Zivast-AM Tablet is a combination medicine used in the treatment of hypertension (high blood pressure) with high cholesterol levels. It also helps to reduce the risk of stroke and heart attack. You can take Zivast-AM Tablet at any time of day, with or without food, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine. It may cause side effects like headache, nausea, stomach pain, flushing (sense of warmth in the face, ears, neck and trunk), ankle swelling, and increased liver enzyme. Let your doctor know if you experience yellowing of skin or eyes, unusually dark urine or stomach pains as it may be sign of liver damage. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. You may be asked for regular monitoring of blood pressure, kidney function, blood sugar level, and electrolytes level while on the treatment. Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.

• Stomach pain
• Headache
• Sleepiness
• Ankle swelling
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Palpitations
• Constipation
• Muscle pain
• Increased glucose level in blood
• Increased liver enzymes
• Tiredness

If you miss a dose of Zivast-AM Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

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