Key takeaways
Simvastatin (Zocor) and pitavastatin (Livalo) are both statins used to lower cholesterol, but they have some key differences. Simvastatin is available in a cheaper generic form, while Livalo does not have a generic alternative. Simvastatin is a first-choice medication for lowering cholesterol and reducing the risk of heart attack and stroke, whereas Livalo has not been shown to lower the risk of these events. Livalo may be better for you if you have experienced muscle pain with other statins or have a kidney condition, as it is less likely to cause muscle and kidney damage. Additionally, Livalo has fewer drug interactions, making it a good option if you take multiple medications. Both medications should not be used during pregnancy or breastfeeding, but Livalo is noted for its higher cost if not covered by insurance.
