Roseday Uses

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How do you administer this medicine?

What is Roseday?

Roseday (Roseday) belongs to a a group of drugs called HMG CoA reductase inhibitors, or "statins." Roseday reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL).

Roseday is used in adults and children who are at least 8 years old to lower cholesterol and triglycerides (types of fat) in the blood and to slow the build-up of plaque (fatty deposits) in your blood vessels.

Roseday is also used to lower the risk of stroke, heart attack, and other heart complications in certain people with diabetes, coronary heart disease, or other risk factors.

Roseday is also used to treat hereditary forms of high cholesterol, including the heterozygous type (inherited from one parent) and the homozygous type (inherited from both parents). For the heterozygous type, Roseday can be used in children who are at least 8 years old. For the homozygous type, Roseday can be used in children as young as 7 years old.

Roseday indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Roseday should be used as an adjunct to diet when the response to diet and exercise is inadequate.

Prevention of Cardiovascular Events: In adult patients with an increased risk of atherosclerotic cardiovascular disease based on the presence of cardiovascular disease risk markers such as an elevated hsCRP level, age, hypertension, low HDL-C, smoking or a family history of premature coronary heart disease, Roseday is indicated to reduce total mortality and the risk of major cardiovascular events (cardiovascular death, stroke, MI, unstable angina, or arterial revascularization).

In Adult Patients with Hypercholesterolaemia: Roseday is indicated to: Reduce elevated LDL-C, Total Cholesterol, triglycerides and to increase HDL-cholesterol in patients with primary hypercholesterolaemia (heterozygous familial and non familial) and mixed dyslipidaemia (Fredrickson Types IIa and IIb). Roseday also lowers ApoB, nonHDL-C, VLDL-C, VLDL-TG, the LDL-C/HDL-C, total C/HDL-C, nonHDL-C/HDL-C, ApoB/ApoA-I ratios and increases ApoA-I in these populations.

Treat patients with primary dysbetalipoproteinaemia (Fredrickson Type III hyper lipoproteinaemia).

Treat isolated hypertriglyceridaemia (Fredrickson Type IV hyperlipidaemia).

Reduce Total Cholesterol and LDL-C in patients with homozygous familial hypercholesterolaemia, as an adjunct to diet and other lipid lowering treatments (e.g. LDL apheresis) or alone if such treatments are unavailable.

Slow or delay the progression of atherosclerosis.

Children and Adolescents 6 to 17 Years of Age: Roseday is indicated to reduce the Total Cholesterol, LDL-C and Apo B in patients with heterozygous familial hypercholesterolaemia (HeFH).

How should I use Roseday?

Use Roseday as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Roseday. Talk to your pharmacist if you have questions about this information.
  • Take Roseday by mouth with or without food.
  • Swallow the tablets whole.
  • If you also take an antacid that has aluminum or magnesium in it, take it at least 2 hours after taking Roseday. Check with your doctor if you have any questions.
  • Taking Roseday at the same time each day will help you remember to take it.
  • Continue to take Roseday even if you feel well. Do not miss any doses.
  • If you miss a dose of Roseday, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once or within 12 hours of each other.

Ask your health care provider any questions you may have about how to use Roseday.

Uses of Roseday in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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  • Roseday is used for the treatment of high cholesterol, high LDL, high triglycerides and low HDL in addition to diet, when response to non-medicine options (diet, exercise and weight loss) is not adequate.
  • It is also used to lower the risk of stroke, heart attack, or other heart complications in people who are at high risk of heart diseases, as an adjuvant to correction of the risk factors.

Roseday description

Roseday also contains the following inactive ingredients: Tribasic calcium phosphate, microcrystalline cellulose (PH 102), butylated hydroxy toluene, povidone K-30, croscarmellose sodium, colloidal silicon dioxide, magnesium stearate, Instacoat universal white IH, purified water; color: Titanium dioxide.

Roseday is a synthetic lipid-lowering agent for oral administration. The chemical name for Roseday calcium is bis[(E)-7-[4(4-fluorophenyl)-6-isopropyl 2[methyl (methylsulfonyl) amino] pyrimidin-5-yl](3R,5S)3,5-dihydroxyhept-6-enoic acid] calcium salt. The empirical formula is (C22H27FN3O6S)2Ca and the molecular weight is 1001.14.

