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Manufacturer/Marketer :

Symbiotic Drugs

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ORAL

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Not Returnable

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About Symtor-Forte Capsule

Symtor-Forte Capsule is a combination drug of blood thinners, cholesterol-lowering agents and blood pressure-lowering agents primarily used to prevent heart attack and stroke. Besides this, it also lowers the raised level of bad cholesterol (especially for those at high risk of heart disease). A heart attack generally refers to a blocked flow of blood to the heart due to the blockage of arteries. The blockage is most often a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries).

Symtor-Forte Capsule is composed of three medicines: Atorvastatin, Ramipril, and Aspirin. Atorvastatin is a cholesterol-lowering medication that blocks the enzyme required to make fat in the body. It reduces the bad cholesterol (also known as low-density lipoproteins or LDL) and triglycerides (TG) and increases the levels of good cholesterol (also known as high-density lipoproteins or HDL). Aspirin is blood thinners or antiplatelet (anticoagulant) that collectively prevent clots in the blood vessels. Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lowers increased blood pressure by blocking a naturally occurring substance known as angiotensin II that tightens your blood vessels, thereby relaxing blood vessels in the body and reducing overload on the heart to pump more blood. Together Symtor-Forte Capsule minimisess the risk of heart attack, stroke, and heart-related chest pain (angina).

Depending upon your medical condition, you are advised to take Symtor-Forte Capsule for as long as your doctor has prescribed it for you. The most common side effects of Symtor-Forte Capsule are increased bleeding tendency, constipation, headache, muscle pain, weakness, headaches, decreased blood pressure, dizziness, muscle pain, increased blood glucose level, and cough in some cases. Most of these side effects of Symtor-Forte Capsule do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own. Stopping Symtor-Forte Capsule abruptly may worsen your condition and increase your risk of a future heart attack. Let your doctor know if you are sensitive to atorvastatin, or aspirin, have any active liver disease, active bleeding issues (like peptic ulcer, brain haemorrhage), muscle problems (myopathy, rhabdomyolysis), are pregnant or planning to become pregnant or breastfeeding. Atorvastatin, present in Symtor-Forte Capsule , is a pregnancy category X drug, so it is contraindicated in pregnant women. As it may cause harm to the fetus if administered to pregnant women. Disclose to your doctor that you are taking Symtor-Forte Capsule if you are going to have any surgery.

Uses of Symtor-Forte Capsule

Prevention of heart attack, Prevention of stroke, Angina (heart-related chest pain)

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Symtor-Forte Capsule is a combination drug of a blood-thinning agent (aspirin), cholesterol-lowering agent (atorvastatin) and blood pressure-lowering agent (ramipril) primarily taken to prevent heart attack and stroke in people with heart problems. It also lowers the raised level of bad cholesterol (especially for those at high risk of heart disease). Additionally, it is also given to patients who had a recent heart bypass surgery to control cholesterol levels and prevent blood clots. Symtor-Forte Capsule is composed of three medicines: Atorvastatin, Ramipril, and Aspirin. Atorvastatin is a lipid-lowering medication that blocks the enzyme required to make cholesterol in the body. It reduces the bad cholesterol (also known as low-density lipoproteins or LDL) and triglycerides (TG) and increases the levels of good cholesterol (also known as high-density lipoproteins or HDL). Aspirin is blood thinners or antiplatelet (anticoagulant) that collectively prevent clots in the blood vessels. Ramipril is an angiotensin-converting enzyme or ACE inhibitor that lower increased blood pressure by blocking a naturally occurring substance known as angiotensin II (that tightens your blood vessels). It allows these constricted blood vessels to relax and helps lower high blood pressure. Together Symtor-Forte Capsule reduces the risk of heart attack, stroke, and heart-related chest pain (angina).

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Inform your doctor if you are highly sensitive to atorvastatin, ramipril or aspirin, have any active liver disease, have active bleeding issues (like a peptic ulcer or brain haemorrhage), are pregnant or planning to become pregnant, or breastfeeding. The patient should inform the doctor they are taking Symtor-Forte Capsule before any surgery or any new medicine is taken. Atorvastatin, present in Symtor-Forte Capsule , is a pregnancy category X drug, so it is contraindicated in pregnant women. As it may cause harm to the fetus if administered to a pregnant woman. Co-administration with anticoagulants like warfarin may cause gastric bleeding and other bleeding problems. So, if you are using any blood-thinning agents, let your doctor know about this. Symtor-Forte Capsule contains atorvastatin which can cause muscle problems like myopathy and rhabdomyolysis. So, any signs of muscle pain, tenderness, or weakness, during the initial months of the treatment should be closely monitored. Patients with active liver disease should use Symtor-Forte Capsule with caution. The safety and effectiveness of Symtor-Forte Capsule have not been established, so its use should be avoided in pediatric patients or children less than 12 years of age. Discontinuation of Symtor-Forte Capsule may lead to cardiovascular events like heart attack, stroke, and angina (heart-related chest pain). Hence, you should consult a doctor before stopping the dose of Symtor-Forte Capsule .

