Starpill Tablet 
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NOTICE: unsafe with : Alcohol Pregnancy
USED FOR:
Heart attack
Hypertension
Increased cholesterol
COMPOSITION:
Aspirin (75mg)
Atenolol (50mg)
Losartan (50mg)
Atorvastatin (10mg)
Therapeutic Uses:
cardiac
CAUTION
Taking Atorvastatin with alcohol may increase the risk of liver damage.
CAUTION
Starpill Tablet is highly unsafe to use during pregnancy.Human and animal studies have shown significant adverse effects on the foetus. Please consult your doctor.
CAUTION
Starpill Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Starpill Tablet may make you feel dizzy, drowsy or affect your vision. Do not drive until your vision is clear.
CAUTION
Starpill Tablet should be used with caution in patients with kidney disease. Dose adjustment of Starpill Tablet may be needed. Please consult your doctor.Regular monitoring of blood pressure is recommended and can help in better dose adjustment.
CAUTION
Starpill Tablet should be used with caution in patients with liver disease. Dose adjustment of Starpill Tablet may be needed. Please consult your doctor.Use of Starpill Tablet is not recommended in patients with severe liver disease and active liver disease.
Uses of Aspirin
Aspirin is used to prevent heart attack and unstable angina.It decreases the chances of having another heart attack or stroke from a disease related to your heart or blood vessels.
How to use Aspirin
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
How Starpill Tablet works
Aspirin is a non-steroidal anti-inflammatory drug (NSAID) with anti-platelet action. It works by preventing platelets from sticking together which decreases the formation of harmful blood clots. This lowers the chance of heart attack or stroke.
Common Gastrointestinal irritation, Nausea, Vomiting, Dyspepsia, Gastritis, Bleeding disorder, Reduced blood platelets, Gastric erosion, Gastric ulcer.
Expert advice for Aspirin
Helps prevent future heart attack and clot-related (ischemic) stroke with minimum side effects. Take with food to avoid the risk of bleeding in the stomach or intestines. Notify your doctor if you notice black stools or cough up blood (however small the amount). Discontinue Aspirin right away and notify your doctor if you have ringing in your ears, abnormal bleeding, or nausea or vomiting that doesn't go away. Do not use Aspirin for fever in children
Q. Is Aspirin a blood thinner?
Yes, Aspirin acts as a blood thinner. In low doses, it has antiplatelet action and it prevents the platelets from sticking together. This helps to decrease the risk of blood clot formation in blood vessels and provides protection from heart attack and stroke.
Q. Is Aspirin an NSAID (non-steroidal anti-inflammatory drug)?
Yes, Aspirin is a NSAID (non-steroidal anti-inflammatory drug). In low doses, it protects the heart and prevents heart attacks and stroke. In higher doses, it relieves mild to moderate pain, fever, and inflammation and is useful in arthritis, minor body aches, and pains and headache.
Q. Can I take Aspirin and clopidogrel together?
Yes, you can take Aspirin and clopidogrel together. Fixed-dose combinations of clopidogrel and Aspirin are available and effectively lowers the risk of heart attack and is used in patients after a coronary artery stent but it can increase the risk of bleeding.
Q. Is Aspirin good for a hangover headache?
No, Aspirin should not be used for alcohol hangover/ hangover headache. Alcohol use cause damage to the stomach lining and use of aspirin along with can increase the risk of stomach bleeding.
Q. Is Aspirin beneficial in certain diseases of heart?
Yes, at low dose, Aspirin is beneficial for patients who are at an increased risk of heart attack and stroke. It is also advised after stent placement or coronary artery bypass. In low doses, it does not allow the platelets to stick together and decreases the risk of blood clot formation.
Q. Can I take Aspirin empty stomach?
Yes, Aspirin can be taken in an empty stomach particularly to increase its rate and extent of absorption, as the presence of food interferes with Aspirin absorption. Having said so, aspirin taken in an empty stomach can irritate the stomach surface and cause erosions.
