Biotor CV 20mg/75mg Capsule: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Black, tarry stools or blood in vomit
- Severe or unusual headache, confusion, or weakness
- Unexplained bruising or bleeding that does not stop
- Muscle pain, tenderness, or weakness with fever or dark urine
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Chest pain or shortness of breath
- Sudden severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is storpid 20mg/75mg tablet used for?
This medicine is a combination of atorvastatin (a statin) and clopidogrel (an antiplatelet), used to prevent heart attacks and strokes in people with cardiovascular disease. It works by lowering cholesterol and preventing blood clots. It is taken once daily by mouth, usually with or without food. Do not stop taking it without your doctor's advice.
- Generic Name: Atorvastatin (20mg) + Clopidogrel (75mg)
- Manufacturer: Sun Pharmaceutical Industries Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 storpid 20mg/75mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एटोरवास्टेटिन और क्लोपिडोग्रेल का संयोजन है। यह उन लोगों के लिए है जिन्हें दिल का दौरा, स्ट्रोक या धमनी की समस्या है। यह कोलेस्ट्रॉल कम करती है और खून के थक्के बनने से रोकती है। इससे भविष्य में दिल का दौरा और स्ट्रोक का खतरा कम होता है। इसे डॉक्टर के बताए अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, पेट दर्द, अपच, मतली, दस्त और आसानी से चोट लगना या खून बहना शामिल हैं। गंभीर दुष्प्रभावों में गंभीर रक्तस्राव, मांसपेशियों में दर्द या कमजोरी, लीवर की समस्या और एलर्जी प्रतिक्रिया हो सकती है। अगर आपको असामान्य रक्तस्राव, काला मल, खून की उल्टी, मांसपेशियों में दर्द या आंखों का पीला होना दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, खासकर अगर आपके दिल में स्टेंट लगा है। किसी भी सर्जरी या दांत के इलाज से पहले अपने डॉक्टर को इस दवा के बारे में बताएं। चोट लगने वाले कामों से बचें। अंगूर का जूस न पिएं। शराब का सेवन सीमित करें या बिल्कुल न करें। अगर आपको कोई दवा छूट जाए तो याद आते ही ले लें, लेकिन अगली खुराक का समय नजदीक हो तो छूटी हुई खुराक छोड़ दें। दोहरी खुराक न लें।
💊 storpid 20mg/75mg tablet Uses & Benefits
[{"condition":"Acute coronary syndrome (heart attack or unstable angina)","description":"Used to reduce the risk of further heart attacks, stroke, and death in patients who have had a heart attack or unstable angina, often as part of dual antiplatelet therapy with aspirin.","evidence":"Well-established"},{"condition":"Post-percutaneous coronary intervention (PCI) with stent placement","description":"Prescribed to prevent stent thrombosis and restenosis after coronary stent implantation.","evidence":"Well-established"},{"condition":"Peripheral arterial disease","description":"Helps reduce the risk of cardiovascular events such as heart attack and stroke in patients with peripheral arterial disease.","evidence":"Well-established"},{"condition":"Secondary prevention of cardiovascular events","description":"Used in patients with established cardiovascular disease to lower the risk of recurrent events.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Prevention of cardiovascular events in patients with diabetes without established cardiovascular disease","description":"Sometimes considered in high-risk diabetic patients, but not routinely recommended without established cardiovascular disease.","evidence":"Limited"}]
Primary treatment for: Cardiovascular disease (secondary prevention)
Also treats: Acute coronary syndrome, Peripheral arterial disease, Post-stent placement, Hyperlipidemia
📋 Drug Information
| Generic Name(s) | Atorvastatin (20mg) + Clopidogrel (75mg) |
| Brand Name | storpid 20mg/75mg tablet |
| Manufacturer | Sun Pharmaceutical Industries Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container. Do not refrigerate unless specified by the manufacturer. |
| Shelf Life | Not established from the available information. Refer to the product packaging for the expiry date. |
| WHO Guideline | Not established from the available information. Guidelines from the World Health Organization may recommend antiplatelet and lipid-lowering therapy in specific cardiovascular conditions, but this fixed-dose combination is not specifically mentioned. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research may provide guidance on cardiovascular disease management, but specific recommendations for this fixed-dose combination are not established. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with different mechanisms. Atorvastatin selectively inhibits HMG-CoA reductase, the enzyme that catalyzes the conversion of HMG-CoA to mevalonate, a rate-limiting step in cholesterol biosynthesis. This leads to upregulation of LDL receptors in the liver and increased clearance of LDL cholesterol from the blood. Clopidogrel is a prodrug that is metabolized in the liver to an active metabolite. This active metabolite irreversibly binds to the P2Y12 ADP receptor on platelets, preventing ADP-mediated activation of the glycoprotein IIb/IIIa complex, which is required for platelet aggregation. Together, these actions reduce cholesterol levels and inhibit platelet aggregation, thereby lowering the risk of cardiovascular events.