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Symtor-Forte Capsule:
Co-administration of Ketorolac and Symtor-Forte Capsule may increase the risk of side effects.

How to manage the interaction:
Taking Ketorolac with Symtor-Forte Capsule is not recommended but can be taken together if prescribed by a doctor. However, consult a doctor if you experience unusual bleeding or bruising, dizziness, tarry stools, coughing up or vomiting fresh or dried blood, severe headache and weakness. Do not stop using any medications without talking to a doctor.
How does the drug interact with Symtor-Forte Capsule:
Combining Ketorolac tromethamine with Symtor-Forte Capsule can increase the risk of adverse effects.

How to manage the interaction:
Taking Symtor-Forte Capsule with Ketorolac tromethamine is not recommended, as it results in an interaction, it can be taken if advised by a doctor. Do not stop using any medications without a doctor’s advice.
How does the drug interact with Symtor-Forte Capsule:
Taking Symtor-Forte Capsule with Posaconazole can increase the blood levels of Symtor-Forte Capsule. This can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between posaconazole with Symtor-Forte Capsule, they can be taken together if advised by your doctor. However, contact the doctor if you experience unexplained muscle pain, weakness, fever, chills, joint pain or swelling, unusual bleeding, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark coloured urine, or yellowing of the skin or eyes. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Symtor-Forte Capsule:
Taking aliskiren together with Symtor-Forte Capsule may increase the risk of serious side effects such as kidney problems, low blood pressure, and high potassium levels in the blood. High levels of potassium can develop into a condition known as hyperkalemia, which in severe cases can lead to kidney problems, muscle paralysis and irregular heart rhythm.

How to manage the interaction:
Taking Symtor-Forte Capsule with Aliskiren is not recommended, but can be taken if prescribed by a doctor. However, consult your doctor if you feel nausea, vomiting, weakness, confusion, tingling in the hands and feet, a sensation of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. You must drink enough fluids while taking these medications. It is advised to reduce the intake of foods high in potassium, including tomatoes, raisins, figs, potatoes, lima beans, bananas, plantains, papayas, pears, cantaloupes, mangoes. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Symtor-Forte Capsule:
Coadministration of warfarin with Symtor-Forte Capsule may increase the risk of bleeding.

How to manage the interaction:
Although there is a possible interaction between Symtor-Forte Capsule and warfarin, you can take these medicines together if prescribed by a doctor. However, if you notice unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or weakness, contact a doctor immediately. Do not stop using any medications without consulting a doctor.
AspirinDesirudin
Severe
How does the drug interact with Symtor-Forte Capsule:
Using Desirudin together with Symtor-Forte Capsule may increase the risk of bleeding.

How to manage the interaction:
Taking Symtor-Forte Capsule with Desirudin together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these signs, it's important to contact a doctor right away: difficulty with bleeding, serious bleeding, complications, bleeding, bruising, feeling dizzy or lightheaded, dark or tar-like stools, intense headache, weakness, bleeding, or vomiting. Do not stop using any medications without talking to a doctor.
How does the drug interact with Symtor-Forte Capsule:
Taking fondaparinux with Symtor-Forte Capsule can increase the risk of bleeding leading to serious blood loss.

How to manage the interaction:
Although there is an interaction between fondaparinux and Symtor-Forte Capsule, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience bleeding, severe back pain, dizziness, black or red stools, severe headache, weakness, and vomiting. Do not stop using any medications without talking to a doctor.
AspirinDicoumarol
Severe
How does the drug interact with Symtor-Forte Capsule:
Using warfarin together with Dicoumarol may cause you to bleed more easily.

How to manage the interaction:
Taking Symtor-Forte Capsule with Dicoumarol together can result in an interaction, but it can be taken if a doctor has advised it. If you notice any bleeding, it's important to contact a doctor right away. They will be able to help you and provide the necessary care. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Symtor-Forte Capsule:
When Ibrutinib is used with Symtor-Forte Capsule, the risk of bleeding may increase.