Q. Is Aspirin good for hair growth?
No, Aspirin is not known to play any role in hair growth. It is a NSAID (non-steroidal anti-inflammatory drug). In low doses, it protects the heart and prevents heart attacks and stroke. In higher doses, it relieves mild to moderate pain, fever, and inflammation
Q. Is Aspirin safe?
Aspirin is safe to use in the doses as advised by the doctor, however, there are some common side effects associated with its use like nausea, vomiting, dyspepsia, gastritis, bleeding disorder, decreased blood platelets, gastric erosion, and gastric ulcer.
Q. Can I take Aspirin with Tamsulosin?
Aspirin and Tamsulosin can be taken together. There are no known drug-drug interactions when they are used together.
Q. Can I take Aspirin with famotidine?
Aspirin can be taken with famotidine. Aspirin is a pain killer and belongs to the group of NSAIDs (non-steroidal anti-inflammatory agents) which can increase the gastric acid secretion and worsen stomach acidity, heartburn, and stomach ulcers and drugs like Famotidine are used to prevent and treat gastric problems caused by painkillers.
Q. Can I take fexofenadine with Aspirin?
Yes, you can take fexofenadine with Aspirin. Fexofenadine is an anti-histaminic drug used for the treatment of allergic diseases and Aspirin is a NSAID (non-steroidal inflammatory drug) and has antiplatelet action and helps to relieve pain, fever, and swelling. There are no reported drug interactions or harmful effects when they are used together.
Q. Are Aspirin and ASA (acetylsalicylic acid) the same?
Yes, Aspirin and ASA (acetylsalicylic acid) are the names for the same medicine. Aspirin is called acetylsalicylic acid, as it is an acetyl derivative of the salicylic acid and is commonly abbreviated as ASA.
Q. Does Aspirin cause H. pylori infection?
Aspirin is not known to cause Helicobacter Pylori infection. However, its use in patients already having H. pylori infection can cause an increased risk of stomach ulcers and bleeding due to these ulcers.
Q. Can I take ibuprofen after Aspirin?
It is advisable to not take ibuprofen with Aspirin. Your doctor can suggest an alternative. Ibuprofen can decrease the antiplatelet effect of Aspirin. When taken together, they can cause increased anticoagulation and potassium levels. Also, Aspirin can increase the level of ibuprofen. If needed, take ibuprofen 8 hours before Aspirin or 2 to 4 hours after.
Q. How and where is Aspirin metabolized?
After oral intake, Aspirin rapidly gets converted to salicylic acid, its major active circulating form. Both are primarily metabolized (broken down) in the liver to salicyluric acid and products like phenolic and acyl glucuronides and others. All metabolites are excreted through the kidneys.
Q. Why is Aspirin contraindicated in patients with asthma?
Yes, use of Aspirin is contraindicated in patients with asthma, rhinitis and nasal polyps. Aspirin can cause allergic reactions like urticaria (raised, itchy, skin rashes), angioedema (swelling of skin and tissue under the skin), or bronchospasm (narrowing of the airway).
Q. Is there any interaction between Aspirin and vitamin D?
No, drug-drug interactions or additional harmful effects have been reported when Aspirin and vitamin D are used together.
Q. Is asacol also Aspirin?
No, asacol is not Aspirin. Asacol is 5-aminosalicylic acid and is used in the treatment of ulcerative colitis while Aspirin is acetylsalicylic acid (ASA) and belongs to the group of pain killers.
Q. What are the allergic reactions to Aspirin?
Allergic reactions to Aspirin can predominantly affect the respiratory airway tract causing nasal congestion, running nose and difficulty in breathing or the allergic reactions can be limited resulting in urticaria (raised, itchy, skin rashes) and angioedema (swelling of the lower layer of skin and tissue just under the skin).
Q. How is Aspirin helpful to prevent stroke?
Aspirin helps in stopping the processes of platelet adhesion and aggregation (clumping of platelets). Thereby, the risk of formation of blood clots in the vessels supplying the brain is reduced leading to lesser chances of occurrences of stroke.
Q. Is Aspirin bad for your liver?
No, as such Aspirin does not harm your liver. However, if you already have some liver disorder or haven taken Aspirin at high doses, there can be occurrence Aspirin-related toxicity. Hence, it is necessary to disclose your liver condition to the treating physician.
