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For specific recommendations including dosage recommendations for such concomitant use, see Drug Interactions. Atorvastatin is metabolized predominantly in the liver and potentially may accumulate in the plasma of patients with hepatic impairment; however, the manufacturer makes no specific recommendations for dosage adjustment in patients with hepatic impairment. Because renal impairment does not affect plasma concentrations or antilipemic effects of atorvastatin, the manufacturer states that dosage modification in patients with renal impairment is not necessary. Although there are no specific dosage recommendations for geriatric patients, caution is recommended when atorvastatin is used in these patients. Active liver disease, including unexplained, persistent elevations in hepatic aminotransferase transaminase concentrations. Women who are or may become pregnant.

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