Roseday dosage

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General Dosing Information: The dose range for Roseday is 5-40 mg orally once daily.

Roseday can be administered as a single dose at any time of the day, with or without food. When initiating Roseday therapy or switching from another HMG-CoA reductase inhibitor therapy, the appropriate Roseday starting dose should first be utilized, and only then titrated according to the patient's response and individualized goal of therapy.

The 40 mg dose of Roseday should be used only for those patients who have not achieved their LDL-C goal utilizing the 20 mg dose.

Hyperlipidemia, Mixed Dyslipidemia, Hypertriglyceridemia, Primary Dysbetalipoproteinemia (Type III Hyperlipoproteinemia) and Slowing of the Progression of Atherosclerosis: The recommended starting dose of Roseday is 10 mg dose once daily. For patients with marked hyperlipidemia (LDL-C >190 mg/dL) and aggressive lipid targets, a 20 mg starting dose may be considered.

After initiation or upon titration of Roseday, lipid levels should be analyzed within 2-4 weeks and the dosage adjusted accordingly.

Heterozygous Familial Hypercholesterolemia in Pediatric Patients (10-17 years): The usual dose range of Roseday is 5-20 mg/day; the maximum recommended dose is 20 mg/day (doses >20 mg have not been studied in this patient population). Doses should be individualized according to the recommended goal of therapy. Adjustments should be made at intervals of ≥4 weeks.

Homozygous Familial Hypercholesterolemia: The recommended starting dose of Roseday is 20 mg once daily. Response to therapy should be estimated from pre-aphereses LDL-C levels.

Dosage in Asian Patients: Initiation of Roseday therapy with 5 mg once daily should be considered for Asian patients.

Use with Cyclosporine or Lopinavir/Ritonavir: In patients taking cyclosporine, the dose of Roseday should be limited to 5 mg once daily. In patients taking a combination of lopinavir and ritonavir, the dose of Roseday should be limited to 10 mg once daily.

Concomitant Lipid-Lowering Therapy: The risk of skeletal muscle effects may be enhanced when Roseday is used in combination with niacin or fenofibrate; a reduction in Roseday is used in combination with gemfibrozil, the dose of Roseday should be limited to 10 mg daily.

Dosage in Patients with Severe Renal Impairment: For patients with severe renal impairment (CrCl <30 mL/min/1.73 m2) not on hemodialysis, dosing of Roseday should be started at 5 mg once daily and should not exceed 10 mg once daily.

Roseday interactions

See also:
What other drugs will affect Roseday?

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Effect of Co-Administered Medicinal Products on Roseday: In vitro and in vivo data indicate that Roseday has no clinically significant cytochrome P450 interactions (as a substrate, inhibitor or inducer). Roseday is a substrate for certain transporter proteins including the hepatic uptake transporter OATP1B1 and efflux transporter BCRP. Concomitant administration of Roseday with medicinal products that are inhibitors of these transporter proteins may result in increased Roseday plasma concentrations and an increased risk of myopathy.

Interactions Requiring Roseday Dose Adjustments : When it is necessary to co-administer Roseday with other medicinal products known to increase exposure to Roseday, doses of Roseday should be adjusted. It is recommended that prescribers consult the relevant product information when considering administration of such products together with Roseday. Start with a 5 mg once daily dose of Roseday if the expected increase in exposure (AUC) is approximately 2-fold or higher. The maximum daily dose of Roseday should be adjusted so that the expected Roseday exposure would not likely exceed that of a 40 mg daily dose of Roseday taken without interacting medicinal products, for example a 5 mg dose of Roseday with ciclosporin (7.1-fold increase in exposure), a 10 mg dose of Roseday with ritonavir/atazanavir combination (3.1-fold increase) and a 20 mg dose of Roseday with gemfibrozil (1.9-fold increase).