Q. How does Aspirin act as an antiplatelet drug?
Aspirin blocks the enzyme cyclooxygenase which is necessary for the production of thromboxane. Thromboxane normally acts as a pro-aggregatory agent causing the platelets to clump and form a clot. Hence, Aspirin by blocking the action of thromboxane functions as an antiplatelet drug.
Q. Can Aspirin make one constipated?
Yes, long-term use of Aspirin has been associated with constipation. However, occurrence of this side effect is not very common.
Q. Does Aspirin really work for acne?
Aspirin contains acetyl salicylic acid. And salicylic acid is a common component of most of the topical (local application) creams of acne. However, Aspirin as such is not used in the management of acne.
Uses of Atenolol
Atenolol is used in the treatment of hypertension, chest pain (Angina), heart failure and arrhythmias.
How to use Atenolol
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
How Starpill Tablet works
Atenolol is a beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.
Common Nausea, Headache, Fatigue, Constipation, Diarrhoea, Dizziness, Cold extremities.
Expert advice for Atenolol
Atenolol helps reduce blood pressure and lower heart rate. Do not miss doses. In case you miss a dose, take it as soon as possible up to 8 hrs before next dose. Don’t double the dose. Stopping Atenolol suddenly can cause your blood pressure to rise suddenly, which increases the risk of heart attack and stroke. You may feel dizzy during the initial few days. You may also have fatigue and headaches. Notify your doctor if these symptoms persist for long. Can hide symptoms of low blood sugar if you're diabetic. If you take insulin or other anti-diabetic medications, you may have to check your blood sugar level more closely. Know how to check pulse daily and blood pressure (BP) twice a week, and teach your family as well. Notify your doctor if slow pulse, troubled breathing, wheezing, cold hands and feet, dizziness, light-headedness, confusion, depression.
Q. What is betacard used for?
Betacard is a trade name for active drug atenolol. Atenolol belongs to a class of drugs called beta blockers and is used for its effect on the heart and peripheral blood vessels to lower elevated blood pressure, prevent chest pain, treat uneven heart beats and in the early treatment following a heart attack
Q. Is Atenolol safe?
Yes. Atenolol is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is atenolol a diuretic/ blood thinner/ ACE inhibitor/ nitrate?
No. Atenolol is blood pressure lowering medication (beta-blocker) and used to treat few other heart diseases. It has no known effect on increasing the urine output or fluidity of blood. It is not an ACE inhibitor or nitrate
Q. Is Atenolol a narcotic?
No. Atenolol is not a narcotic medicine. It belongs to a class of drugs called beta blockers and is used for its effect on the heart and peripheral blood vessels to lower elevated blood pressure, prevent chest pain, treat uneven heart beats and in the early treatment following a heart attack
Q. Is Atenolol cardioselective/ selective/ non-selective?
Yes. Atenolol selectively blocks receptors called beta-1 adrenergic receptor in the heart and is therefore called a cardio selective drug.
Uses of Losartan
Losartan is used in the treatment of hypertension and heart failure.Decreasing high blood pressure lowers the risk of heart attack and stroke.
How to use Losartan
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
How Starpill Tablet works
Losartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin thereby relaxing blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently.
Common Dizziness, Back pain, Sinus inflammation, Increased potassium level in blood.
Expert advice for Losartan
Losartan can be taken with or without food but preferably be taken at the same time of the day. It is best to take the first dose before bed to reduce symptomatic hypotension. Losartan may cause the level of potassium in blood to go up. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli. Inform your doctor immediately if you have rapid swelling of the lips, tongue, and throat that may affect breathing. Inform your doctor if you have ever been diagnosed with kidney or liver problems. Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
Q. Is Losartan a blood thinner?
No, Losartan is from a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently
Q. Is Losartan safe?
Losartan is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is losartan the same as losartan potassium?
