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. 2020 Aug 13;10(8):e039034. doi: 10.1136/bmjopen-2020-039034

Table 1.

List of statins as a single-ingredient product licensed by the Food & Drug Administration and European Medicines Agency

Statin Solubility Type Synthetic state Pharmacokinetic parameters
Cytochrome P450 subclass Half-life (hours) Clearance (L/hour) Hepatic extraction Excretion
Systemic Oral Hepatic Renal Urine Faecal
Atorvastatin Lipophilic Fully synthetic Active drug CYP3A4 Mean* 17.8 157 >70% 1.20% 70%
Range† 13.8–20.7
Lipitor‡ Dose§: 20, 40, 80 mg REF: 58 REF: 59 REF: 58 REF: 60
REF: 61 62
Cerivastatin Lipophilic Fully synthetic Active drug CYP2C8 and CYP3A4 Mean* 2.96 13 24%–30% 70%
Range† 2.2–4.0
Lipobay‡¶ Dose§: 0.2 to 0.3 mg
REF: 63–65 REF: 63 REF: 66 67 REF: 66 67
Fluvastatin Lipophilic Natural statin Active drug CYP2C9 some CYP2C8 Mean* 1.9 68 120–180 69 73% 6% 93%
Range† 1.5–2.4
Lescol‡ Dose§: 40 to 80 mg REF: 68 REF: 69 70 REF: 71 REF: 72 REF: 68 REF: 68
REF: 73–76
Lovastatin Lipophilic Natural statin Prodrug CYP3A4 Mean* 2.7 18–75 175–351 69% 9.60% 83.20%
Range† 2.6–2.8
Mevacor‡** Dose§: 20 to 40 mg REF: 71 REF: 69 77 78 78 REF: 79 REF: 71 REF: 71
REF: 76 78 80
Pitavastatin Lipophilic Fully synthetic Active drug Partially: CYP2C8 and CYP2C9 Mean* 10.7 16–26 15% 79%
Range† 6.9–13.1
Livalo‡ Dose§: 1, 2, 4 mg REF: 81–84 REF: 85 REF: 85
REF: 81–84 86 87
Rosuvastatin Hydrophilic Fully synthetic Active drug Partially: CYP2CP and CYPC19 Mean* 14.2 49 273–281 82 12 63% 5%–10% 90%
Range† 10.1–24.4
Crestor‡ Dose§: 5, 10, 20, 40 mg
REF: 88–93 REF: 94 REF: 88 REF: 95 REF: 94 REF: 94 REF: 94 96 REF: 96
Pravastatin Hydrophilic Semisynthetic Active drug None Mean* 2.17 57 24–27 46%–66% 20% 71%
Range† 1.6–2.6
Pravachol‡ Dose§: 10, 20, 40 mg REF: 97 REF: 97–99 REF: 59 REF: 97 REF: 97
REF: 80 97 100–103
Simvastatin Lipophilic Semisynthetic Prodrug CYP3A4 Mean* 4.6 32 2000–3100 >79% 13% 58%
Range† 1.6–7.9
Zocor‡ Dose§: 20, 40, 60 mg REF: 104 REF:105–107 REF:79 REF: 104 108 REF:104 108
REF: 92 105 106 109–115

Cerivastatin is withdrawn from the market and lovastatin is not licensed in Great Briatin and Switzerland

*Mean calculated as the average of the means of the cited references.

†Range of the means from the cited references.

‡Common brand name.

§Half-life reported from indicated doses from the cited references.

¶Withdrawn from the market due to rhabdomyolysis in 2001.

**Not commonly prescribed anymore and not licensed in Great Britain and Switzerland.