Compare pravastatin vs. Niaspan

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Pravachol (pravastatin)

Prescription only

Niaspan (Niacin)

Prescription only
Lowers cholesterol.

Pravachol (pravastatin) can improve cholesterol, but it's not as strong as other statin medicines. It does cause fewer side effects and is safer for your kidneys and liver.

4.8/ 7 average rating with 426 reviewsforpravastatin
Lowers cholesterol.

Niaspan (Niacin) lowers triglycerides, but isn't as good as statins for improving cholesterol levels.

4.2/ 7 average rating with 380 reviewsforNiaspan
Upsides
  • Compared to other statins, Pravachol (pravastatin) has fewer interactions with medicines.
  • Pravachol (pravastatin) is less likely to cause muscle and kidney damage than other statin medicines.
  • If you have liver problems, Pravachol (pravastatin) is the safest statin to use.
  • It's available as a generic.
  • Lowers "bad" cholesterol (LDL) and raises "good" cholesterol (HDL) in people who have trouble doing this through diet and exercise.
  • Good for lowering triglycerides (fats).
Downsides
  • Pravachol (pravastatin) isn't as strong as other statins in lowering your cholesterol.
  • You'll still need to eat a low fat diet and exercise regularly to get the full benefit of Pravachol (pravastatin).
  • By itself, Niaspan (Niacin) isn't as effective as statins for improving cholesterol levels.
  • It can cause flushing and stomach pain or discomfort.
  • You need to take it before bedtime with a low-fat snack.
  • If you miss doses often, you may need to re-start taking the medicine more regularly at a lower dose.
Used for
Dosage forms
  • Pill
  • Pill
  • Extended release
Price
Lowest price near you
$9.99
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Lowest price near you
$67.88
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Reviews
426 
54%
think this treatment is worth it
44%
think this treatment works well
19%
think this treatment is a hassle

Have you used Pravachol (pravastatin)?

Leave a review
380 
43%
think this treatment is worth it
31%
think this treatment works well
19%
think this treatment is a hassle

Have you used Niaspan (Niacin)?

Leave a review
Side effects
10possible side effects
  • Muscle, joint or ligament/tendon pain    
    10%
  • Nausea, vomiting    
    7%
  • Diarrhea    
    7%
  • Headache    
    6%
  • Upper respiratory infection    
    6%
  • Chest pain    
    5%
  • Rash
    5%
  • Dizziness
    4%
  • Stuffy nose
    4%
  • Muscle damage
    4%
See more detailed side effects
6possible side effects
  • Flushing
    68%
  • Itching
    8%
  • Diarrhea
    7%
  • Nausea
    5%
  • Rash
    5%
  • Cough increased
    3%
See more detailed side effects
Risks and warnings
  • Muscle damage

    Kidney disease

    ...and 4 more risk factors

  • Liver damage

    Heavy alcohol use

    ...and 1 more risk factors

  • Harm to fetus

    Pregnancy

    ...and 1 more risk factors

  • Endocrine function

    Spironolactone use

    ...and 2 more risk factors

See more detailed risks and warnings
  • Muscle pain

    Taking Niaspan (Niacin) with statins

  • Liver damage

    Heavy alcohol use

    ...and 1 more risk factors

  • High blood sugar

    Diabetes

  • Low platelets

    Taking Niaspan (Niacin) with anticoagulants

  • Gout

    Gout

See more detailed risks and warnings