Yes. Losartan is available in the market as losartan potassium. So, the salt form of losartan contains potassium, however, check the bottle before use
Q. Is Losartan generic?
Yes, it is the generic drug
Q. Is losartan a water pill?
No, it belongs to a class of medications called angiotensin II receptor antagonists
Q. Is Losartan gluten free?
Yes. Losartan is gluten free. However, please refer to package insert of the prescribed brand before use
Q. Does losartan contain potassium?
Losartan is available in the market as losartan potassium. So, the salt form of losartan contains potassium, however, check the bottle before use
Q. Can I take losartan with Benadryl/atenolol/Xanax/Viagra/Nyquil/metoprolol?
Atenolol, metoprolol and Xanax may lower blood pressure when taken along with losartan. No clinically observed drug interaction is observed with Viagra, Nyquil, and alcohol. Please follow doctor’s advice regarding its use
Q. Does Losartan cause constipation/infrequent urination/ drowsiness/ headache/ itching/ cough/ lower heart rate?
Losartan causes headache, drowsiness. Constipation, infrequent urination, itching, cough and low heart rate are not reported. Patient should fallow doctor’s advice regarding the possible side effects.
Uses of Atorvastatin
Atorvastatin is used in the treatment of increased cholesterol and increased triglycerides.
How to use Atorvastatin
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it.
How Starpill Tablet works
Atorvastatin is a lipid-lowering medication (statin). It works by blocking an enzyme (HMG-CoA-reductase) that is required in the body to make cholesterol. It thus lowers "bad" cholesterol (LDL), triglycerides and raises "good" cholesterol (HDL).
Common Headache, Stomach pain, Constipation, Feeling sick, Muscle pain, Weakness, Dizziness, Increased glucose level in blood.
Expert advice for Atorvastatin
Atorvastatin lowers "bad" cholesterol (LDL). It helps prevent heart attack and stroke. Regular exercise and low-fat diet further help to lower levels of fat in the blood. Atorvastatin prevents one death in every 50 patients with heart disease treated over 4 to 5 years. In general, Atorvastatin is safe. It may cause digestive problems like diarrhoea, gas. If any of these happen to you, take it with food. It is better to take in the evening. Notify your doctor if you are more tired than usual, do not feel hungry, or if you have yellow eyes, skin or dark urine. Notify your doctor if you experience muscle symptoms (pain or weakness), particularly if you have fever, a sick feeling or dark urine.
Q. What should I know about high cholesterol?
Cholesterol is a type of fat present in your blood. Your total cholesterol is made up of LDL and HDL cholesterol. LDL cholesterol is called “bad” cholesterol as it can build up in the wall of your blood vessels and slow or obstruct blood flow to your heart, brain, and other organs. This can cause heart diseases and stroke. HDL cholesterol is called “good” cholesterol as it prevents the bad cholesterol from building up in the blood vessels. Triglycerides also are harmful fats found in your blood.
Q. Is Atorvastatin used for lowering cholesterol?
Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) lowering medicines. It is used to lower lipids known as cholesterol and triglycerides in the blood when a low-fat diet and lifestyle changes on their own have failed. If you are at an increased risk of heart disease, Atorvastatin can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol-lowering diet during treatment.
Q. Is Atorvastatin diuretic?
Atorvastatin is not a diuretic. It is a lipid lowering agent which belongs to a group of medicines known as statins.
Q. Is Atorvastatin better than simvastatin and pravastatin?
Atorvastatin, simvastatin, and pravastatin belong to the same category of medications with similar action and similar side effects, but their effect may vary upon individual response. Always consult your doctor regarding its use.
Q. Can the use of Atorvastatin cause diabetes?
Diabetes has not been reported as a side effect of Atorvastatin. However, it may increase your blood sugar levels. So, it is very important that you monitor your blood sugar levels regularly if you are taking Atorvastatin. Also, share with your doctor if you have diabetes mellitus and you are advised to take Atorvastatin as your doctor will monitor you while you are taking this medicine.
Q. Can Atorvastatin lower the level of triglycerides?
Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) lowering medicines. Atorvastatin is used to lower lipids known as cholesterol and triglycerides in the blood when a low-fat diet and lifestyle changes on their own have failed.
Q. Does Atorvastatin cause weight loss?
Atorvastatin has not been reported to cause weight loss. However, weight gain has been reported as an uncommon side effect. Please consult your doctor if you experience weight loss while you are taking Atorvastatin.
Q. Does Atorvastatin cause erectile dysfunction?
Atorvastatin can cause erectile dysfunction although this side effect is not very clear. Please consult your doctor if you experience erectile dysfunction while you are taking Atorvastatin.
