Use in pregnancy & lactation:
Atorvastatin is contraindicated during pregnancy and breastfeeding.
Cholesterol and other substances, which are formed during its
biosynthesis, are essential for fetus development (also formation of
steroids and cell membranes). 3-hydroxy-3-methylglutaryl-coenzyme A
(HMG-CoA) reductase inhibitors reduce cholesterol synthesis and possibly
also synthesis of other biologically active substances which are
cholesterol derivatives; its administration in pregnancy may therefore
induce harmful effects in fetus. Usage of HMG-CoA reductase inhibitors
is thus contraindicated in pregnancy and breastfeeding. Atorvastatin may
be administered to women of childbearing potential only when such
patients are highly unlikely to conceive and have been informed of the
potential harmful effects of Avamax. If the woman becomes pregnant while
taking atorvastatin, it should be discontinued and the patient advised
again as to the potential hazards to the fetus.
Because of the potential for adverse reactions in nursing infants, women taking atorvastatin should not breastfeed.