Other Interacting Medicinal Products: Antacid: The simultaneous dosing of Roseday with an antacid suspension containing aluminum and magnesium hydroxide resulted in a decrease in Roseday plasma concentration of approximately 50%. This effect was mitigated when the antacid was dosed 2 hours after Roseday. The clinical relevance of this interaction has not been studied.

Fusidic Acid: Interaction studies with Roseday and fusidic acid have not been conducted. As with other statins, muscle related events, including rhabdomyolysis, have been reported in post-marketing experience with Roseday and fusidic acid given concurrently. Patients should be closely monitored and temporary suspension of Roseday treatment may be appropriate.

Effect of Roseday on Co-Administered Medicinal Products: Warfarin: The pharmacokinetics of warfarin are not significantly affected following co-administration with Roseday. However, as with other HMG-CoA reductase inhibitors, co-administration of Roseday and warfarin may result in a rise in INR compared to warfarin alone. In patients taking vitamin K antagonists monitoring of INR is recommended both at initiation or cessation of therapy with Roseday or following dose adjustment.

Fenofibrates/Fibric Acid Derivatives: Although no pharmacokinetic interaction between Roseday and fenofibrate was observed; a pharmacodynamic interaction may occur. Gemfibrozil, fenofibrate and other fibric acids, including nicotinic acid, may increase the risk of myopathy when given concomitantly with HMG-CoA reductase inhibitors.

Cyclosporin: Co-administration of Roseday with cyclosporin resulted in no significant changes in cyclosporin plasma concentration.

Other Medications: There were no clinically significant interactions with an oral contraceptive, digoxin, ezetimibe, or fenofibrate.

In clinical studies Roseday was co-administered with antihypertensive agents, antidiabetic agents and hormone replacement therapy. These studies did not produce any evidence of clinically significant adverse interactions.

Roseday side effects

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What are the possible side effects of Roseday?

Roseday is generally well tolerated. The adverse events seen with Roseday are generally mild and transient. In controlled clinical trials less than 4% of Roseday treated patients were withdrawn due to adverse events. This withdrawal rate was comparable to that reported in patients receiving placebo.

Common (≥1/100, <1/10): Headache, myalgia, asthenia, constipation, dizziness, nausea, abdominal pain, diabetes mellitus*.

Uncommon (≥1/1000, <1/100): Pruritus, rash and urticaria.

Rare (≥1/10,000, <1/1000): Myopathy (including myositis), hypersensitivity reactions (including angioedema), rhabdomyolysis, pancreatitis.

*Observed in the JUPITER study (reported overall frequency 2.8% in Roseday and 2.3% in placebo) primarily in patients already at high risk for developing diabetes.

As with other HMG CoA reductase inhibitors, the incidence of adverse drug reactions tends to increase with increasing dose.

Skeletal Muscle Effects: Rare cases of rhabdomyolysis, which were occasionally associated with impairment of renal function, have been reported with Roseday and with other marketed statins.

Laboratory Effects: As with other HMG-CoA reductase inhibitors, a dose-related increase in liver transaminases and CK has been observed in a small number of patients taking Roseday. Increases in HbA1c have also been observed in patients treated with Roseday. Abnormal urinalysis testing (dipstick-positive proteinuria) has been seen in a small number of patients taking Roseday and other HMG-CoA reductase inhibitors. The protein detected was mostly tubular in origin. In most cases, proteinuria decreases or disappears spontaneously on continued therapy, and is not predictive of acute or progressive renal disease.

Other Effects: In a long-term controlled clinical trial Roseday was shown to have no harmful effects on the ocular lens.

In Roseday treated patients, there was no impairment of adrenocortical function.

Post Marketing Experience: In addition to the previously mentioned effects, the following adverse events have been reported during post marketing experience of Roseday: Haematological Disorders: Frequency Unknown: Thrombocytopenia.

Hepatobiliary Disorders: Very Rare: Jaundice, hepatitis. Rare: Increased hepatic transaminases.

Musculoskeletal Disorder: Frequency Unknown: Immune-mediated necrotising myopathy. Very Rare: Arthralgia.

As with other HMG-CoA reductase inhibitors, the reporting rate for rhabdomyolysis in post-marketing use is higher at the highest marketed dose.