Q. Does Atorvastatin cause diarrhea?
Diarrhea is a common side effect of Atorvastatin. Please consult your doctor if you experience diarrhea after taking Atorvastatin as the dose of your medicine may need to be changed.
Q. Does Atorvastatin cause memory loss?
Loss of memory is an uncommon side effect of Atorvastatin, which may affect up to 1 in 100 people. Please consult your doctor if you experience any symptoms of memory loss after taking Atorvastatin.
Q. Does Atorvastatin cause frequent urination?
Atorvastatin has not been reported to cause frequent urination. Please consult your doctor if you experience increased urinary frequency after taking Atorvastatin.
Q. Does Atorvastatin cause high blood pressure?
Atorvastatin has not been reported to cause high blood pressure. Please consult your doctor if you experience any symptoms of high blood pressure while taking Atorvastatin.
Q. Is Atorvastatin a blood thinner?
Atorvastatin is not a blood thinner. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.
Q. Is Atorvastatin safe to take?
Atorvastatin is safe if used at prescribed doses for the prescribed duration as advised by your doctor.
Q. Is Atorvastatin a beta blocker?
Atorvastatin is not a beta blocker. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.
Q. Is Atorvastatin a controlled substance?
Atorvastatin is not a controlled substance under the Controlled Substance Act (CSA). Controlled substances are drugs that are strictly regulated to reduce the risk of abuse and illegal distribution. To determine the level of restriction placed on a particular controlled substance, five different categories (or "Schedules") are used. A controlled substance will belong to Schedule I, II, III, IV, or V, with Schedule V being the least restricted.
Q. Is Atorvastatin an Angiotensin Converting Enzyme (ACE) inhibitor?
Atorvastatin is not an Angiotensin Converting Enzyme (ACE) inhibitor. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.
Q. Can I take Atorvastatin with metformin?
Atorvastatin can be taken with metformin. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with ibuprofen?
Atorvastatin can be taken with ibuprofen. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with milk?
No information is available for the use of Atorvastatin with milk. However, it can be taken any time of the day, with or without food. Please consult your doctor.
Q. Can I take Atorvastatin with fenofibrate?
Both fenofibrate and Atorvastatin have similar effects and they may increase the effects of each other. Fenofibrate may also increase side effects like risk for rhabdomyolysis (condition in which damaged skeletal muscle breaks down rapidly). Monitoring is required when these two drugs are taken together. Please consult your doctor before taking these two medicines together.
Q. Can I take Atorvastatin with levothyroxine?
Atorvastatin can be taken with levothyroxine. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with amlodipine?
Atorvastatin can be taken with amlodipine. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with erythromycin?
Erythromycin can increase the level or effect of Atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy). So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with metronidazole?
Metronidazole can increase the level or effect of Atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy) with Atorvastatin. So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.
Q. Can I take Atorvastatin with clarithromycin?
Clarithromycin can increase the level or effect of Atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy) with Atorvastatin. So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.
Q. Does Atorvastatin cause gas?
Flatulence (gas or wind) is one of the common side effects associated with the use of Atorvastatin. If you have any such symptom while taking the drug, consult your doctor.
Q. Does Atorvastatin lower blood pressure?
Atorvastatin is a lipid-lowering drug used in the treatment of increased cholesterol levels and for the prevention of cardiovascular diseases. However, a meta-analysis of different clinical trial shows that Atorvastatin has a small blood pressure lowering effect.
Q. Does Atorvastatin affect the liver?
Atorvastatin is associated rarely with hepatobiliary disorders. Its use is also linked with abnormal liver function test and hence a periodic test of the liver functions is recommended.
Q. Does Atorvastatin cause itching?
Atorvastatin use has been associated with urticaria (itching) and skin rash. If you experience any such symptom while using the drug, consult your doctor.
Q. Does Atorvastatin thin blood?
Atorvastatin is not a blood-thinner. It is a lipid-lowering agent and acts by inhibiting HMG-CoA reductase enzyme.
Q. What is Atorvastatin?
Atorvastatin is a lipid-lowering drug which belongs to group of medications called statins (lipid-lowering agents) or HMG CoA reductase inhibitors. It acts by blocking the enzyme HMG CoA reductase and formation of cholesterol, thus, lowering the blood lipid levels.
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