Pravastatin to Lower LDL - Quick Reference Sheet

Pravastatin to Lower LDL

Created on 08/08/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 5 Audit

One of the oldest cholesterol-lowering medications, water-soluble so it stays mostly in the liver. It lowers harmful cholesterol less than newer options but reaches muscle and nerve tissue less readily and interacts with fewer medications. Long trials show fewer heart attacks in proportion to the cholesterol drop. Best fit: moderate reduction, poor tolerance of stronger drugs, or many medications. (Full Review)

Protocol

Standard dosing as used by leading practitioners
40 mg once daily
Licensed range 10–80 mg. Practice often begins at 20 mg, titrating to an apolipoprotein B target.
Best time of day
Evening or bedtime
Enzyme activity peaks overnight and the half-life is short. Any time of day is permitted; food is no constraint.
Combination sequencing
Add ezetimibe 10 mg first
Where monotherapy leaves a gap to target, then bempedoic acid or a PCSK9 inhibitor rather than 80 mg.
Time to effect
LDL reduction
Steady state by 4 weeks
Falls begin within days; a lipid panel at 6–8 weeks captures the full response.
Coronary event reduction
Years 3–5
Roughly 11% in year one, rising to about 33% by years three to five.
Inflammatory markers
12–24 weeks
13–17% reduction in high-sensitivity C-reactive protein, largely independent of the LDL response.

Benefits

Contraindications
  • Active liver disease with unexplained persistent transaminase elevation above 3× upper limit of normal
  • Known hypersensitivity to pravastatin or any component of the formulation
  • History of statin-attributed immune-mediated necrotizing myopathy (anti-HMGCR antibodies)
  • Acute rhabdomyolysis or creatine kinase above 10× upper limit of normal, until resolved
  • Severe hepatic impairment (Child-Pugh Class C)
  • Pregnancy and breastfeeding (generally discontinued outside research protocols)
  • Dialysis-dependent kidney failure
Key Interactions
  • Cyclosporine (immunosuppressant): avoid or cap at 20 mg daily
  • Gemfibrozil (fibrate): avoid
  • Macrolide antibiotics (clarithromycin, erythromycin): cap at 40 mg daily
  • Colchicine (gout medication): caution
  • Protease inhibitors, ritonavir-boosted regimens (antiretrovirals): monitor
  • Rifampicin (antibiotic): monitor
  • Red yeast rice (supplement): avoid
  • Niacin at lipid-lowering doses (≥1 g/day): caution
  • St John's wort (supplement): caution
  • Bile acid sequestrants (cholestyramine, colestipol): 1 hour before or 4 hours after
  • Antacids (aluminium, magnesium): separate by at least 1 hour
  • Berberine, plant sterols and stanols, psyllium, bergamot: monitor additive effect
  • Bempedoic acid: cap pravastatin at 40 mg daily
  • Grapefruit juice: negligible for pravastatin
  • Coenzyme Q10: not harmful, potentially complementary

Risk & Side Effects

  • High: inadequate LDL reduction relative to risk-based targets; muscle symptoms; elevated liver transaminases
  • Medium: new-onset type 2 diabetes; lipoprotein(a) elevation; coenzyme Q10 depletion; gastrointestinal and nonspecific symptoms
  • Low: rhabdomyolysis; immune-mediated necrotizing myopathy; cognitive complaints; haemorrhagic stroke; peripheral neuropathy
  • Speculative: cancer incidence in older adults; reduction in testosterone and adrenal steroid precursors

Monitoring

Marker Target Why
LDL cholesterol < 70 mg/dL with plaque; < 100 mg/dL without The direct target of the drug
Apolipoprotein B (apoB) < 80 mg/dL generally; < 60 mg/dL with established plaque Counts atherogenic particles rather than their cholesterol; a better risk predictor than LDL
Lipoprotein(a) < 30 mg/dL (< 75 nmol/L) Genetically determined residual risk that pravastatin cannot lower and slightly raises
Non-HDL cholesterol < 90 mg/dL Captures all atherogenic particles including remnants; stands in where apolipoprotein B is unavailable
Triglycerides < 80 mg/dL Reflects metabolic health and the reliability of calculated LDL cholesterol
High-sensitivity C-reactive protein (hs-CRP) < 0.5 mg/L Residual inflammatory risk, which predicts mortality in statin users better than residual LDL
Alanine aminotransferase (ALT) 10–26 U/L (men); 10–19 U/L (women) Detects the dose-dependent transaminase elevation confirmed in blinded trials
Aspartate aminotransferase (AST) 10–26 U/L Paired with alanine aminotransferase to separate liver from muscle origin
Creatine kinase (CK) 40–200 U/L (men); 30–150 U/L (women) Separates genuine myopathy from muscle symptoms without muscle damage
Haemoglobin A1c (HbA1c) 4.8–5.2% Detects the small class-level increase in new-onset diabetes
Fasting insulin 2–5 µIU/mL Detects insulin resistance earlier than glucose or haemoglobin A1c
Thyroid-stimulating hormone (TSH) 0.5–2.0 mIU/L Thyroid underactivity raises LDL and causes myopathy that mimics statin muscle injury
Estimated glomerular filtration rate (eGFR) and creatinine eGFR > 90 mL/min/1.73 m² Reduced kidney function raises exposure, requires dose reduction, and worsens rhabdomyolysis
Coenzyme Q10 2.5–3.5 µg/mL Depleted through the shared synthesis pathway; a candidate contributor to muscle symptoms

Cadence: Full baseline panel before the first dose. Lipid panel and apolipoprotein B at 6–8 weeks after starting or any dose change, at 3 months once stable, then every 6–12 months. Transaminases and creatine kinase at baseline, thereafter only if clinically indicated. Glycaemic markers annually; lipoprotein(a) once in a lifetime.

Qualitative Assessment

  • Muscle comfort and function: aching, cramping, heaviness, or weakness, proximal (thighs, shoulders, hips) and symmetrical
  • Exercise capacity and recovery: harder training loads, longer recovery, stalled strength progression
  • Energy and daytime fatigue: energy levels in the weeks after starting or a dose increase
  • Cognitive clarity: word-finding, short-term recall, and mental sharpness
  • Sleep quality: onset latency and night-time waking, especially where dosing is at bedtime
  • Digestive comfort: nausea, dyspepsia, or altered bowel habit in the first weeks