Nervous System Disorder: Very Rare: Memory loss. Frequency Unknown: Peripheral neuropathy.

Psychiatric Disorders: Frequency Unknown: Depression, sleep disorders (including insomnia and nightmares).

Reproductive System and Breast Disorders: Frequency Unknown: Gynaecomastia.

Children and Adolescents 6 to 17 Years of Age: The safety profile of Roseday is similar in children or adolescent patients and adults although CK elevations >10 x ULN and muscle symptoms following exercise or increased physical activity, which resolved with continued treatment, were observed more frequently in clinical trial of children and adolescents. However, the same special warnings and special precautions for use in adults also apply to children and adolescents.

Roseday contraindications

See also:
What is the most important information I should know about Roseday?

Patients with known hypersensitivity to any component of Roseday. Hypersensitivity reactions including rash, pruritus, urticaria and angioedema have been reported with Roseday.

Patients with active liver disease, which may include unexplained persistent elevations of hepatic transaminase levels.

Use in pregnancy: Pregnancy Category: X.

Roseday is contraindicated in women who are or may become pregnant. Serum cholesterol and triglycerides increase during normal pregnancy and cholesterol products are essential for fetal development. Atherosclerosis is a chronic process and discontinuation of lipid-lowering drugs during pregnancy should have little impact on long-term outcomes of primary hyperlipidemia therapy.

There are no adequate and well-controlled studies of Roseday in pregnany women. There have been rare reports of congenital anomalies following intrauterine exposure to HMG-CoA reductase inhibitors.

Roseday may cause fetal harm when administered to a pregnant woman. If the patient becomes pregnant while taking Roseday, the patient should be apprised of the potential risks to the fetus and the lack of known clinical benefit with continued use during pregnancy.

Because HMG-CoA reductase inhibitors decrease cholesterol synthesis and possibly the synthesis of other biologically active substances derived from cholesterol, Roseday may cause fetal harm when administered to pregnant women. Additionally, there is no apparent benefit to therapy during pregnancy and safety in pregnant women has not been established. If the patient becomes pregnant while taking Roseday, the patient should be apprised of the potential hazard to the fetus and the lack of known clinical benefit with continued use during pregnancy.

Use in lactation: It is not known whether Roseday is excreted in human milk, but a small amount of another drug in this class does pass into breast milk.

Because another drug in this class passes into human milk and because HMG-CoA reductase inhibitors have a potential to cause serious adverse reactions in nursing infants, women who require Roseday treatment should be advised not to nurse their infants.



Active ingredient matches for Roseday:

Rosuvastatin


Unit description / dosage (Manufacturer)Price, USD
Roseday 5mg TAB / 10$ 0.52
Roseday 10mg TAB / 10$ 0.87
Roseday 20mg FC-TAB / 10$ 1.59
ROSEDAY 10 MG TABLET 1 strip / 10 tablets each (USV Ltd)$ 1.25
ROSEDAY 20 MG TABLET 1 strip / 10 tablets each (USV Ltd)$ 2.50
ROSEDAY 40 MG TABLET 1 strip / 10 tablets each (USV Ltd)$ 6.46
ROSEDAY 5 MG TABLET 1 strip / 10 tablets each (USV Ltd)$ 0.75
ROSEDAY film-coated tab 5 mg x 10's (USV)$ 0.62
ROSEDAY film-coated tab 10 mg x 10's (USV)$ 1.13
ROSEDAY film-coated tab 20 mg x 10's (USV)$ 2.08
ROSEDAY film-coated tab 40 mg x 10's (USV)$ 6.46
Roseday 10mg Tablet (USV Ltd)$ 0.14
Roseday 20mg Tablet (USV Ltd)$ 0.28
Roseday 5mg Tablet (USV Ltd)$ 0.08

List of Roseday substitutes (brand and generic names):

