Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Lovastatin (generic name: lovastatin) and Simvastatin (generic name: simvastatin) are both statins used to lower cholesterol and reduce the risk of heart attack and stroke. However, there are some differences between the two. Lovastatin is a low-to-moderate intensity statin and is typically taken once or twice a day with food, while Simvastatin is also a low-to-moderate intensity statin but is usually taken once daily in the evening. Simvastatin has a higher risk of causing severe muscle damage (rhabdomyolysis) compared to Lovastatin. Additionally, Simvastatin is available as an oral solution (Flolipid) for those who have trouble swallowing tablets, whereas Lovastatin does not have this option. Both medications should not be used during pregnancy or breastfeeding, and you should avoid grapefruit and grapefruit juice while taking either medication. Lastly, common side effects like headache and stomach pain are possible with both Simvastatin and Lovastatin.
Lovastatin
Simvastatin
Lovastatin
Simvastatin
Summary of Mevacor vs. Zocor
Summary for Statin
Prescription only
Lovastatin is a low-to-moderate intensity statin that's taken once or twice per day. It's used to lower cholesterol in certain adults and children ages 10 years and older to help prevent heart attack or stroke. This medication lowers your "bad" cholesterol (LDL) and triglycerides (a type of fat) levels. It can also raise your "good" cholesterol (HDL). Follow a heart-healthy diet and get regular exercise while you're taking lovastatin so the medication can work as best as possible. Lovastatin side effects include stomach upset and headache.
Summary for Statin
Prescription only
Simvastatin is a low-to-moderate intensity statin that helps lower cholesterol. This helps lower the risk of serious problems like heart attack or stroke. It's approved for adults and certain children 10 years and older. Simvastatin tablets are available as brand-name Zocor and a generic. The liquid suspension form only comes as brand-name FloLipid. The simvastatin dose is taken by mouth once each night. It works best when you also eat heart-healthy foods and stay active. Possible side effects are stomach pain, muscle pain, and headache.
•Helps lower "bad" cholesterol (LDL) and triglycerides (fats) and improve "good" cholesterol (HDL) levels
•Lowers the risk of problems caused by high cholesterol, like heart attack or stroke, in people with certain conditions (e.g., diabetes, high blood pressure)
•Available as a lower-cost generic
Cons
•Doesn't replace having a balanced diet and regular exercise routine to lower cholesterol levels
•Has more dosing limits for certain drug interactions than some other statins
•Not safe to use if you're pregnant or breastfeeding
Pros and Const for Statin
Pros
•Can lower "bad" cholesterol (LDL) by up to 49% at certain doses
•Taken once a night
•Has an oral solution version (FloLipid) that's an option for people who have trouble swallowing tablets
•Approved for children as young as 10 years old with HeFH
Cons
•Has the highest risk among the statins to cause muscle pain
•Has some drug interactions, like with certain heart medications and grapefruit
•Can't take if you have certain liver problems
•Not recommended to take while pregnant or breastfeeding