Mechanism Steps
💡 How to Take storpid 20mg/75mg tablet
Strength: Capsule containing atorvastatin 20 mg and clopidogrel 75 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one capsule taken orally once daily, containing atorvastatin 20 mg and clopidogrel 75 mg. However, the dose and duration of treatment must be individualized by a qualified clinician based on the indication, patient's age, weight, renal and hepatic function, and other medications. For acute coronary syndrome, a loading dose of clopidogrel 300 mg or 600 mg may be given separately before starting this maintenance dose. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine, particularly the risk of bleeding and muscle toxicity. Dose selection should be cautious, and renal and hepatic function should be monitored. No specific dose adjustment is recommended solely based on age, but individualization is necessary. |
| Renal Impairment | No dose adjustment of atorvastatin or clopidogrel is required for mild to moderate renal impairment. In severe renal impairment, clopidogrel should be used with caution due to increased bleeding risk. Atorvastatin has not been studied in patients with severe renal impairment; use with caution. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Atorvastatin is contraindicated in patients with active liver disease or unexplained persistent elevations of serum transaminases. In patients with mild to moderate hepatic impairment, atorvastatin should be used with caution and at reduced doses. Clopidogrel has not been studied in patients with severe hepatic impairment and should be used with caution. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose for this fixed-dose combination is one capsule (atorvastatin 20 mg + clopidogrel 75 mg) once daily. Higher doses of atorvastatin (up to 80 mg) may be prescribed separately, but this combination product is fixed at 20 mg/75 mg. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of storpid 20mg/75mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| NSAIDs | Major | |
| Omeprazole | Major | |
| Clarithromycin | Major | |
| Grapefruit juice | Major | |
| Gemfibrozil | Moderate | |
| Digoxin | Moderate | |
| Fluconazole | Moderate | |
| Phenytoin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- NSAIDs (e.g., ibuprofen, naproxen)
- Omeprazole
- CYP3A4 inhibitors (e.g., clarithromycin, itraconazole, ritonavir)
- Grapefruit juice
⚡ Moderate Interactions
- Gemfibrozil
- Digoxin
- Fluconazole
- Phenytoin
🍷 Alcohol Interaction
Alcohol should be limited or avoided while taking this medicine. Alcohol can increase the risk of liver damage from atorvastatin and increase the risk of gastrointestinal bleeding from clopidogrel. If you drink alcohol, talk to your doctor about safe limits.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active pathological bleeding, such as peptic ulcer or intracranial hemorrhage.","Hypersensitivity to atorvastatin, clopidogrel, or any component of the formulation.","Active liver disease or unexplained persistent elevations of serum transaminases.","Severe hepatic impairment (Child-Pugh C).","Concomitant use with strong CYP3A4 inhibitors (e.g., clarithromycin, itraconazole, ritonavir) for atorvastatin component.","Pregnancy and breastfeeding (relative contraindication; consult doctor)."]
⚠️ Warnings & Precautions
["This medicine increases the risk of bleeding. Avoid activities that may cause injury. Report any unusual bleeding to your doctor.","Do not stop taking this medicine without consulting your doctor, especially if you have a coronary stent, as this can increase the risk of stent thrombosis.","Atorvastatin can cause muscle pain, tenderness, or weakness. Report these symptoms to your doctor immediately, as they may indicate rhabdomyolysis.","Liver function should be monitored before and during treatment. Report symptoms of liver injury such as jaundice, dark urine, or abdominal pain.","Clopidogrel may interact with certain medications, including omeprazole and other CYP2C19 inhibitors, reducing its effectiveness.","Patients with a history of bleeding disorders or recent surgery should use this medicine with caution.","This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
Not established from the available information. It is not known whether atorvastatin or clopidogrel are excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Consult your doctor.
💊 Overdose Management
Overdose of this medicine may increase the risk of bleeding and muscle toxicity. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote for atorvastatin or clopidogrel. In case of severe bleeding, platelet transfusion may be considered. Hemodialysis is not expected to significantly enhance clearance of either drug.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, especially if you have a stent, as this can increase the risk of blood clots. Inform all your healthcare providers, including dentists, that you are taking this medicine before any procedure or surgery. Avoid activities that increase the risk of bleeding or injury. Tell your doctor if you have a history of bleeding disorders, liver disease, or kidney disease. Avoid drinking grapefruit juice while taking this medicine, as it can increase the levels of atorvastatin in your body. Limit alcohol consumption, as it can increase the risk of liver problems and bleeding. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose. Store this medicine at room temperature, away from moisture and heat. Keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (above 65 years) are at higher risk of bleeding, muscle toxicity, and liver problems. They may also be more sensitive to the cholesterol-lowering effects. Regular monitoring of renal and hepatic function, as well as signs of bleeding, is recommended. Dose adjustments may be necessary based on individual tolerability and clinical response.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine is generally not recommended during pregnancy. Atorvastatin may harm the developing fetus, and clopidogrel should be used only if clearly needed. Your doctor may switch you to alternative medications that are safer during pregnancy.
