactured as a film-coated tablet, it’s suitable for adults needing lipid control alongside diet and lifestyle changes.
Ingredients Simvastatin 20mg.
Drug Class Statin / HMG-CoA Reductase Inhibitor / Lipid-Lowering Agent.
Dosage Form Tablet (1 box = 1 strip; 1 strip = 10 tablets).
Uses Recol Tablets are prescribed for:
- Lowering high cholesterol and triglycerides in hyperlipidemia.
- Reducing risk of heart attack or stroke in at-risk patients.
- Decreasing the need for coronary revascularization procedures.
- Preventing hospitalization due to angina.
- Supporting cardiovascular health in diabetes or coronary artery disease.
Doctor’s Review Cardiologists and internists often prescribe Recol for its proven efficacy in lipid management. As one physician notes: “Recol 20mg is a reliable statin for tackling LDL cholesterol and protecting against heart events. Its once-daily dosing fits well into routines, but regular liver and muscle checks are key to safe use.”
Dosage (Follow physician’s instructions — typical guideline)
- Adults: One 20mg tablet once daily, preferably in the evening.
- Adjustments: May range from 5mg to 40mg daily, based on lipid levels and risk; max 80mg rarely used.
- Renal impairment: Start at 5-10mg if severe; monitor closely.
- Take consistently with or without food; evening dosing optimizes effect.
In Case of Overdose Overdose is rare but may cause severe muscle pain, liver toxicity, or kidney issues. Seek immediate medical attention. Symptoms include nausea, dark urine, or extreme fatigue. Treatment is supportive, focusing on symptom management and monitoring liver/kidney function; dialysis is ineffective for Simvastatin.
Missed Dose Take as soon as remembered unless close to the next dose. Do not double up to avoid side effects like muscle pain. Resume your schedule and inform your doctor if misses occur often.
How to Use
- Swallow tablet whole with water, ideally at night to align with cholesterol production.
- Can take with or without food; avoid high-fat meals.
- Follow a low-cholesterol diet and exercise plan as prescribed.
- Monitor for muscle pain or dark urine—report immediately.
- Get regular lipid and liver function tests as advised.
When Not to Use Avoid Recol if:
- Allergic to Simvastatin or any excipients.
- Active liver disease or unexplained elevated liver enzymes.
- Pregnant, planning pregnancy, or breastfeeding (category X—fetal risk).
- Taking strong CYP3A4 inhibitors (e.g., itraconazole, erythromycin).
- Severe renal impairment without dose adjustment.
Side Effects Common:
- Constipation, diarrhea, nausea, stomach pain, wind.
- Headache, dizziness, fatigue.
- Skin rash, itchiness, hives.
Uncommon / Severe (Stop and seek medical help):
- Muscle pain/weakness (possible rhabdomyolysis), dark urine, yellowing skin/eyes.
- Anemia (tiredness, shortness of breath, paleness).
- Joint pain, fever, bruising easily, enlarged breasts in men.
- Severe allergic reactions (swelling, breathing difficulty).
Precautions & Warnings
- Report unexplained muscle pain/tenderness immediately—may indicate serious breakdown (rhabdomyolysis).
- Get baseline and periodic liver function tests; stop if enzymes rise significantly.
- Use cautiously in kidney disease or with alcohol history.
- May elevate blood sugar—monitor if diabetic or prediabetic.
- Contains lactose—consult doctor if sugar-intolerant.
Drug Interactions
- Increase Simvastatin levels (risk toxicity): CYP3A4 inhibitors (e.g., erythromycin, ketoconazole, ritonavir), amiodarone, verapamil, diltiazem, lomitapide.
- Increase bleeding risk: Warfarin, NSAIDs (e.g., ibuprofen, diclofenac).
- Other interactions: Digoxin, gemfibrozil, amlodipine, elbasvir/grazoprevir.
- Avoid: Strong CYP3A4 inhibitors like itraconazole or telaprevir.
Food Interactions
- Take with or without meals; evening dosing preferred.
- Avoid grapefruit juice—increases Simvastatin levels, risking toxicity.
- Limit alcohol to reduce liver strain and cholesterol impact.
Storage/Disposal
- Store at room temperature (15-30°C), away from direct light and heat.
- Keep in original strip, out of reach of children.
- Dispose via pharmacy returns; do not flush.
Quick Tips
- Track cholesterol with regular lipid panels.
- Pair with a Mediterranean-style diet for best results.
- Stay hydrated to ease digestive side effects.
- Report muscle aches or yellowing skin immediately.
- Avoid sudden stops to prevent lipid rebound.
Disclaimer This information is provided for educational purposes only and does not replace medical advice. Use only under the supervision of a licensed physician. Do not self-medicate.

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