Rosbest 10mg Tablet (Mova Pharmaceutical Pvt Ltd)$ 0.20
Rosefast 10mg Tablet (Biochem Pharmaceutical Industries)$ 0.22
Rosevast 5mg TAB / 10 (Neocardiabcare)
Rosevast 10mg TAB / 10 (Neocardiabcare)
ROSEVAST tab 5 mg x 10's (Neocardiabcare)
ROSEVAST tab 10 mg x 10's (Neocardiabcare)
Rosevast 10mg Tablet (Neocardiabcare)$ 0.10
Rosidoc 10mg TAB / 10 (Docventures)$ 1.11
ROSIDOC tab 10 mg x 10's (Docventures)$ 1.11
Rosimit 5mg Tablet (Mitoch Pharma Pvt Ltd)$ 0.08
Roslen 10mg Tablet (Aylen Pharmaceutical Pvt. Ltd.)$ 0.17
Roslen 20mg Tablet (Aylen Pharmaceutical Pvt. Ltd.)$ 0.28
Roslen 5mg Tablet (Aylen Pharmaceutical Pvt. Ltd.)$ 0.11
ROSLOY 20MG TABLET 1 strip / 10 tablets each (Lloyd)$ 3.02
ROSLOY tab 10 mg x 10's (Lloyd)$ 1.56
ROSLOY tab 20 mg x 10's (Lloyd)$ 3.02
Rosloy 10mg Tablet (Lloyd)$ 0.16
Rosloy 5mg Tablet (Lloyd)$ 0.08
Rosloy CV 5mg/75mg Tablet (Lloyd)$ 0.18
Rosloy CV Capsule (Lloyd)$ 0.22
Rosloy D 10mg/1000IU Tablet (Lloyd)$ 0.17
Rosloy D 5mg/1000IU Tablet (Lloyd)$ 0.13
Rosloy F 160mg/10mg Tablet (Lloyd)$ 0.21
Rosloy F 160mg/5mg Tablet (Lloyd)$ 0.17
Rosloy Gold 75mg/20mg/75mg Capsule (Lloyd)$ 0.32
Rosloy Gold Capsule (Lloyd)$ 0.19
Rosmi 10mg FC-TAB / 10 (Cadila)$ 2.05
ROSMI 10 MG TABLET 1 strip / 10 tablets each (Cadila)$ 2.25
ROSMI 20 MG TABLET 1 strip / 10 tablets each (Cadila)$ 4.65
ROSMI 40 MG TABLET 1 strip / 10 tablets each (Cadila)$ 5.08
ROSMI film-coated tab 10 mg x 10's (Cadila)$ 2.05
Rosmi 10mg Tablet (Cadila)$ 0.22
Rosmi 20mg Tablet (Cadila)$ 0.47
Rosmi 40mg Tablet (Cadila)$ 0.51
ROSORIS tab 10 mg x 10's (Curis)

References

  1. DailyMed. "ROSUVASTATIN CALCIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "Rosuvastatin". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "Rosuvastatin". http://www.drugbank.ca/drugs/DB01098 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Roseday are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Roseday. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

User reports

1 consumer reported useful

Was the Roseday drug useful in terms of decreasing the symptom or the disease?
According to the reports released by ndrugs.com website users, the below mentioned percentages of users say the drug is useful / not useful to them in decreasing their symptoms/disease. The usefulness of the drug depends on many factors, like severity of the disease, perception of symptom, or disease by the patient, brand name used [matters only to a certain extent], other associated conditions of the patient. If the drug is not effective or useful in your case, you need to meet the doctor to get re-evaluated about your symptoms/disease, and he will prescribe an alternative drug.
Users%
Not useful1
100.0%


1 consumer reported price estimates

Was the price you paid to purchase the drug reasonable? Did you feel it was expensive?
The below mentioned numbers have been reported by ndrugs.com website users about whether the Roseday drug is expensive or inexpensive. There is a mixed opinion among users. The rating about the cost of the drug depends on factors like which brand drug the patient purchased, how effective it was for the price paid, the country or place the drug is marketed, and the economic condition of the patient. The users who feel the drug is expensive can look for an alternative brand drug or a generic drug to save the cost.
Users%
Not expensive1
100.0%


Consumer reported time for results

No survey data has been collected yet


4 consumers reported age

Users%
30-453
75.0%
16-291
25.0%


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Information checked by Dr. Sachin Kumar, MD Pharmacology

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