How to manage the interaction:
Although there is a possible interaction between Symtor-Forte Capsule and Ibrutinib, you can take these medicines together if prescribed by a doctor. However, if you experience unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult the doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Symtor-Forte Capsule:
Using dalteparin with Symtor-Forte Capsule, may enhance the risk of bleeding problems.

How to manage the interaction:
Although there is a possible interaction between Symtor-Forte Capsule and dalteparin, you can take these medicines together if prescribed by a doctor. However, if you notice unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, dizziness, or weakness while taking these drugs, inform a doctor immediately. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eat a healthy diet rich in soluble fibre like beans, legumes, whole grains, flax, apples, and citrus fruits.
  • Try to replace most of your saturated fats with unsaturated fats that can reduce total cholesterol and LDL cholesterol quickly. Foods like avocados, olive oil, fatty fish, and nuts contain many heart-healthy unsaturated fats, so it’s beneficial to eat them regularly.
  • Try to adopt a Mediterranean-style diet rich in olive oil, fruits, vegetables, nuts, whole grains, and fish, low in red meat and most dairy.
  • Try to give priority to more fruits and veggies in your daily meal as these contain antioxidants that help to lower LDL - low-density lipoprotein (bad cholesterol)
  • Minimize the intake of added sugar. The American Heart Association (ADA) recommends one should not eat more than 100 calories (25 grams) of added sugar for women and children and no more than 150 calories (37.5 grams) for men every day.
  • American Heart Association recommends sodium chloride intake (table salt) should not exceed more than 2,300 mg per day as part of a healthy eating pattern.
  • As a precautionary measure, do not consume alcohol and quit smoking.

Habit Forming

No

Therapeutic Class

CARDIOVASCULAR AGENTS

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Symtor-Forte Capsule is composed of three medicines: Atorvastatin, Ramipril, and Aspirin. Atorvastatin lowers raised fat/cholesterol; aspirin prevents blood clots in the arteries, and ramipril lowers increased blood pressure. Thus, together Symtor-Forte Capsule reduces the risk of heart attack, stroke, and heart-related chest pain (angina).

Usually, Symtor-Forte Capsule is prescribed for long-term treatment ranging from weeks to months for treating heart-related conditions and disorders. However, taking it on your own for years without a doctor's consent can be fatal. Hence, only take it as long as your doctor prescribes it.

Symtor-Forte Capsule can raise your blood sugar, so if you already have type 2 diabetes, please consult your doctor. The doctor will weigh the benefits and potential risks before prescribing them.

Symtor-Forte Capsule contains aspirin, which can increase your bleeding risk and increase the blood clot time. Please consult your doctor if the Symtor-Forte Capsule needs to be stopped before surgery. The doctor might ask you to stop taking Symtor-Forte Capsule a few days before surgery to avoid the increased risk of bleeding during the procedure.

If you forget to take Symtor-Forte Capsule at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.

Yes, taking Symtor-Forte Capsule can increase the risk of bleeding as it contains aspirin, which is a blood thinner. So, please be very cautious while shaving, cutting fingernails or toenails, or using sharp objects to avoid bleeding.

Musculoskeletal pain, abdomen pain, cough, dizziness, low blood pressure, stomach ulcer/bleeding, and bleeding problems are the common side effects of Symtor-Forte Capsule , which can be reported in some patients.

Drug-Drug Interactions Checker List

  • CLARITHROMYCIN
  • RITONAVIR
  • LOPINAVIR
  • DARUNAVIR
  • ATAZANAVIR
  • INDINAVIR
  • ITRACONAZOLE
  • WARFARIN
  • HEPARIN
  • COLCHICINE
  • DIGOXIN
  • CYCLOSPORINE

Special Advise

  • Please monitor your blood sugar (H1b1AC) level regularly.

Disease/Condition Glossary

Heart attack: A heart attack generally refers to a blocked flow of blood to the heart due to the blockage of arteries. The blockage is most often a build-up of fat, cholesterol, and other substances, which form a plaque in the arteries that feed the heart (coronary arteries).

Stroke: Stroke occurs when the blood and oxygen supply to the brain is limited or stopped. When the brain does not receive sufficient oxygen and nutrients, it starts dying within a few minutes. If not treated early, it is a life-threatening condition that can lead to brain damage, coma, and even death.

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