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Rosuvastatin: Uses, Dosage, Side Effects, and Precautions

Published: July 22, 2026Updated: July 22, 2026

Rosuvastatin is a statin medicine used to lower LDL (“bad”) cholesterol and triglycerides and raise HDL (“good”) cholesterol. It helps reduce the risk of heart attack, stroke, and other cardiovascular problems in people with high cholesterol or increased cardiovascular risk. It is not used to treat an immediate heart attack or sudden chest pain.

Quick summary

Rosuvastatin is a once-daily cholesterol medicine that can help prevent heart attack and stroke. Take it exactly as prescribed, and contact a doctor or pharmacist if you have muscle pain, weakness, or other concerning symptoms.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
C10AA07
Generic
Rosuvastatin
Class
statin
Brands
Crestor
Availability
rx
Pregnancy
X
Lactation
unsafe
Half-life (h)
19
Duration (h)
24
Routes
oral
Forms
tablet
Regions
CN, US, EU, JP
Monitoring
liver-function, lipid-panel, muscle-symptoms

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
10-20mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
5-10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
5-10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Limited human data; doses up to 160mg single dose studied without serious toxicity
Chronic overdose: Long-term use exceeding 40mg daily may increase risk of myopathy and rhabdomyolysis
Immediate actions
Supportive care, monitoring of renal function and creatine kinase
Antidote
No specific antidote available(Treatment is supportive and symptomatic; no specific antidote for statin overdose)
Poison Control: 1-800-222-1222

Special Populations

11 groups
✗

pregnancy

first trimester
contraindicated
FDA Category
X
Dose Adjustment

avoid use

Key Recommendations

rosuvastatin is contraindicated during pregnancy. Discontinue therapy if pregnancy occurs.

Monitor

discontinue immediately upon pregnancy confirmation

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second third trimester
contraindicated
FDA Category
X
Dose Adjustment

avoid use

Key Recommendations

continue to avoid use throughout entire pregnancy

Monitor

discontinue therapy

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
contraindicated
FDA Category
X
Dose Adjustment

do not use

Key Recommendations

rosuvastatin is excreted in human milk. Do not breastfeed infants receiving rosuvastatin.

Monitor

ensure infant is not exposed

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

age 10 to 17 years
caution
FDA Category
X
Dose Adjustment

start at 5mg once daily, max 10mg

Key Recommendations

approved for heterozygous familial hypercholesterolemia in pediatric patients age 10 years and older

Monitor

monitor growth and development, check liver enzymes

Use with caution and monitor for adverse effects.

✗

pediatric_age

under 10 years
unsafe
FDA Category
X
Dose Adjustment

not recommended

Key Recommendations

not approved for children under 10 years of age

Monitor

avoid use

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

age 65 years and older
caution
FDA Category
X
Dose Adjustment

start at 5mg, do not exceed 20mg

Key Recommendations

initiate therapy at lowest effective dose. Increased sensitivity to statin-associated adverse effects.

Monitor

monitor for muscle symptoms and liver function

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe ckl less than 30
caution
FDA Category
X
Dose Adjustment

start at 5mg, do not exceed 10mg

Key Recommendations

use with caution in severe renal impairment. Not recommended for patients with end-stage renal disease.

Monitor

monitor renal function and for muscle toxicity

Use with caution and monitor for adverse effects.

⚠

renal_impairment

moderate ckl 30 50
caution
FDA Category
X
Dose Adjustment

no initial dose adjustment needed

Key Recommendations

use standard starting dose with caution

Monitor

routine monitoring

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

active liver disease
unsafe
FDA Category
X
Dose Adjustment

avoid use

Key Recommendations

contraindicated in patients with active liver disease or unexplained persistent elevations of serum transaminases

Monitor

liver function tests before and during therapy

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild moderate
caution
FDA Category
X
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution. Increased risk of myopathy in patients with substantial alcohol consumption.

Monitor

monitor liver enzymes periodically

Use with caution and monitor for adverse effects.

⚠

alcohol_users

heavy alcohol use
caution
FDA Category
X
Dose Adjustment

avoid excessive alcohol

Key Recommendations

limit alcohol consumption. Increased risk of liver toxicity with chronic heavy alcohol use.

Monitor

regular liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2002

Original FDA approval date for Rosuvastatin (Crestor)

drug_classWHO
2023

Drug class

Value:Statin (HMG-CoA reductase inhibitor)

Pharmacological classification of Rosuvastatin

usageMedical guidelines
2023

Primary indication

Value:Treatment of hyperlipidemia and dyslipidemia

Primary therapeutic uses for Rosuvastatin

mechanismFDA
2023

Mechanism of action

Value:HMG-CoA reductase inhibition

Primary pharmacological mechanism

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Test

Use caution (1)

RELATIVEpregnancy

Test

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 22, 2026. · Read our editorial policy