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Compare Niaspan vs. Atorvastatin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Niacin ER (niacin) and Atorvastatin (Lipitor) are both used to manage cholesterol levels, but they belong to different classes of medications and work in distinct ways. Niacin ER is an antilipemic and a form of vitamin B3, which helps lower "bad" LDL cholesterol and triglycerides while raising "good" HDL cholesterol. On the other hand, Atorvastatin is a statin that primarily works by blocking an enzyme in the liver responsible for making cholesterol. Niacin ER is typically taken once daily at bedtime, while Atorvastatin can be taken at any time of the day. Niacin ER can cause flushing and stomach upset, whereas Atorvastatin may lead to muscle pain and liver issues. Both medications are not recommended during pregnancy or breastfeeding. While Niacin ER is often used when statins are not effective or cause side effects, Atorvastatin is considered a first-choice medication for lowering cholesterol.

  • Niacin er
    Atorvastatin (Lipitor)
  • Niacin er
    Atorvastatin (Lipitor)

  • Summary of Niaspan vs. Atorvastatin

    Summary for Antilipemic

    Niacin ER (also known as vitamin B3) is a prescription antilipemic medication for adults. It's used to lower high cholesterol and triglycerides (a common form of fat) levels, but it's not a first-choice option for this condition. Niacin ER is taken by mouth once daily, while niacin (Niacor) is typically taken three times daily. Some side effects of niacin ER include flushing and stomach upset. Please note that niacin is also available over-the-counter to treat vitamin B3 deficiency.

    Summary for Statin
    Prescription only

    Atorvastatin (Lipitor) is a statin that lowers "bad" cholesterol, raises "good" cholesterol, lowers triglycerides (TG, also known as fats). In addition, it helps protect your heart and blood vessels. Atorvastatin (Lipitor) is known as a moderate-to-high-intensity statin, meaning it lowers your cholesterol more so than many other statins. And as with all statins, atorvastatin (Lipitor) can cause rare, but serious side effects, such as liver problems or severe muscle pain. It's important that you eat a healthy diet and exercise regularly in order to get the most benefits from this medication.

  • Indications of Niaspan vs. Atorvastatin

    Indications for
    •High cholesterol and high triglycerides
    •Lower risk of repeat heart attack in people with a history of heart attack and high cholesterol
    •Slow plaque buildup in the arteries of people with a history of coronary artery disease (CAD) and high cholesterol (as an add-on medication)
    •Severely high triglycerides in people who are at risk of pancreatitis (as an add-on medication)
    Indications for
    •Prevention of heart or blood vessel problems (e.g., heart attack or stroke) in high-risk adults (e.g., diabetes, high blood pressure, family history of cholesterol problems)
    •Treatment of high "bad" cholesterol and triglyceride levels in certain people

  • Pros and Cons of Niaspan vs. Atorvastatin

    Pros and Const for Antilipemic
    Pros
    •Can lower “bad” (LDL) cholesterol and raise “good” (HDL) cholesterol in people who have trouble doing so with diet and exercise alone
    •Can also lower triglycerides
    •An option for people who didn’t have success or had side effects with statins
    •Available as a lower-cost generic medication
    Cons
    •Doesn’t work as well as statin medications in lowering cholesterol and triglycerides
    •Can cause flushing, a bothersome side effect
    •Need to take immediate-release form multiple times a day
    •Not recommended during pregnancy or breastfeeding
    Pros and Const for Statin
    Pros
    •Can help lower the risk of heart attack, and stroke
    •Can be used in children as young as 10 years old
    •Long-acting, so can take it at anytime
    •Available as a lower-cost generic
    •Available as a liquid (Atorvaliq) for those having trouble swallowing the tablets
    Cons
    •Can't be used in pregnant or breastfeeding females
    •Can't be used in people with liver problems
    •Risk of side effects are higher in certain people, such as those age 65 years and older or those who drink alcohol daily
    •Can cause rhabdomyolysis, a life-threatening muscle problem

  • Common Side Effects of Niaspan vs. Atorvastatin

    Common Side Effects for

    Extended-release tablets:

    •Flushing (up to 69%)
    •Diarrhea (up to 14%)
    •Nausea (up to 11%)
    Common Side Effects for
    •Runny nose or sore throat (8%)
    •Joint pain (7%)
    •Diarrhea (7%)
    •Pain in arms and legs (6%)
    •Pain while urinating, needing to urinate more often, and other symptoms of an urinary tract infection (UTI) (6%)

  • Warnings of Niaspan vs. Atorvastatin

    Common Side Effects for
    •Muscle breakdown that can lead to kidney and heart damage (rhabdomyolysis)
    •Liver damage
    Common Side Effects for
    •Severe muscle pain and damage
    •Worsening liver problems and liver failure
    •High blood sugar
    •Not for use in pregnant or breastfeeding females
    •Possible strokes or brain bleeds

  • Prices with our coupons for Niaspan vs. Atorvastatin

    Learn more about Niacin er
    Learn more about Atorvastatin

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