🏥 Post-Surgery Considerations
Inform your surgeon that you are taking this medicine before any surgery. Clopidogrel increases bleeding risk, and it may need to be stopped 5 to 7 days before surgery, depending on the procedure and your cardiovascular risk. Do not stop the medicine without your doctor's advice. After surgery, your doctor will advise when to restart.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. Clopidogrel increases the risk of bleeding during dental work. Your dentist may take extra precautions to control bleeding. In some cases, your doctor may recommend adjusting the dose temporarily, but never stop the medicine without medical advice.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular exercise is encouraged, but avoid activities that carry a high risk of injury or bleeding, such as contact sports, while taking this medicine. If you experience muscle pain, weakness, or unusual tiredness during exercise, stop and consult your doctor, as this may be a sign of muscle toxicity.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness in some people, especially when starting treatment. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause easy bruising or bleeding, so take precautions in workplaces with high injury risk. Otherwise, most people can continue their normal daily activities without significant disruption.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as severe bleeding, muscle pain with dark urine, or signs of liver injury, contact your doctor immediately. Your doctor may adjust the dose or switch to an alternative medicine. In some cases, after a certain period (e.g., after 12 months post-stent), your doctor may decide to stop clopidogrel while continuing atorvastatin, but this decision must be made by a qualified clinician.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and beneficial for reducing cardiovascular risk. However, it requires regular monitoring of liver function, lipid profile, and bleeding risk. Prolonged use of clopidogrel increases bleeding risk, and atorvastatin can rarely cause muscle or liver toxicity. Periodic blood tests are necessary. Do not stop the medicine without medical advice, as the risk of cardiovascular events increases upon discontinuation.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A heart-healthy diet, regular exercise, smoking cessation, and weight management can complement or reduce the need for medication.
Evidence: Well-establishedAlternatives such as aspirin, ticagrelor, or prasugrel may be used in certain patients, depending on the clinical scenario.
Evidence: Well-establishedRosuvastatin, simvastatin, or pravastatin may be alternatives if atorvastatin is not tolerated.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for any vaccination, inform your healthcare provider that you are taking this medicine, especially if you have a bleeding disorder. Minor bleeding may occur at the injection site due to the antiplatelet effect of clopidogrel.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If crossing time zones, continue taking your dose at the same time each day according to your home schedule, or adjust gradually as advised by your doctor. Ensure you have enough supply for your entire trip. Check local customs regulations for carrying prescription medicines. Store at room temperature and avoid leaving it in a hot car.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The antiplatelet effect of clopidogrel starts within a few hours, but its full effect on reducing cardiovascular events takes time. Atorvastatin begins lowering cholesterol within 2 weeks, with maximal effect in 4 to 6 weeks. However, the protective benefits in preventing heart attack and stroke accrue over months of consistent use.
A: No, you should not stop taking this medicine without consulting your doctor. Even if you feel well, this medicine is working to prevent future cardiovascular events. Stopping suddenly, especially clopidogrel, can increase the risk of blood clots, particularly if you have a stent.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose (more than 12 hours have passed), skip the missed dose and continue with your regular schedule. Do not take a double dose.
A: This medicine is generally not recommended during pregnancy. Atorvastatin may harm the fetus, and clopidogrel should be used only if clearly needed. Consult your doctor if you are pregnant or planning to become pregnant.
A: This medicine can interact with several other medications, including blood thinners, NSAIDs, omeprazole, and certain antibiotics. Always inform your doctor about all medicines you are taking, including over-the-counter drugs and supplements.
🤔 Common Patient Concerns
🔄 Substitutes for storpid 20mg/75mg tablet
View AllAlternative brands with exact same active ingredient:
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danavish atorvastatin+clopidogrel 20mg/75mg capsuleDanavish Healthcare ₹49.69 72.1% CHEAPER
-
stayhappi atorvastatin+clopidogrel 20mg/75mg capsuleSarvagunaushdhi Pvt Ltd ₹49.69 72.1% CHEAPER
-
azvas cv 20mg/75mg capsuleAzkka Pharmaceuticals Pvt Ltd ₹60.94 65.8% CHEAPER
-
fpstatin cv 20 capsuleAzkka Pharmaceuticals Pvt Ltd ₹107.00 39.9% CHEAPER
-
biotor cv 20mg/75mg capsuleLividus Pharmaceuticals Pvt Ltd ₹112.50 36.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once cholesterol levels are normal.
Fact: This medicine is usually continued long-term to prevent cardiovascular events. Stopping suddenly, especially clopidogrel, can increase the risk of blood clots. Always consult your doctor before stopping. - Myth: This medicine is only for people with high cholesterol.
Fact: While atorvastatin lowers cholesterol, clopidogrel prevents blood clots. This combination is prescribed for people with cardiovascular disease to reduce the risk of heart attack and stroke, regardless of cholesterol levels. - Myth: Taking this medicine means I can eat whatever I want.
Fact: A healthy diet and lifestyle are still important. This medicine reduces risk but does not replace the need for a heart-healthy diet and regular exercise.
🔄 Alternative Options
Generic Alternatives
- Atorvastatin + Clopidogrel (generic)
Brand Alternatives
- Biotor CV 20mg/75mg Capsule