Tonact D 20 Tablet

Description

1. Uses

• Strong reduction of LDL (bad cholesterol).

• Lowers total cholesterol and triglycerides.

• Helps improve Vitamin D3 levels to support bones and muscles.

• Preferred in patients with:

  • High cholesterol

  • Vitamin D deficiency

  • Risk of heart attack or stroke

• Helps in long-term heart protection by keeping arteries clear.

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2. How It Works

• Atorvastatin 20mg:

  • Reduces cholesterol production in the liver.

  • Lowers LDL and triglycerides while improving HDL.

  • Stronger action compared to 10mg dose.

• Vitamin D3 1000IU:

  • Improves calcium absorption.

  • Strengthens bones and muscles.

  • Supports immunity and reduces weakness or fatigue due to low Vitamin D.

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3. Dosage

• Usually taken once daily, or as directed by doctor.

• Can be taken with or without meals.

• Take at the same time every day.

• Swallow whole; do not crush or chew.

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4. How to Use

• Follow a low-cholesterol diet (avoid fried foods, red meat, egg yolk).

• Moderate sunlight exposure improves Vitamin D levels naturally.

• Avoid alcohol or limit intake to prevent liver strain.

• Keep taking the medicine consistently as cholesterol control is long-term.

• Regular tests may be advised:

  • Lipid profile

  • Liver function test

  • Vitamin D3 levels

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5. Precautions

• Avoid in active liver disease.

• Use with caution if you have:

  • Kidney issues

  • Thyroid disorder

  • History of muscle pain or myopathy

• Not safe during pregnancy or breastfeeding.

• Avoid grapefruit juice (increases statin levels).

• Inform your doctor if taking:

  • Antibiotics

  • Antifungals

  • Anti-HIV medicines

  • Steroids

  • Other cholesterol-lowering drugs

• Do not take extra Vitamin D supplements unless advised.

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6. Side Effects

Common:

• Headache

• Diarrhoea

• Stomach discomfort

• Muscle or joint pain

• Weakness

Due to Vitamin D3:

• Constipation

• Increased thirst

• Nausea

• Rare: high calcium levels (hypercalcemia)

Serious (rare):

• Severe muscle damage (rhabdomyolysis)

• Liver injury

• Allergic reaction (rash, swelling, breathing difficulty)

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7. Seek Immediate Medical Help If:

• Severe unexplained muscle pain, especially with dark-coloured urine

• Yellow eyes or skin

• Persistent vomiting or abdominal pain

• Swelling of face/lips or breathing difficulty

• Excessive thirst with confusion (possible high calcium)