Pravastatin 20mg

Generic For: Pravachol

Pravastatin 20mg (brand name Pravachol) is a statin medication that lowers LDL ("bad") cholesterol and triglycerides and helps reduce the risk of heart attack and stroke. It is often compared with atorvastatin, another widely prescribed statin, though the two differ in potency and drug interactions. After a licensed provider reviews your prescription, your order ships from a licensed U.S. pharmacy.

Select Quantity *

90-day supply · $0.28/tablet

How It Works

  1. Select your medication
  2. Licensed providers review & prescribe
  3. Our licensed U.S. pharmacists fill your prescription
  4. Delivered to you as soon as the next day

Price: $25.00

HSA/FSA Eligible
Get Started

*Doctor visit fee & delivery cost not included in price. Refills at provider discretion.

Pharmacist Support Fast Shipping Licensed U.S. Pharmacy

Buy Pravastatin 20mg Online

A statin (HMG-CoA reductase inhibitor) for high cholesterol, high triglycerides, and prevention of heart disease

Pravastatin 20mg Quick Facts

Drug classHMG-CoA reductase inhibitor (statin)
TreatsHigh cholesterol, high triglycerides, cardiovascular risk reduction
FormTablet
Typical dosingTake 1 tablet by mouth daily at bedtime
Prescription requiredYes — prescription only

What Is Pravastatin 20mg?

Pravastatin is a statin, a class of drugs that blocks an enzyme your liver uses to make cholesterol. By lowering LDL cholesterol and triglycerides and modestly raising HDL cholesterol, it helps slow the buildup of plaque in arteries. It is FDA-approved to treat high cholesterol and to reduce the risk of heart attack, stroke, and cardiovascular procedures in appropriate patients. Many people researching statins compare pravastatin vs atorvastatin; both lower cholesterol, but atorvastatin is generally more potent per milligram, while pravastatin has fewer drug interactions.

What Does Pravastatin 20mg Treat?

Primary hyperlipidemia (high LDL cholesterol)
Mixed dyslipidemia
Hypertriglyceridemia
Primary prevention of cardiovascular events in patients with elevated cholesterol
Secondary prevention of heart attack and stroke in patients with heart disease
Slowing progression of coronary atherosclerosis
Heterozygous familial hypercholesterolemia in children and adolescents (ages 8 and older)

Pravastatin 20mg Dosage

Adults: 40 mg by mouth once daily; may adjust within 10–80 mg once daily based on response.
Significant renal impairment: start 10 mg by mouth once daily.
Take at the same time each day, with or without food.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Pravastatin 20mg Side Effects

Common side effects

  • Muscle aches or pain
  • Nausea
  • Diarrhea
  • Headache
  • Dizziness
  • Heartburn
  • Common cold symptoms
  • Fatigue

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Unexplained muscle pain, tenderness, or weakness (possible myopathy/rhabdomyolysis)
  • Dark or cola-colored urine
  • Yellowing of skin or eyes, or severe stomach pain (possible liver problems)
  • Signs of allergic reaction (rash, swelling, trouble breathing)
  • Unusual tiredness with fever
  • Significantly elevated blood sugar

Warnings & Interactions

Do not use during pregnancy or while breastfeeding
Contraindicated with active liver disease or unexplained persistent liver enzyme elevations
Risk of muscle injury (myopathy/rhabdomyolysis), higher with certain interacting drugs
Use caution with cyclosporine, clarithromycin, colchicine, gemfibrozil, and other fibrates
May increase blood sugar and HbA1c
Tell your provider about kidney problems, thyroid disorders, or heavy alcohol use
Report new muscle pain or weakness promptly

Tell your prescriber about all medications, supplements, and health conditions before starting pravastatin 20mg.

Talk to U.S.-Based Support

Our licensed pharmacy team in Boca Raton, Florida — real people, no overseas call centers.

Frequently Asked Questions

Pravastatin vs atorvastatin: what is the difference?

Both are statins that lower LDL cholesterol, but atorvastatin is generally more potent milligram-for-milligram and can achieve larger LDL reductions. Pravastatin is not metabolized by the CYP3A4 enzyme, so it tends to have fewer drug interactions. Your provider will choose based on your cholesterol goals, other medications, and tolerance.

Atorvastatin vs pravastatin: which one is right for me?

The right statin depends on how much LDL lowering you need, your other medications, and how you tolerate treatment. Pravastatin may be preferred for patients on interacting drugs or those who had muscle symptoms on stronger statins. Only your prescriber can determine which is appropriate for you.

Do I need a prescription for pravastatin 20mg?

Yes. Pravastatin is a prescription-only medication in the United States. A licensed provider must review your health information and issue a valid prescription before it can be dispensed.

How does ordering and shipping work?

After you place your order, a licensed provider or pharmacist reviews your prescription and health details. Once approved, your medication is dispensed and shipped from a licensed U.S. pharmacy to your address.

What are the most common side effects of pravastatin?

Common side effects include muscle aches, nausea, headache, diarrhea, and dizziness. Most are mild, but contact your provider promptly if you develop unexplained muscle pain, weakness, or dark urine, as these can signal a more serious problem.

Can I take pravastatin with grapefruit juice?

Unlike some statins, pravastatin is not significantly affected by grapefruit juice because it is not metabolized by the CYP3A4 enzyme. Still, discuss your diet and all medications with your pharmacist to avoid other interactions.

How long do I need to take pravastatin?

Statins are typically taken long term to keep cholesterol controlled and reduce cardiovascular risk. Cholesterol usually rises again if the medication is stopped, so do not discontinue without talking to your provider.